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Design fsh.health.wa.gov.au FSHM20171108003 One hand in your pocket enhancing hand hygiene auditing: A pocket book for auditors Brendon Heley (Clinical Nurse) Infection Prevention and Management Department, Fiona Stanley Hospital, Murdoch, Western Australia Contact: [email protected] • Lack of ward involvement in hand hygiene auditing • Large geographical surface area to cover • IP&M Team completed over 80% of audits between 2015 – 2016 • Minimal data collected during local audits • National audits only covered 7 critical areas Background • Increased engagement • Very positive feedback » Sharing resources - throughout SMHS and WACHS (Kimberly & Great Southern) • Enhancing the hand hygiene program through leadership & innovation Conclusion • To enhance hand hygiene auditing • To create a tool which is ‘handy’ for auditors • To engage auditors in data collection • To sustain and enhance a healthy hand hygiene program • To emphasise the importance of ownership and the organisational commitment to hand hygiene Purpose • Pocket sized audit tool • Reduction in paper resources and clipboards • Easy to carry during clinical shifts Innovation Hand Hygiene Australia's • Rules for Auditing • Coding Classiﬁcation Sheet • Data collection forms • Additional notes pages The Rules for Auditing Acknowledgement: This booklet was designed using Hand Hygiene Australia's resources. Challenges Impact Depicts the introduction of the Hand Hygiene Auditor Booklet Audits conducted by IP&M Service has decreased to 29% during Audit Period 3 (2017) from 76% during Audit Period 3 (2016). The total moments of hand hygiene audited increased to 5197 from 3634 over Audit Period 1 (2016) to Audit Period 3 (2017). The introduction of the Hand Hygiene Auditor Booklet has had a major impact in increasing the sample size across the board, with data more relevant to all clinical settings. Program heavily weighted on IP&M for data collection Portability of working documents Large percentage of single rooms at FSH Time constraints for ward based auditors Lack of trained auditors Conﬂicting priorities for ward based auditors Sustaining auditor engagement Hand Hygiene Program

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fsh.health.wa.gov.au FSHM20171108003

One hand in your pocket enhancing hand hygiene auditing: A pocket book for auditorsBrendon Heley (Clinical Nurse)Infection Prevention and Management Department, Fiona Stanley Hospital, Murdoch, Western AustraliaContact: [email protected]

• Lack of ward involvement in hand hygiene auditing• Large geographical surface area to cover• IP&M Team completed over 80% of audits between 2015 – 2016• Minimal data collected during local audits • National audits only covered 7 critical areas

Background

• Increasedengagement• Verypositivefeedback

» Sharing resources - throughout SMHS and WACHS (Kimberly & Great Southern)

• Enhancingthehandhygieneprogramthroughleadership&innovation

Conclusion

• To enhance hand hygiene auditing • To create a tool which is ‘handy’ for auditors• To engage auditors in data collection• To sustain and enhance a healthy hand hygiene program• To emphasise the importance of ownership and the organisational commitment

to hand hygiene

Purpose

• Pocket sized audit tool • Reduction in paper resources and clipboards• Easy to carry during clinical shifts

Innovation

Hand Hygiene Australia's• Rules for Auditing• Coding Classification Sheet• Data collection forms• Additional notes pages

The Rules for Auditing

Acknowledgement: ThisbookletwasdesignedusingHandHygieneAustralia'sresources.

Challenges

Impact

DepictstheintroductionoftheHand Hygiene Auditor Booklet

AuditsconductedbyIP&MServicehasdecreasedto29%duringAuditPeriod3(2017)from76%duringAuditPeriod3(2016).

Thetotalmomentsofhandhygieneauditedincreasedto5197from3634overAuditPeriod1(2016)toAuditPeriod3(2017).