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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
April 01, 2022 - Suggested Strategies
• Educate patients and families regarding the importance of hand hygiene, taking … care to
emphasize the need for hand hygiene anytime a surface has been touched. … Tell them that if they do not see providers clean
their hands after touching a surface, they should … help to show germs on hands) for patients and families to practice hand hygiene, allowing them
to … see directly the effectiveness of their hand hygiene techniques.
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Slide 8: Hand Hygiene 4,5
Good hand hygiene is essential for catheter care and infection prevention … Just Clean Your Hands educational resources. Ontario Agency for Health Protection and Promotion . … Guideline for hand hygiene in health-care settings. … Guideline for hand hygiene in health-care settings. … Transfer of vancomycin-resistant enterococci via health care worker hands.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - Image: Photo of woman at bedside of patient holding hands with patient. … Inappropriate Catheter Indications
Limited mobility or debility
Catheters do not prevent falls
Image: Hand … Image: Hand holding a filled urine specimen container. … Catheter Indications
Patient of family request
Educate patient and family on catheter risks
Image: Hand … Patient unable to provide clean catch urine
Image: Hand holding a filled urine specimen container.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
May 01, 2017 - .
• Clean hands when moving from a dirty to a clean task on the
same patient or after touching the patient … Cleaning, Disinfection, and Sterilization
Environment of Care
Safe Injection Practices
• Clean hands … Hand hygiene is one of the most important ways
to prevent infections. … Health care personnel will
clean their hands before and after patient care. … to prevent surgical site
and other infections at ASCs are—
▶ ASK staff if they have washed their hands
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-activity.html
March 01, 2017 - or goggles
Simulated germs (e.g., chocolate syrup, washable paint, povidone-iodine)
Waste bin
Hand … hygiene products (sink with soap/water and hand sanitizer)
Prizes
Directions
Ask for a volunteer … (Remember the volunteer should always start with proper hand hygiene.) … during resident care by placing a small amount of the simulated germ product on the volunteer’s gloved hands … PPE removal to make sure it is done in the proper order and that he/she does not contaminate his/her hands
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
March 19, 2014 - The infant receiving
the IV is experiencing poor blood flow to her right hand. … She applies warm soaks to the hand to alleviate the condition, but
the condition does not improve. … Gangrene develops, and the fingers of the infant’s right hand are amputated. … Information regarding poor blood flow to the hand and the
state of the IV is not discussed in the handoff … The physician should have been summoned
to view and assess the hand.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
April 01, 2018 - The transmission of pathogens is affected by variations and practices of human behaviors, such as hand … providing barriers to interrupt transmission events, and influencing human behavior, such as by promoting hand … A transmission event is direct or indirect contact, including transient carriage (e.g., hands of a health … Opportunities to interrupt transmission from a colonized or infected host include hand hygiene, other … hygiene through strategic placement of alcohol hand-rub dispensers in highly visible locations.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/icu.html
March 01, 2014 - The infant receiving the IV is experiencing poor blood flow to her right hand. … She applies warm soaks to the hand to alleviate the condition, but the condition does not improve. … Gangrene develops, and the fingers of the infant's right hand are amputated. … Information regarding poor blood flow to the hand and the state of the IV is not discussed in the handoff … The physician should have been summoned to view and assess the hand.
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ce.effectivehealthcare.ahrq.gov/hai/clabsi-tools/appendix-6.html
March 01, 2018 - Was proper hand hygiene used by all personnel involved in line care for this patient (i.e., hand washing … with soap and water or with alcohol-based hand sanitizer)?
