cleanyourhands campaign [insert name of your trust/organisation]

Why the campaign? In the 21st century infections continue to be acquired by patients in hospital Some patients die (5000) Many are harmed A proportion are completely avoidable Many can be prevented solely by improving hand hygiene (9-50%)

The cleanyourhands campaign Staff commonly clean their hands less than half the time they should The are a number of reasons for this, but it is clearly unacceptable The cleanyourhands campaign is based on achievements in Geneva, US, Australia and Oxford;

What the campaign involves Removing the practical barriers faced by staff: Near patient alcohol handrub (bedside) Personal dispensers. Raising awareness of the issue: Rotating posters and supporting materials A consistent feel and distinct designs Involving patients Management support and clinical role models

Testing the campaign Tested in two wards in each of six pilot trusts over a six- month period: Baseline measurements taken Interviews with a range of staff and patients

Pilot findings The pilot showed: Staff went from cleaning their hands 28% of times to 76% of times (reflects the literature) The patient involvement aspect was popular with the majority of staff and patients, but needs careful introduction The costs of the campaign products and promotions are incredibly small compared to the excess costs of HCAI An economic evaluation indicates a trust with 500 beds could save 1,540 bed days by replicating this success organisation-wide.

The cleanyourhands campaign and toolkit A series of three different posters: the core campaign posters which change monthly the staff champion posters: no set frequency of changes the patient posters: to supplement patient involvement Supporting tools and materials Near-patient alcohol handrubs Tools for involving patients Economic tools The Ready, Steady, Go! guide to preparation and implementation.

What it means at ward level -1 The campaign materials delivered to the individual ward Alcohol handrubs placed at the point of clinical/ patient care (attached to the bed or attached to the member of staff). Alcohol handrubs need to be replenished when empty Alcohol handrubs need to be replaced if they are faulty Alcohol handrubs must look clean

What it means at ward level - 2 The core campaign posters need to be displayed in the ward/department in areas where staff have contact with patients core posters change every four weeks. Staff need to be identified to be displayed on the staff champion posters Photographs need to be taken of staff for the staff champion posters The staff champion posters need to be displayed around the ward/department in areas where staff have contact with patients

What it means at ward level - 3 Patient posters and leaflets - to be displayed in areas where patients are most likely to see them The campaign badges (enamel) to be available and worn to show support of the campaign. The campaign stickers stating ‘It’s okay to ask’ to be promoted and worn An observation of hand hygiene compliance is recommended prior to implementing the campaign – with results fed back to directorate meetings

What you can do next Use the alcohol at the right time to prevent microbes spreading Use soap and water when you need to remove dirt and soiling Look out for the posters Be aware that patients know about the importance of hand cleaning Be open to patient comments about infection and hand cleaning

What you can do next A recent CDC study found that nurses, junior doctors and medical students tended to follow the example senior medical staff with respect to hand cleaning In the study the normal compliance of nurses, junior doctors and medical students was When staff accompanied senior medics on ward rounds who did not wash their hands, this dropped to Each member of staff can be a very powerful influence on fellow staff. 50% 10%