Hand-Washing aka hand hygiene Remains #1 In Infection Prevention In Every Setting.
“Despite evidence to suggest that [hand hygiene] is important in preventing infection, hospitalized patients are often not provided the opportunity to clean their hands,” due to mobility and cognitive obstacles as well as lack of education, investigators wrote.
Education on patient hand hygiene significantly reduced the incidence of Clostridium difficile infection at University of Pittsburgh Medical Center Mercy Hospital.
First, they conducted baseline surveys to assess patient hand hygiene, which showed patients needed more opportunities to wash their hands. Then nurse educators provided staff with an educational presentation on the importance of patient hand hygiene for preventing infection, which included specific times they should encourage and assist patients with hand hygiene. Staff then provided education and assistance to newly admitted patients, and researchers conducted additional surveys after implementation of this intervention.
During the first phase of the study involving just four medical-surgical nursing units, patient hand hygiene education increased significantly after the intervention (P < .0001). Overall, 97 follow-up surveys showed the proportion of those who received hand hygiene education increased from 34% to 64%, the opportunities provided for hand hygiene increased from 60% to 86%, and the average number of times hand hygiene was performed daily increased from 2.7 to 3.75.
After expanding the intervention to the whole hospital in the second phase of the study, 189 follow-up surveys showed that patient hand hygiene education increased from 48% to 53%. Meanwhile, overall opportunities for hand hygiene remained unchanged from 68%, and daily frequency of patient hand hygiene did not change significantly (mean, 2.4 vs. 2.6 times per day).
Notably, CDI rates dropped significantly during the 6 months following hospital-wide implementation.
“[Standardized infection ratio] P values for Q2 and W3 (0.0157 and 0.0103, respectively) were significantly lower than expected (P .05),” investigators wrote. “The Q4 SIR, however, showed an increase to 0.3844 over the 2 preceding quarters.”
They concluded that these findings showed patient hand hygiene “should be considered a potential addition to CDI prevention measures in hospitalized patients.” – by Adam Leitenberger
We are pleased to announce that Dr. Hudson Garrett, Jr., PhD, MSN, MPH, FNP, CSRN, VA-BC, CDONA,FACONA,DON-CLTC™ , C-NAC™ , PLNC has been elected to Chairman of the Education Committee of the C Diff Foundation.
Dr. Garrett will be overseeing, and developing the Foundation’s volunteer patient advocate (VPA) program, healthcare workshops and programs for both patients and clinicians. As a member of the Foundation’s Research and Development committee, Dr. Garrett provided great support.
Dr. Garrett is aiding in the development of patient and clinician focused C.diff. Spores and More Global Broadcasting Network episodes and discussing leading healthcare
topics — as our global listeners span across 56 countries and counting.
Dr. Hudson Garrett is currently employed as the VP, Clinical Affairs for PDI, Inc. and NIce-Pak, and is responsible for the global Clinical Affairs program and also the Medical Science Liaison program for all divisions within the company. He holds a Bachelor of Science degree in Biology/Chemistry and Nursing, a dual Masters in Nursing and Public Health, Post-Masters Certificate as a Family Nurse Practitioner, a Post-Masters Certificate in Infection Prevention and Infection Control and a PhD in Healthcare Administration and Policy. He has completed the Johns Hopkins Fellows Program in Hospital Epidemiology and Infection Control, and the CDC Fundamentals of Healthcare Epidemiology program, and is board certified in family practice, critical care, vascular assess, moderate sedation, legal nurse consulting, and a director of nursing in long term care. Dr. Garrett is also a Fellow in the Academy of National Associations of Directors of Nursing Administration in Long Term Care.
Dr. Garrett currently serves on the Society for Healthcare Epidemiology of America Pediatric Subcommittee, as President of the Board of Directors, for the Vascular Access Certification Corporation, is the past Education Chair for the Greater Atlanta Chapter of the Association for Professionals In Infection Control and Epidemiology Board of Directors, a National Faculty Member for the Emergency Care and Safety Institute, President of the Board of Directors for the Southeast Chapter of the Infusion Nurses Society, the Industry Liaison for the Board of Directors for the Association for the Healthcare Environment, a member of the Clinical Practices Advisory Committee for the Association for Vascular Access, and a past member of the Recommended Practices Advisory Board for the Association of Peri-operative Registered Nurses. In addition, Dr. Garrett received a Presidential Citation from the Society of Critical Care Medicine in 2011 in recognition for his advancement of critical care nursing and infection prevention.
He also serves as the Industry Liaison for the Assoc. for the Healthcare Environment Board of Directors, is the lead faculty member for the Assoc. for the Healthcare Environment’s Online Certificate Program in the Essentials of Infection Prevention for Environmental Services Professionals, two time nominee for the Assoc. for Vascular Access Herbst Award, served as a reviewer for the 2013 Best Practices in Adult Peripheral Vascular Access Resource Guide for the Assoc. of Vascular Access, currently the second author for the second revision of the Assoc. for Vascular Access Pediatric Special Interest Organization Guidelines which is scheduled to be released in 2015, also an author for the AVA CVC Best Practices Resource guide. He was also recognized as a 2013 “Who’s who in Infection Prevention and Control” by Infection Control Magazine.
Dr. Garrett has published in many publications including Infection Control Today, Managing Infection Control, Provider, The Assisted Living Journal, and in the American Journal of Long Term Care, American Journal of Critical Care, and also in several Mosby Saunders medical textbooks to name a few.
He is currently an active member of many professional organizations including:
Association of Professionals in Infection Control and Epidemiology, the Association for the Healthcare Environment, the Society of Hospital Epidemiology of America, Infectious Disease Society of America, Association for Vascular Access, Infusion Nurses Society, American Society for Professionals in Patient Safety, Society of Critical Care Medicine, Assoc. for Peri-operative Registered Nurses, American Medical Directors Assoc., American Assoc. of Moderate Sedation Nurses, American College of Healthcare Executives, Nat’l Assoc. of Directors of Nursing in Long Term Care, American Assoc. for Long Term Care Nursing, American Assoc. of Nurse Assessment Coordinators, and American Academy of Nurse Practitioners.
Dr. Hudson Garrett is passionate about delivering unsurpassed material and provides excellent support on every level. We are fortunate to have Dr. Hudson Garrett, Jr. leading the Foundation’s Education Committee. Please join us in congratulating him on his new, well-deserved position.
Nancy C. Caralla, Founder, Executive Director
With the C Diff Foundation Board of Directors, Chairpersons and Committee Members