Kiwanis Care Centre

Shahla Banki, KCC Resident Care Coordinatorshahla.banki@vch.caSara Gilbert, KCC Managersara.gilbert@vch.ca

Kiwanis Care Centre

Hand Hygiene Resident Team

Creating a Culture of Quality

In the Beginning

Purpose: to promote wellness and

reduce infection.

Goal: 100% compliance with

hand hygiene.

Audit Tool:

Vancouver Coastal Health Residential Hand Hygiene Review Tool

Observer Name: Form No when reviewing audit Date: Residential Care Unit/location: Start Time: End Time:

Care/Support Providers (CSP) Categories: 1 = Physician; 2 = Nurse (RN, LPN, Care Aides

and nursing students); 3 = Health Providers (OT, PT, Rec. Therapy, Social Work, Pharmacy, Lab etc) 4= Support Staff (Unit clerks; Aramark, Sodexo, Maintenance) 5= Volunteers, Visitors; 6= Others

Before/After Contact with patient/ environment

Before/After Contact with patient/environment

Obs CSP Completed Missed Gloves without

hh

Obs HCP Completed Missed Gloves without

hh

1 16 2 17 3 18 4 19 5 20 6 21 7 22 8 23 9 24 10 25 11 26 12 27 13 28 14 29 15

30 Total Total % of compliance with hand washing = # of complete

#of observations Obs = observation of one person using hand hygiene or hand washing Completed = appropriate hand hygiene was performed. Missed = no hand hygiene was performed. Gloves without hand hygiene (Gloves without hh) = staff member used gloves without performing hand hygiene before putting gloves on and/or after removing gloves (each is counted as a separate observation). Compliance = total completed observations/total observations. Glove use = total gloves without hand hygiene/total observations RCC Recommendations:_______________________________________________________________ Action Item: Date completed __________________________________________________________

Implementation

Baseline: Range on units: 53% to 83% compliance.

Overall Average Nov 2009: 62% compliance.

Education

1 week education blitz: poster, brochure, etc

Install Microsan Dispensers

In-services (all staff/shifts, contracted providers, volunteers etc)

Monitor

KCC Hand Washing Audit Results

0%

20%

40%

60%

80%

100%

120%

Baseline 2009 Average 2009 Average 2010 Average 2011 January 2012

Per

cen

tag

e

Culture of Quality Continues Infection Control Advisory Committee

Meetings

Resident Hand Hygiene Project

Dining Room Hygiene Project

Resident Hand Hygiene Station

Spreading the Word

VCH Connect News (May 6, 2011)

Sheila Browing, Regional Coordinator, Hand Hygiene Program

The VCH Hand Hygiene Program would like to spotlight the staff, residents, families and visitors of the Kiwanis Care Home for their outstanding hand hygiene. Since they began auditing in January 2010, the results have consistently been over 90% compliance. Congratulations and keep up the great work!

Accreditation recognition (Nov 2011)

The Kiwanis Care Centre, a unique hand washing program using volunteer residents was developed and implemented and resulted in the achievement of 98% compliance on audit.

Seniors’ Leadership Team (Dec 2011)

Questions