1. Training
XX Hospital

2. Cleaning Bundle
Staff Training Defined Technique Product use Enhanced Audit Better Communication

3. Healthcare Associated Infections
Every year:
200,000 cases
2 million bed days
Prevention is important

4. HAI and the environment
400 people
3.3 environment, 3.6 their face – eyes/nose/mouth
12hours
Over 55,000 interactions – this does not count people to people interactions, just the one between ourselves and the environment

5. Days Weeks Months Years Norovirus FCV Influenza
Mycobacterium tuberculosis
Clostridium difficile (spores)
Acinetobacter spp.
Staphylococcus aureus - MRSA
Pseudomonas aeruginosa
Escherichia Coli
Klebsiella spp.
Enterococcus spp. - VRE, CRE
Adapted from [5, 29, 81, 84]
*Survival time on dry inanimate objects. Range depends on experimental methods.

6. HAI and the environment
High touch objects are greater risk Daily cleaning as a minimum - every 24hr Prior room occupation – up to 40% more likely
Your role is vital to preventing infections!

7. Frequent
Touch Points
Activity 1

8. Cleaning Technique Focus on frequent touch points
Most organisms are removed via manual action
Thoroughness over speed
Apply adequate pressure to remove contamination
Clean the whole surface – including edges, corners, underneath
S/Z pattern or other single direction
FTP

9. Avoid Cross Contamination
Remember your hand hygiene – wash your hands or use the hand-rub
Change your PPE regularly (including gloves)
Change cloths and mops regularly – fold inwards to avoid cross contamination

10. Product use
Detergent helps remove dirt and organisms Disinfectant kills organisms We use both detergent and disinfectant in combination where there is a higher risk

11. Hospital specifics here
Product Expectations
DAILY
DISCHARGE
Hospital specifics here
GENERAL PATIENTS
TRANSMISSION BASED PRECAUTIONS

12. Product use
Contact time Dilution/ concentration Safety requirements/ Other relevant product info or site specific requirements

13. Question and answer
Activity 2

14. Enhanced auditing Why? Know what we are doing well/ could improve
To protect patients
What’s new?
UV dots with direct individual feedback
Reporting and recognition

15. Time to try it
Activity 3

16. Start with DAILY communication with the NUM
Clinical staff
Patients
Each other

17. Scenarios Activity 4

18. Key messages… Add daily communication on the ward
Focus on your frequent touch points – every day
Be thorough – whole surface and enough pressure
Correct product use:
Hospital specifics here
Disinfectant must remain wet for 10 minutes
Get feedback on UV audits