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Henry's Infection Prevention eNews: Topics include Hand Awareness tips, pandemic prevention, infection prevention, family health, school health among others. |
Why is the Champion Handwasher Hospital Campaign Necessary?Because the programs each Hospital have used to date, except for a few examples of successes, are not as effective as they should be. OUR patients are relying on us to make hospitals "Patient Safe"!There are 10 simple criteria based on the science of Infection Control and human behavior. A critical difference between this Program and other Infection Control programs is; it includes patient feedback, involves ALL visitors to a hospital and promotes Crucial Conversations between ALL healthcare workers at regular intervals during the year to improve genuine communication that will help initiate the "culture of safety". The UK and Switzerland have shown that incorporating humor in their Hand Hygiene campaign has improved compliance. While several systems have shown that improving communication between all the stakeholders regardless of authority status using different techniques (i.e. S.B.A.R., CREW resource management, humor, friendly competition) that teach less confident individuals how to "question" authority figures, without feeling fear of reciprocal action. It promotes continuous accountability from any and all fellow HCWs. "The best interest of the patient is the only interest to be considered." - William Mayo, MD Nosocomial Infections90,000 of the 98,000 patients who die each year in hospitals are due to nosocomial infections. These infections are preventable with closer attention to Hand hygiene and Infection Control guidelines by ALL health care workers(HCW). Traditional Infection Control looks for a denominator in infection rate. The new era of Patient Safety is asking to remove the denominator and approach ZERO nosocomial infections. This will require more comprehensive Patient Safety/Infection Control programs that adequately address the significance of changing human behavior and the role OUR HANDS play in the spread of disease! Yes, changing the hospital work environment to a "culture of safety", is a bold step, but necessary in order to make the strides WE are capable of in the health care arena to benefit OUR Patients. This Hand Awareness Campaign can help expedite us to be able to achieve this goal, through the "genuine communication" strategy between peers and authority figures in health care, implementing social(causal) marketing strategies in hospital settings, and focusing on a simple technique (Hand Awareness) that is repeated upwards of 50-100 times per shift, providing many oppurtunities for staff members to hold each other accountable to the correct behavior. JCAHO IC.4.10 and NPSF Goal 7Your hospital, surgery center and longterm care facility will be MUCH better prepared to pass these inspections. We can not guarantee you will pass after you have implemented the Champion Handwasher Hospital Campaign, however, we do know the more effectively your staff communicate amongst themselves and with patients, the fewer errors there will be in your facility . NOW that is worth it! It is a Corrective Action Program(CAP) for every hospital that has hand hygiene compliance issues. Imagine never having to worry about this portion of the JCAHO reveiw, again! Champion Handwasher Hospital CampaignThis Campaign is based on CDC hand hygiene guidelines, JCAHO hand hygiene goals, NPSF goals, the 4 Principles of Hand Awareness( endorsed by the AMA and the AAFP), an emphasis on "Crucial Conversations" of health care and some CREW resource management strategies to begin the "culture of safety" change in OUR hospitals that will help us in health care to get closer to OUR goal: ZERO nosocomial rate, as recommended by AHRQ. IHI,APIC,SHEA, NPSF and many other organizations share OUR commitment, as OUR patients are counting on ALL of US. A daunting task, but necessary in order to make truly significant improvements in the outcomes of institutionalized(hospital and nursing homes) patient care. Open up the headline for specifics on the Who, What, Why,When and How to begin changing OUR health care environment to a "Culture of Safety". Our patients "Thank you" for beginning this culture changing Campaign! Please contact me if you have any questions. Together we CAN make a difference! Dr.Will Champion Handwasher Hospital Kit InstructionsThis is a simple Tool Kit to be used by each hospital, that is based on the science of Infection Control and human behavior modification. There has been much resistance to implementing such a program for many reasons: "We already have a program", "It is an admission of guilt", "we are too smart for this type of program" and other defensive postures. However, OUR Patient's are the reason to have every hospital implement this Campaign, simply because what WE are doing now is NOT good enough for OUR Patient's Safety. One method to ease into the Campaign is to utilize the Kit internally having different Units in the hospital or nursing home competing against each other to serve as a pilot, then you can go public after you have the confidence in your staff. A set of instructions and list of contents can be found by clicking the headline. Champion Handwasher Hospital Kit Contents There is a "Starter" Kit for hospitals that want to pilot the Campaign on a few floors. It contains: 1000 Champion Handwasher stickers for soap and sanitizer dispensers, 100 Champion Handwasher buttons (or 1 " stickers) for staff, 100 "Leave the Germs Here, Give them a Wash" static clings for sinks, One animated Henry the Hand Hand Awareness DVD for display outside the cafeteria, One "Thank you for washing your hands upon entering our hospital" poster, One "Germs on Your Hands" poster, One 4 Principles of Hand Awareness poster, You can make more copies from the web site and post in elevators and nurses stations. One spritzer bottle to simulate micro droplets from a cough or