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Tips on How to Stay Compliant

Phenelle Segal, RN, president of Infection Control Consulting Services in Delray Beach, Florida, offers the following tips:

Ongoing education during new hire orientation, annual updates and any time a new product or issue arises that warrants hand- hygiene reminder in-services.

Developing and maintaining an ongoing system for monitoring, writing policies and procedures and ensuring that responsible parties are carrying out monitoring tasks.

Active observers should write down noncompliant employees’ names and department and provide their manager or supervisor with this information.

If any staff member observes noncompliance, he or she should say something to the offender on the spot in a respectful manner since, many times, offenders do not realize their violations.

■ Splash, Soap, Rinse, Dry

How to assess hand hygiene and stay compliant BY SAHELY MUKERJI


espite years of hard work to pro- mote and attain hand hygiene com-

pliance in the health care setting, the industry continues to struggle to achieve goals that are set by external agencies and within the facilities themselves, says Phenelle Segal, RN, president of Infec- tion Control Consulting Services in Del- ray Beach, Florida.

“Approximately 20 years ago, the first product for waterless hand hygiene was released in the US and since then, alcohol-based hand rub is the ‘gold standard’ in health care facilities except in certain circumstances, for exam- ple, when hands are visibly soiled or a patient infected with Clostridium dif- ficile is involved,” she says. “While

Departments that have full compliance should be acknowledged and even rewarded for their efforts.

Hand hygiene compliance rates should be reported at infection control and Quality Assurance and Performance Improvement (QAPI) meetings.

Facilities that are accredited through The Joint Commission need to ensure that they are in compliance with the National Patient Safety Goals (NPSG) for hand hygiene.


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