Utilising new technology to improve hand hygiene and equipment cleanliness across all departments in the Mater Private Ann Higgins RGN RSCN MSc H Dip Infection Control Mater Private Hospital Dublin

Hand hygiene and a clean environment have been recognised as essential in preventing infection and providing safe care since the 1800s Yet today we still battle to ensure our staff understand the importance of both HIQA and NHO and HPSC bombard us with documents and audit tools and guidelines yet is it not just a simple matter of making people just do it?? It is a well known fact that ‘he who complies against his will is of his own opinion still’ So we need to help everyone, every grade of staff, understand why... Background

We decided it was time to try something new Something to demonstrate immediately and visually the risks of unclean hands Surely there was some new technology that would do what we wanted... This presentation describes how our IPC team utilised a technology, predominantly used in the food industry, to demonstrate hand hygiene effectiveness and equipment cleanliness levels to all grades of staff and ultimately get a cleaner safer hospital

SystemSURE Plus is an Adenosine Tri-phosphate (ATP) monitoring system When ATP is brought into contact with the reagent in the Ultrasnap testing device, light is emitted in direct proportion to the amount of ATP present Because ATP is the universal energy molecule found in all animal, plant, bacteria, yeast and mould cells, residues, particularly food or organic residue, contain large amounts of ATP After cleaning, all sources of ATP should be significantly reduced Thus the higher the reading, the more contamination present The Science Bit!

An Ultrasnap swab stick was used to swab the palm, between fingers and tip of fingers of one hand and the swab placed into the ATP monitor. Results were provided after 15 seconds to the participants with on the spot feedback on areas missed when washing and how to improve their hand hygiene technique

Utilising ATP technology to demonstrate contamination levels on hands, right at the bedside allowed us to give a visible numerical record of how clean hands actually were - on the spot Staff were surprised at the results..... Some even shocked -especially when we swabbed a commode and showed it had a lower score than many of their hands! This made hand contamination real, tangible.....personal.. And their technique improved….

ATP technology was also used to demonstrate to all grades of staff (including the CEO) the actual cleanliness of equipment in clinical areas By swabbing random pieces of equipment, we were able to provide numerical comparisons between clean equipment and equipment that needed cleaning. Departments with specific staff assigned to equipment were found to have much lower scores and thus cleaner equipment This information was then used to help us target areas for extra resources and identify staff who needed further training in how to clean.... Did we see an improvement??

Specific pieces of equipment were targeted for ATP and audited to represent the theatre department:

With a little imagination, some enthusiasm and a simple gadget, all grades of staff across a whole hospital can become engaged in the process of making hospitals a safer place for our patients Thank you for your time and attention Conclusion