HAND HYGIENE Evidence Based Practice Proposal World Health Organization. (2018). My five moments for hand hygiene . Retrieved from
PROJECT COMPONENTS Organizational Culture and Readiness Assessment Barriers to Evidence Based Practice (EBP) Problem Description (PICOT) Objectives Literature Review Solution Description Change and Implementation Models Implementation Plan Evaluation
ORGANIZATIONAL CULTURE AND READINESS Perform A Organizational Culture and Readiness Survey Assess barriers Capitalize on facilitators
PROBLEM DESCRIPTION Will the staff and Baylor Emergency Medical Center (BEMC) in Burleson, Texas improve hand hygiene compliance using multi-modal interventions for proper hand hygiene compared to current practices and thereby reduce the risk of HAIs in patients over a twelve-week period.
PURPOSE AND OBJECTIVES Improve hand hygiene compliance at BEMC Reduce the risk of HAIs to patients Improve and maintain hand hygiene practices Identify current knowledge of HAIs Utilize the WHO-5 Implement a practice change
SUPPORTIVE RATIONAL FOR OBJECTIVES o Hand hygiene reduces HAIs Vancomycin-resistant Enterococcus (VRE) Streptococccus pyogenes Methicillin-resistant Staphylococcus aureus (MRSA) o Evidence available for two centuries o Continued low compliance o Failed improvement plans
LITERATURE SUPPORT Review of the literature Review method Key findings of included literature Strengths and weaknesses
SOLUTION ? Implement an intervention to improve hand hygiene compliance ? Assess organizational culture ? Expected outcomes ? Achieving outcomes ? Impact to nursing
CHANGE MODEL • Implementation Model • Design • PDSA Cycle • Conceptual Model
IMPLEMENTATION PLAN Setting and Time Frame Resources Tools to monitor implementation Pre- and post- survey Direct observation Compliance Data Hand hygiene product use Dissemination Data collection and Analysis Sustainability
EVALUATION How were project objectives met? Are results valid? Are results reliable? What are the implications for practice? Future research
SOAP AND WATER VS. ALCOHOL BASED GEL Soap and Water Visibly soiled Come into direct contact with body fluids Alcohol Based Gel All other situations World Health Organization. (2018). My five moments for hand hygiene . Retrieved from
PROPER HAND WASHING TECHNIQUE 1. Wet hands with water 2. Apply enough soap to coverall hand surfaces 3. Rub hands palm to palm 4. Right palm over left dorsum with interlaced fingers and vice versa 5. Palm to palm with fingers interlaced 6. Backs of fingers to opposing palms with fingers interlocked 7. Rotational rubbing of left thumb clasped in right palm and vice versa 8.
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- The Land, Hand Washing, World Health Organization.