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Hand Hygiene Secret Shopper Training

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by

Valerie Clark

on 21 January 2015

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Transcript of Hand Hygiene Secret Shopper Training

Hand Hygiene Secret Shopper Training

Education Session for
Observers and Health-Care Workers
To determine the degree of compliance with hand hygiene practices by health-care workers

Why is this important?
Patient and staff safety!
Help direct programs and interventions

Why are we here today?
WHO outlines 5 moments for hand hygiene

It is important to:
Not interfere with on-going work
Make discrete observations, and stay a SECRET shopper
How to make accurate observations
The 5 Moments apply to any setting where health care involving direct contact with patients or patients’ environment takes place
The use of gloves does not replace the need for cleaning your hands!

Hand hygiene should be done before putting gloves on and after taking gloves off
Glove use, common misconceptions
Based on our experience you will most likely see:

Room entry opportunities (either sanitized, washed or missed)

Room exit opportunities (sanitized, washed, or missed)

It is harder to catch other opportunities, but if you see it, record it!
What to expect
Only record what you actually see


Then either fax, email or hand deliver obs to IC
How many observations should you make?
Questions?
Is there an app for that?
Scenario 1
2 hand hygiene opportunities:
Nurse-Room entry-Sanitized (Before contact with patient)

Nurse-Room exit-Sanitized (After contact with patient)
Scenario 2
2 hand hygiene opportunities:
Nurse-Room entry-Sanitized (Before gloves, contact with body fluids

Nurse-Room exit-Missed (After exposure to body fluids)
Scenario 3
2 hand hygiene opportunities:
Doctor-Room entry-Missed (Before patient contact)

Doctor-Room exit-Washed (After patient contact)
REMEMBER!
STAY COMMITTED TO THE OBSERVATION!
Scenario 4
2 hand hygiene opportunities:
Nurse-Room entry-Sanitized (Before gloves)

Nurse-Room exit-Sanitized (After body fluid exposure)
Scenario 5
2 hand hygiene opportunities:
Nurse-Room Entry-Sanitized

Nurse-Room Exit-Sanitized (After contact with patient's environment)
Everything in the patient's room is considered contaminated. Alway Foam Out when exiting room. You might have subconsciously touched something!
REMEMBER!
Scenario 6
2 hand hygiene opportunities:
Nurse-Room entry-Sanitized (Before gloves, before contact with patient)

Nurse-Room exit-Missed (After contact with patient)
Gloves in hallways=RED FLAG!
REMEMBER
Scenario 7
2 hand hygiene opportunities:
Nurse-Room entry-Missed (Before patient contact)

Nurse-Room Exit-Missed (After patient contact)
REMEMBER
WOW's are not clean!Hand hygiene must be done after touching WOW and before direct patient care
Scenario 8
2 hand hygiene opportunities:
Doctor-Room Entry-Missed

Doctor-Room Exit-Missed (After contact with patient's surroundings)
Scenario 9
0 hand hygiene opportunities
Cannot assume hand hygiene was performed or not when view is obstructed
Full transcript