HAND HYGIENE…

HERE WE GO AGAIN

How is it different this

time?

= Solution

Vision Statement

“Innovative delivery of exceptional community healthcare”

Hospital Acquired Infections

Over 99,000 deaths per year 1.7 million patients infected

per year $45 billion each year Over 70% of all HAI’s are

antibiotic resistant

U.S. Not Improving 2002 CDC Guidelines

Wall mount dispensers Infection rates not declining U.S. does not follow CDC or

World Health Organization guidelines

What does this mean?.

HH is still to blame It is the standard of HH

that is failing…not YOU

When do we need to change??

Yesterday

Urgency ZERO tolerance 2012

Medicare withholdings

Compliance based or Blame-base systems HERE

How do we improve?

Together

Personal Dispensers

+ Meaningful

Performance Feedback

Empowerment Professional Empowerment

Performance-Feedback

Driving to a Goal

Be True to the Guidelines

World Health Organization5 MOMENTS

CDC

5 MOMENTSBeyond Foam-In/Foam-Out

1. Before touching a patient2. Before aseptic procedures3. After body fluid exposure4. After touching a patient5. After touching patient

surroundings

CDC

Patient Nest Hand Hygiene This is the patient and all the

surroundings Vulnerability of ICU patients

Patient Nest Facts VRE can live on surfaces for

7days up to 4 months 80% carried MRSA for 3

hours…despite gloves Increased workload is

associated w MRSA transmission

Point-of-Care Access

Personal Dispensers Personal Approach Build Second-nature habit

Personal Dispenser

Wearing it Using it Replacing bottle

Personal Dispensers

Trade in you Tags for your personal dispenser

Goal of 8 uses/hr Performance feedback will

be on personal dispenser usage only

Performance Feedback

Feedback PhilosophyDrive Performance- Not POLICEAnonymous to leadership

How it works Hourly Hand Hygiene rate Goal Rate

Alcohol Adoption Alcohol misconceptions

Alcohol adoption process

Lotion

Building the Habit

Stick with the good habits

Pt. nest hand hygiene

Continuous sanitizing

What Improvement

Means

Perspective Innovative Process Changing a Standard New Model

Study at Dartmouth-Hitchcock ICU

Your Clinical Leadership

Raising Hand Hygiene to an advanced clinical skill

Innovate a model that will contribute to safe patient handling.

Review You can make a difference Wear it and use it Give us your feedback!! Use performance feedback to get

the habit Encourage and help each other, it's

worth it

Thank you!Patient Safety

is aPowerful Fashion

Statement

Wear it