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Genesis Medical Center Success Story
Our outpatient Dialysis unit was noting an increase in the number of blood stream infections several years ago. While creating an action plan, several infection control issues were discovered. Those issues included a lack of waterless hand rinse, and low compliance amongst staff with regards to hand hygiene.
A fellow non-nurse employee accompanied her father each week to his dialysis sessions. The infection control staff recruited this individual, "Debbie" to do hand hygiene observations. "Debbie" was educated and given concrete instructions on how to complete and record these observations. These observations were then relayed to the infection control staff.
Unfortunately, our hand hygiene compliance was a meager 38%. Six one-hour in-services were completed with the staff that provides hands on patient care. The observations continued during and after the education sessions. We began to see an increase in hand hygiene compliance to 80%. The staff knew they were being observed but did not know who was the observer. Unfortunately, "Debbie’s" father passed away a year after this journey began.
With the goal of achieving at least 90% hand hygiene compliance the infection control staff recruited the charge nurses to do the observations. The differences in the observations were that the staff being observed was recorded. The infection control staff in turn provided the nurse manager with names of the staff who were non-compliant. The manager counseled those individuals and a few were placed in disciplinary action status.
We are happy to report that today our outpatient dialysis unit has maintained 92% hand hygiene compliance for the past 2 years. The charge nurses continue to do observations one week every other month with a goal of achieving at least 100 observations. The number of blood stream infections also has decreased over time.
Lisa Caffery, BSN, MS,RN,BC,CGRN,CIC
Genesis Medical Center
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View the IHC toolkits and their contents.
Resources for providers to ensure safe and effective long-term anticoagulation therapy in all care settings.
Information on how to deploy the NQF 30 Safe Practices.
Information that discusses how to better communicate medical information to patients.
Information on the monitoring and reporting of HAIs.
This process improvement method can help providers deliver more efficient care that saves resources and improves quality.
Details on the principles and components of a patient centered medical home, including the business case and how to become one.
Resources for providers to avoid adverse drug events.
Resources for the safe administration of narcotics and opioids.
Information and resources for providers in their efforts to assist patients with tobacco cessation.
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