Dana Gill PP.pptx - d e s a l B a s e o c p n o e r d P i Ev tice c a r P HAND HYGIENE World Health Organization(2018 My five moments for hand hygiene

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.