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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/NOTICEProcessChecklist.pdf
December 31, 2014 - Scrub Hub
Cap w/
Antiseptic
Scrub
Uncapped
Hub w/
Antiseptic
Aseptic
Connection
Technique
Hand … Yes ☐
No ☐
Yes ☐
No ☐
Yes ☐
No ☐
Catheter Termination
Observation
Number Date* Shift*
Hand … Catheter Exit Site Care
Observation
Number Date* Shift*
Hand … Hygiene
Observation
Number Date* Shift*
Used Hand
Hygiene
WHO
Moment
Observation
Number … Date* Shift*
Used Hand
Hygiene
WHO
Moment
HH 1 Yes ☐
No ☐
HH 6 Yes ☐
No ☐
HH 2 Yes ☐
No
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www.ahrq.gov/hai/quality/tools/cauti-ltc/prevention-skills.html
March 01, 2017 - Hand Hygiene
Educational module and resources that highlight basic hand hygiene principles and best … reinforce with frontline staff, including the products, procedures, and strategies to implement and sustain hand … 827 KB)
Tool to engage all facility staff to practice all infection prevention skills by performing hand
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www.ahrq.gov/nursing-home/materials/prevention/index.html
January 01, 2023 - Hand Hygiene Observational Audit Tracking Tool (XLSX, 477 KB) and User Guide (PDF, 1 MB)
This pre-programmed … Excel workbook compiles hand hygiene observational data by individual, shift, position, location, and … department to help staff regularly review opportunities for hand hygiene performance improvement. … that can be implemented to support increased compliance with infection prevention practices, including hand
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/practice/pledge.pdf
March 01, 2017 - all surfaces of the hands and fingers
• Rinse my hands with running water
• Dry my hands using a clean … hand sanitizer, I will:
• Apply the product to the palm of one hand
• Rub my hands together
• Rub the … product over all surfaces of my hands and fingers until
my hands are dry
I welcome feedback on my hand … I will:
• Keep my hands clean by performing hand hygiene
according to my facility’s policies.
• Wear … I pledge to keep my hands clean by
performing hand hygiene according
to my facility’s policies to help
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/practice/pledge.html
March 01, 2017 - I pledge to keep my hands clean by performing hand hygiene according to my facility's policies to help … When I clean my hands with alcohol-based hand sanitizer, I will:
Apply the product to the palm of … one hand
Rub my hands together
Rub the product over all surfaces of my hands and fingers until my … hands are dry
I welcome feedback on my hand hygiene and will help other staff, residents, and … I will:
Keep my hands clean by performing hand hygiene according to my facility's policies.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Contamination of sterile field
22 (27%)
Nurse touched items on sterile field with bare non-sterile hands … Breach of sterile barrier
31 (38%)
Sterile gloved hand used to swab genitalia (without tongs); … same hand used to insert catheter. … Slide 8
Barriers to Aseptic Insertion Technique
Inconsistent or inconvenient locations for hand … Perform hand hygiene immediately before and after insertion.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-precautions.pptx
March 01, 2017 - Hold removed glove in gloved hand. … Slide fingers of ungloved hand under remaining glove at wrist. … Therefore, it is important to remove your gloves correctly to avoid contaminating your hands. … Hold the removed glove in your gloved hand. … Finally, perform hand hygiene.
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www.ahrq.gov/data/monahrq/myqi/safety_prov.html
June 01, 2021 - is Provided
Preventing and managing medical
Reducing health care associated infections (HAIs)
Hand … HAIs
MRSA toolkit from CDC
Catheter-associated urinary tract infection toolkit from CDC
Top
Hand … Hygiene
Proper hand hygiene is the single most effective method to reduce hospital-acquired infections … Visit this comprehensive CDC Website on hand hygiene
Take this short CDC course on hand hygiene key
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Wash hands with soap and water for at least 20 seconds, or use an alcohol-based hand rub or alcohol hand … Basic Background
Hand hygiene refers to the practice of removing or killing germs on hands so that … To practice hand hygiene, keep your hands clean by either washing with soap and water or using an alcohol-based … hand sanitizer. … Wash hands for at least 20 seconds with soap and water or use an alcohol-based hand rub before entering
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide50.html
October 01, 2014 - offer Smoking cessation advice and interventions to parents to limit children's exposure to second-hand … (Strength of Evidence = B)
2008 Guideline Update: Recommendation #2: Second-hand smoke is harmful … Therefore, in order to protect children from second-hand smoke, clinicians should ask parents about tobacco
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - cases was no one else present (buddy system in use)
Mean insertion time 6 minutes (range 2 – 22)
No hand … Contamination of sterile field 22 (27%) Nurse touched items on sterile field with bare non-sterile hands … Breach of sterile barrier 31 (38%) Sterile gloved hand used to swab genitalia (without tongs); same hand … Perform hand hygiene immediately before and after insertion.
