Skip to content Skip to navigation

479,000 die each year in healthcare facilities from infections they acquire from their caregivers.
99,000 in hospitals / 380,000 in nursing homes/long-term care*

Overcoming Underwashing

Mike Mann's picture

Handwashing's Risk-Based Behavior Change

Facing the culture trap

Handwashing behaviors are primarily driven by assessment of risk. The Administration starts near the top of this pyramid, looking first to change the behaviors of caregivers via Nursing, Quality Assurance and Training. The C-Suite representatives are disengaged as there are no handwashing compliance reports to look at. They are content that Nursing & Operations has this under a modicum of control, undeterred by their inherent bias of productivity.

The Core Handwash

This poster is a no-charge download, designed as a training aid and a daily reminder of a more professional and productive 20 second handwash. The sequence listed in step #3 converts the mindless passing of time method to a make-sense increase in friction. This change also encourages the caregiver to think of handwashing as a process based on chemistry, physics and ergonomics.

 

Mike Mann's picture

Assumicide

Risks rise as immune systems fall

Too many healthcare risk managers are basing today's risks on yesterday’s threats.

Missed hand washes have new and costly consequences yet equipping caregivers with electronically assisted compliance systems is dangerously unhurried.  Observational monitoring techniques are too expensive to reach statistical significance. Electronic Hand Hygiene Monitoring, EHHM, compliments direct observation with its electronic, 24/7, “eyes”.

Jim Mann's picture

Innovation In Nursing Home Handwashing

Funding Enhanced Handwashing

The funding step for enhanced hand hygiene proposals fill the waste baskets and shedding machines of USA nursing homes. Everyone agrees on the need, no one pulls out the checkbook.

Catriona O’Connor, the Proprietor and Director of Care for a nursing home in Ireland has an answer that deserves a look. She simply ranks all her care programs on the basis of risk and takes the money from less risky elements. Her's is a person-centered P&L.

Mike Mann's picture

Handwashing: "Not Observed"

Health department inspectors feed operator complacency

Handwashing is respected by most all caregivers to some degree, whether in the kitchens, patient areas or resident rooms. Lip service is at 100% while compliance is more likely around 25%-40%.

Check out this report sent our way from a Canadian experience that we believe may be widespread but unreported in the USA. We know of the common practice to check the handsinks for residual traces of water as an indicator of handwashing and deserving of a checked “yes” box in some jurisdictions.

Mike Mann's picture

A New Handwash to Celebrate World Hand Hygiene Day

The SaniTwice® protocol is a special friend of bedridden patients

First developed for the military, this two step, clenze-sanitize, protocol has found many applications in water-scarce situations beyond the deserts of the Middle East where is was first deployed. The latest “desert” is the bed of the bedridden patient. SaniTwice provides an uncompromisingly effective hand wash by using the hand sanitizer as a wash agent followed by a vigorous drying with a single-use paper towel. A followup application of the sanitizer according to label instructions kills remaining pathogens.

Mike Mann's picture

Visualization & Personalization Drive Handwashing Improvements

Germ theory comes to life by visualization and personalization of the poorly washed hand. A visual feedback explains why hands must be washed at least 10 seconds and preferably 15 or 20, depending on the contamination and the physical condition of the people under their care. This is the advantage in using the ProGrade Scorecard where a standard in quality of the handwash is established.

Pages