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Clostridium difficile : Hand Hygiene
CDI rates
Staff compliance
Hand contamination
11 studies … Studies that measured hand hygiene and CDI patient outcomes were quasi-experimental, and showed large … The most common component was environmental cleaning, followed by hand hygiene, and patient isolation … hand hygiene compliance, but there are many effective campaign materials to choose from. … The biggest barriers to hand hygiene compliance are: (1) awareness that an opportunity for hand hygiene
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - saline drops and bulb suctioning for infants
Prevention
• Common cold viruses are spread by hand … To avoid transmission to others,
encourage frequent hand washing, cough and sneeze into a tissue or … into the arm rather than the hand,
wear a face mask, and avoid touching the face
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - DalBen
et al.,
201620
• Contact precautions
• Hand hygiene
• Compliance monitoring of hand
hygiene … Poor compliance with infection control measures
such as contact precautions and hand hygiene led to … Mathematical modeling of the interventions suggested that,
assuming 60-80% hand hygiene compliance … with
blood or bodily fluids, and
gloves in case of lesions of
the healthcare worker’s
hands. … Authors did not measure
hand hygiene and CP
compliance.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Moreover, nonbehavioral
attempts to increase hand washing among caregivers suggest that hand-hygiene … • Peer observational
feedback Geller
17
Infection-control
error
• Hand washing
• “Hands-free … Using feedback, goal
setting, and task clarification to increase the use of the
“hands free” technique … Effect of an
evidence-based hand washing policy on hand washing
rates and false-positive coagulase … The clean
your hands campaign: Critiquing policy and evidence
base.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
October 01, 2015 - Understaffing
9
Lack of Resources:
Strategies to Minimize
Adequate supplies:
over-the-bed tables
hand … Adequate facilities for hand hygiene
10
Components of Aseptic Insertion
Set up a sterile field … Perform hand hygiene immediately before and after insertion.
Use sterile gloves, drapes, sponges.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - Complete Hand Hygiene. Before giving a vaccine, complete proper hand hygiene. … If you are wearing gloves, change them
and perform hand hygiene between each vaccination. … Keep your hands clean from vaccine preparation
through administration and disposal. … Perform hand
hygiene.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - DOI: 10.13140/RG.2.1.1426.3768]
Hand Hygiene
1. … Are alcohol-based hand rubs superior to soap and water? … Yes, if hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands … are visibly dirty or are visibly soiled with blood or other body fluids, wash hands with soap and water … Guideline for hand hygiene in health-care settings.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-long-stay-eng-651a.doc
March 09, 2007 - [HAND R SHOWCARD 1: 0-10]
Now let’s talk about how you feel about things at this nursing home and how … _______ (0-10)
[HAND R SHOWCARD 2: YES/NO/SOMETIMES]
For the next questions, you can answer yes, no … 1( YES
2( NO
3( SOMETIMES
[HAND R SHOWCARD 3: DEFINITELY NO/PROBABLY NO/PROBABLY YES/DEFINITELY … 1( OFTEN
2( SOMETIMES
3( RARELY
4( NEVER
[HAND R SHOWCARD 5: EXCELLENT/VERY GOOD/GOOD/FAIR/POOR] … 1( EXCELLENT
2( VERY GOOD
3( GOOD
4( FAIR
5( POOR
[HAND R SHOWCARD 6: 0-10]
These next questions
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - • Perform hand hygiene with soap and water (alcohol
does not kill C. difficile spores). … • Use appropriate hand hygiene before and after all
resident contacts (soap and water, or waterless … • Use appropriate hand hygiene before and after all resident
contacts (soap and water, or waterless
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - The checklist
should have all of the following4,6-7:
Date, start time, end time, hands washed … o Providers (including any assistants) should wash their hands before and after
palpating catheter … o After inserting and dressing the catheter site, remove gown and gloves and then wash
hands. … Perform hand hygiene and put on clean gloves. … Repeat hand hygiene and don sterile gloves.
Remove sutures.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
March 01, 2017 - In other words, they are transmitted by our hands, a contaminated surface or a piece of equipment that … UTIs)
Risk factors
Use of common measuring device between residents with indwelling urinary catheters
Hands … Just Clean Your Hands educational resources. … Guideline for hand hygiene in health-care settings. … Transfer of vancomycin-resistant enterococci via health care worker hands.