sneeze is included, Germ Potion and Black light (not in Starter Kit), but VERY important. The Infection Control Department should have these items already. If not we can add those to the order. The cost of this Starter Kit is $450 (with the buttons it is $500). Getting Started!Hand Awareness Program guide Below you will find a “template” that will allow your healthcare facility (hospital, outpatient center, extended care facility, physician office, or other patient care facility) to plan for a successful Hand Awareness Program. Hand Awareness is knowing where your hands are and what your hands are doing at all times! To get started determine the following before you order your Champion Handwasher Kit: Number of Physicians Number of Clinical Support Staff Number of Non-Clinical Staff Number of Waiting Rooms Number of Patient Rooms Number of Restrooms-Public Number of Restrooms-Staff Number of elevators and entrances
Reinforcement Items for Campaign: "Leave the Germs Here" Label One per sink Buttons/stickers One per staff member (clinical & non-clinical) 4 Principles of Hand Awareness Poster One per waiting room and one per elevator "Thank you for washing your hands..." One per elevator & waiting room "Germs on your hands" poster One per elevator and nurses area Optional: Henry the Hand Personal Appearance At staff meeting: nurses, physicians
THANK YOU FOR WASHING YOUR HANDS UPON ENTERING MY ROOM posterMake as many copies as you would like to help eradicate MRSA and C.difficile! Immune Suppressed PatientsDue to the vulnerability of OUR patient or family member we suggest that you post the Posters available to facilitate the HCWs(nurses, doctors, etc.) and visitors to be compliant with GREAT Hand Awareness (hand hygiene, respiratory etiquette and cross contamination awareness). Thank you, Dr.Will and Henry the Hand! MRSA ReferencesTyping of consecutive MRSA isolates from intensive care unit patients and staff with pulse-field gel electrophoresis. Mueller-Premru M, Muzlovic I. Intenational Journal of Antimicrobial Agents. 10(4):309-12, 1998 Nov. Institute of Microbiology and Immunology, Ljubijana, Slovenia. Nasal carriage and antibiotic resistance of Staphylococcus aureus isolates from hospital and non-hospital personnel in Abha, Saudi Arabia. Algaithy, A.A. Bital,.E. Transactions of the Royal Society of Tropical Medicine & Hygiene. 94(5):504-7, 2000 Sep-Oct. College of Medicine and Medical Science, King Khalid University, Saudi Arabia. Effectiveness of hand-cleaning agents for removing MRSA from contaminated hands. Gullhermetti, M. Hernandes SE, et al. Infection Control and Hospital Epidemiology. 22(2):105-8, 2001 Feb. Dept. of Clinical Analyses, Parana, Brazil. MRSA: Is there a need to change clinical pracrice? Baird, V.L. Haley, R. Intensive & Critical Care Nursing. 16(6):357-66, 2000 Dec. Royal Prince Alfred Hospital, Sydney, Australia. Rapid PCR detection of the methicillin resistance gene, mecA, on the hands of medical and non-medical personnel and healthy childrenand on surfaces in a neonatal intensive care unit. Klingenberg, C Glad G.T, et al. Scandinavian Journal of Infectious Diseases. 33(7):494-7, 2001. Dept of Paediatrics, University Hospital, Tramso, Norway. Compliance with MRSA precautions in a teaching hospital. Afif W, Huor P, Brassard P, Loo VG. American Journal of Infection Control. 30(7):430-3, 2002 Nov. Infection Controle Service, McGill University, Montreal, Quebec. Identification of MRSA among care-workers and patients in an emergency hospital. Senna JP, Pinto CA,Bernardon DR, et al. Journal of Hospital Infection. 54(2):167-8, 2003 Jun. Letter. Role of healthcare workers in outbreaks of MRSA: a 10-year evaluation from a Dutch university hospital. Blok HE, Troelstra A, Kamp-Hopmans TE, et al. Infection Control & Hospital Epidemiology. 24(9):679-85, 2003 Sep. University Medical Center, Utrecht, The Netherlands. Nasal carriage of MRSA in children of hospital staff. Pediatric Infectious Disease Journal. 22(7):672-3, 2003 Jul. Letter. When staff meet Staph—MRSA in the hospital setting. Andersen E. AAOHN Journal. 51(12):499-500, 2003 Dec. UCSF Employee Health Center, San Francisco, California. Carriage of MRSA among hospital employees: prevalence, duration, and transmission to households. Eveillard M, Martin Y, Hidri N, et al. Infection Control & Hospital Epidemiology. 25(2):114-20, 2004 Feb. Hopital Louis-Mourier, France. Nasal carriage of MRSA among hospital staff and outpatients. Cesur S, Cokca F. Infection Control & Hospital Epideiology:25(2)169-71, 2004 Feb. University of Ankara, Turkey. Risk of re-introduction of MRSA into the hospital by interfamilial spread from and to healthcare workers. Wagenvoort JH, De Brauwer EI, et al. Journal of Hospital Infection, 59(1):67-8 2005 Jan. Letter. Outcomes of an iinfection prevention project focusing on hand hygiene and isolation practices. Aragon D, Sole ML, Brown S. AACN Clinical Issues. 16(2):121-32, 2005 Apr-Jul. Orlando Regional Healthcare System, Florida. daleena@orhs.org . Performance of MRSA protocols in Dutch hospitals. Van Gemert-Pijnen J,Hendrix MG, et al. American Journal of Infection Control. 33(7):377-84, 2005 Sep. Dept. of Communication Studies, University of Twente, Enschede, The Netherlands. J.vangemert-pijnen@utwente.nl Controlling MRSA by stepwise implementation of preventive strategies in a university hospital: impact of a link-nurse system on the basis of multidisciplinary approaches. Miyachi H, Furuya H, Umezawa K, et al. American Journal of Infection Control. 35(2): 115-21, 2007 Mar. Tokai University School of Medicine, Isehara, Kanagawa, Japan. miyachi@is.icc.u-tokai.ac.jp MRSA infections among healthy full-term newborns. James L, Gorwitz RJ, Jones RC, et al. Archives of Disease in Childhood Fetal & Neonatal Edition. 93(1): F 40-4. 2008 Jan. Chicago Dept of Public Health, Chicago, Illinois. Lynjames36@yahoo.com HAND WASHING REFERENCES
 Visit URL: http://wonder.cdc.gov/wonder/prevguid/p0000412/p0000412.asp
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