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HANDWASHING


hygiene monitoring system.2 The Miami Children’s Hospital


(MCH) decided, at the executive level, to improve hand hygiene in its facility, in 2009, and the infection control department was given approval to select and implement an electronic hand hygiene monitoring system (EHHS) in a 26-bed oncology unit. After researching several systems,


MCH selected the HyGreen Hand Hygiene Recording and Reminding System. The integrated system consists of electronic badges worn by healthcare workers, a hand wash sensor mounted next to each gel or soap dispenser, a bed monitor positioned over each patient bed, and a wireless database (HyMarks) – an integrated data management tool that provides a broad array of reports showing all hand hygiene events and all patient-staff interactions. Each healthcare worker in the


Glove use impacts on hand hygiene compliance


Healthcare workers who wear gloves while treating patients are less likely to clean their hands before and after patient contact, according to a study published in the journal Infection Control and Hospital Epidemiology.1


This failure


of basic hand hygiene could be contributing to the spread of infection in healthcare settings, the researchers suggested. Led by Dr Sheldon Stone of the Royal


Free Hospital NHS Trust, the researchers observed more than 7,000 patient contacts in 15 UKhospitals. Overall, the study found that hand hygiene compliance was ‘disappointingly


low,’ at just 47.7%. Compliance was even lower in instances where gloves were worn, at just over 41%. “The chances of hands being cleaned


before or after patient contact appear to be substantially lower if gloves were being worn,” said Dr Stone. “We call this the phenomenon of the ‘dirty hand in the latex glove.’” Reference 1 Christopher Fuller, Joanne Savage, Sarah Besser, Andrew Hayward, Barry Cookson, Ben Cooper, Sheldon Stone. The Dirty Hand in the Latex Glove: A Study of Hand-Hygiene Compliance When Gloves Are Worn. Infection Control and Hospital Epidemiology 32:12 (December 2011).


paediatric oncology unit is assigned an electronic badge that includes an identifier unique to that healthcare worker. The badge contains an LED that lights green upon confirmation of a successful hand hygiene event. A hand wash sensor is installed next to each hand hygiene station. These sensors record


New Guidance New Guidance New Guidance New Guidance


New Guidance The Department of Health has recently updated its high impact intervention care


bundle for the prevention of surgical site infection to include pre-operative skin preparation with 2% chlorhexidine in 70% isopropyl alcohol1


New Guidance New Guidance New Guidance New Guidance


New Guidance New Guidance New Guidance New Guidance


New Guidance New Guidance New Guidance New Guidance


Based on evidence from a recent study in The New England Journal of Medicine conducted using ChloraPrep,1 pre-operative skin preparation with 2% chlorhexidine in 70% isopropyl alcohol has been included in the care bundle for the prevention of surgical site infection.2


To find out more please visit www.chloraprep.co.uk


Prescribing Information ChloraPrep®


The and only


licensed and evidence-based skin preparation system that allows you to meet these new guidelines3


Prep the skin. Protect the patient. MARCH 2012 (PL31760/0002) & ChloraPrep with Tint (PL31760-0001) 2% chlorhexidine gluconate


w/v / 70% isopropyl alcohol v/v cutaneous solution. Indication: Disinfection of skin prior to invasive medical procedures Dosage & administration: ChloraPrep – 0.67ml, 1.5ml, 3ml, 10.5ml, 26ml ; ChloraPrep withTint–3ml,10.5ml,26ml.Volumedependentoninvasive procedure being undertaken. Applicator squeezed to break ampoule and release antiseptic solution onto sponge. Solution applied by gently pressing sponge against skin and moving back and forth for 30 seconds.The area covered should be allowed to air dry. Side effects, precautions&contra-indications:Very rarely allergic or skin reactions reported with chlorhexidine, isopropyl alcohol and Sunset Yellow. Contra-indicated for patients with known hypersensitivity to these constituents. For external use only on intact skin. Avoid contact with eyes, mucous membranes, middle ear and neural tissue. Should not be used in children under 2 months of age. Solution is flammable. Do not use with ignition sources until dry, do not allow to pool, and remove soaked materials before use. Over-vigorous use on fragile or sensitive skin or repeated use may lead to local skin reactions.At the first sign of local skin reaction, application should be stopped.Per applicator costs (exVAT) ChloraPrep: 0.67ml (SEPP) - 30p; 1.5ml (FREPP) - 55p; 1.5ml – 78p; 3ml – 85p; 10.5ml - £2.92; 26ml - £6.50 ChloraPrep with Tint: 3ml – 89p; 10.5ml £3.07;26ml - £6.83 Legal category:GSLMarketingAuthorisation Holder:CareFusion UK 244 Ltd, 43 London Road, Reigate, Surrey RH2 9PW, UK Date of preparation: Oct 2011 Adverse events should be reported. Reporting forms and information can be found atwww.yellowcard. gov.uk.Adverse events should also be reported to CareFusion Tel. +44 (0)1235 867 967


References: 1. Darouiche R etal.N Engl J Med 2010; 362: 18-26. 2. Department of Health (2011) High Impact Intervention: Care bundle to prevent surgical site infection. Available at: http://hcai.dh.gov.uk/ files/2011/03/2011-03-14-HII-Prevent-Surgical-Site-infection-FINAL.pdf. Date accessed: 12.04.11. 3. UK PL 31760/0001 CHL158A


Date of preparation: October 2011 THE CLINICAL SERVICES JOURNAL 35


New Guidance New Guidance New Guidance New Guidance


each hand hygiene event, including the actual time of the event and the geographic location in the unit. The sensor sends the data to an electronic database; the LED on the badge then flashes green to signal the healthcare worker that the hand wash sensor has successfully detected the presence of alcohol in the soap or gel being used and that a successful hand hygiene event has occurred. Anyone in the vicinity of the healthcare


worker who has just carried out a hand hygiene procedure will see the flashing green LED light, including other healthcare workers, patients, and visitors. When the healthcare worker enters the proximity field of a HyGreen bed monitor, a data signal for the respective patient is sent to the database with a time stamp and the unique identifier of the badge. If a healthcare worker approaches a patient bed without performing an


New Guidance New Guidance New Guidance


New Guidance New Guidance New Guidance New Guidance New Guidance


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