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Hand Hygiene… Here we go again

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

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Hand Hygiene… Here we go again

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  1. Hand Hygiene…Here we go again

  2. How is it different this time?

  3. = Solution

  4. Vision Statement “Innovative delivery of exceptional community healthcare”

  5. 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

  6. 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

  7. What does this mean?. • HH is still to blame • It is the standard of HH that is failing…not YOU

  8. When do we need to change?? Yesterday

  9. Urgency • ZERO tolerance 2012 • Medicare withholdings • Compliance based or Blame-base systems HERE

  10. How do we improve? Together

  11. Personal Dispensers+Meaningful Performance Feedback

  12. Empowerment • Professional Empowerment • Performance-Feedback • Driving to a Goal

  13. Be True to the Guidelines • World Health Organization • 5 MOMENTS • CDC

  14. 5 MOMENTSBeyond Foam-In/Foam-Out • Before touching a patient • Before aseptic procedures • After body fluid exposure • After touching a patient • After touching patient surroundings

  15. CDC

  16. Patient Nest Hand Hygiene • This is the patient and all the surroundings • Vulnerability of ICU patients

  17. 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

  18. Point-of-Care Access • Personal Dispensers • Personal Approach • Build Second-nature habit

  19. Personal Dispenser • Wearing it • Using it • Replacing bottle

  20. Personal Dispensers • Trade in you Tags for your personal dispenser • Goal of 8 uses/hr • Performance feedback will be on personal dispenser usage only

  21. Performance Feedback • Feedback Philosophy • Drive Performance- Not POLICE • Anonymous to leadership • How it works • Hourly Hand Hygiene rate • Goal Rate

  22. AlcoholAdoption • Alcohol misconceptions • Alcohol adoption process • Lotion

  23. Building the Habit • Stick with the good habits • Pt. nest hand hygiene • Continuous sanitizing

  24. What Improvement Means

  25. Perspective • Innovative Process • Changing a Standard • New Model

  26. Study at Dartmouth-Hitchcock ICU

  27. Your Clinical Leadership • Raising Hand Hygiene to an advanced clinical skill • Innovate a model that will contribute to safe patient handling.

  28. 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

  29. Thank you! Patient Safety is a Powerful Fashion Statement Wear it

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