Use sterile gloves, drapes, sponges. …
Form sterile field on bedside table or other flat surface but not patient bed
With washed hands
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - Hand hygiene moments were defined as any time hand
hygiene should be performed, such as initiating a … The hand hygiene measure is calculated as the percentage of successful specific hand hygiene
items out … Circle “No” if had hygiene is not performed, performed incorrectly, or hands are
contaminated before … Circle “No” if sites hare held with
ungloved hands. … • Circle Yes or No if hand hygiene was performed according to the hand hygiene policy.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
April 01, 2022 -
Form sterile field on bedside table or other flat surface but not patient bed
With washed hands … spread the inner labia with gentle traction, pulling upward towards patient’s head
Nondominant hand … Contamination of sterile field 22 (27%) Nurse touched items on sterile field with bare nonsterile hands … Breach of sterile barrier 31 (38%) Sterile gloved hand used to swab genitalia (without tongs); same hand … sanitizers
Sterile gloves
Adequate facilities for hand hygiene
Accessibility/location of kits
Where
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist1b-cvc-exit-site-care.pdf
December 08, 2014 - Central Venous Catheter (CVC) Exit Site Care
Procedural Checklist #1b
☐ Hand … clean gloves, gown, mask, and eye protection; remove
old dressing and discard; remove gloves
☐ Hand … chlorhexidine-impregnated sponge
dressing is used
☐ Apply sterile dressing to CVC exit site; remove gloves
☐ Hand
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
March 01, 2017 - Slide 4: Hand Hygiene and Glove Use 4,5
Gloves play a key role in preventing hand contamination—but … do NOT replace hand hygiene
Perform hand hygiene and wear gloves immediately before —
Accessing … Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. … Strategies to prevent healthcare-associated infections through hand hygiene. … Strategies to prevent healthcare-associated infections through hand hygiene.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist3b-access-av-fistula-term-dialysis.pdf
December 08, 2014 - Fistula or Graft
for Termination of Dialysis and
Post-Dialysis Access Care
Procedural Checklist #3b
☐ Hand … shield
☐ Reinfuse extracorporeal circuit; disconnect bloodlines
aseptically; remove gloves
☐ Hand … container at point of use; remove gloves
Note: Hold needle sites with clean gauze using clean gloved hands … needle site is clean and dry site prior to discharge
☐ Discard unused supplies; remove gloves
☐ Hand
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance.pptx
April 01, 2022 - the closed drainage system or from the drainage bag
From patient (meatal, rectal, or vaginal)
From hands … and CAUTI
IUC Maintenance ׀ 3
3
Indwelling Urinary Catheter Care Essentials5
Use appropriate hand … Preventing CLABSI and CAUTI
IUC Maintenance ׀ 4
4
Infection Prevention and IUC Maintenance6-7
Hand … Hygiene
Hand hygiene is performed before each and every patient contact and before any manipulation … tasks performed without hand hygiene in between Education related to specific aspects of indwelling
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/unlicensed-catheter.pptx
March 01, 2017 - First, wash your hands and put on gloves and a gown. … Hand hygiene and gloves immediately before placing or removing an indwelling catheter, accessing the … It is also critical to perform hand hygiene afterwards. … Performing hand hygiene after using gloves to perform catheter care helps to protect your hands, the … So please remember to put on gloves and gown only after washing hands your hands.
keep the collection
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist1c-access-av-fistula.pdf
December 08, 2014 - Access of Arterial Venous Fistula or Graft
for Initiation of Dialysis
Procedural Checklist #1c
☐ Hand … cannulation sites; sites not touched again after
skin antisepsis without repeating skin antisepsis
☐ Hand … antisepsis
☐ Insert cannulation needles; tape in place; initiate treatment;
remove gloves
☐ Hand
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist2-parenteral-med-prep.pdf
December 08, 2014 - Checklist #2
☐ Assemble supplies in clean area with clean surface away from
dialysis station
☐ Hand … in clean
preparation area
☐ Take only individual patient’s medications to dialysis station
☐ Hand … antiseptic
☐ Inject medication
☐ Discard syringe into Sharps container
☐ Remove gloves
☐ Hand