S.P.A.N.C.

This blog is meant to be a place for Sunnybrook Peri-Anesthesia Nurses (Pre-Admission Centre, Same Day Surgery, Post Anesthetic Are Unit and Surgical Short Stay Unit) to stay in communication with each other and to be up-to-date with concerns regarding the Peri-Anesthesia Department. The Purpose of S.P.A.N.C is •To re-implement a unit based council •to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do •to create a collegial atmosphere for sharing our professional experiences within the subgroups of Peri-anesthesia •to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and thereby affect positive outcomes for our patients and their families.

Friday, January 23, 2009

SDS Hand Hygiene Compliance rates

Late last year a hand hygiene audit was done in the SDS by a Master's student in Epidemiology. Her study included Pre-and Post InService data.

Here are the results. Good Job!!!

Hand hygiene compliance rates among RNs


HH performed

HH opportunities

HH compliance

1st moment

3

52

6%

2nd moment

1

34

3%

3rd moment

8

21

38%

4th moment

19

63

30%

Overall compliance

31

170

18%


Post intervention - hand hygiene compliance rates among RNs


HH performed

HH opportunities

HH compliance

1st moment

25

63

40%

2nd moment

10

27

37%

3rd moment

16

24

67%

4th moment

33

62

53%

Overall compliance

84

176

48%


Hand hygiene compliance rates among Anesthesiologists


HH performed

HH opportunities

HH compliance

1st moment

2

7

29%

2nd moment

4

18

22%

3rd moment

2

2

100%

4th moment

2

10

20%

Overall compliance

10

37

27%


Post intervention hand hygiene compliance rates among Anesthesiologists


HH performed

HH opportunities

HH compliance

1st moment

4

9

44%

2nd moment

1

8

13%

3rd moment

2

2

100%

4th moment

2

10

20%

Overall compliance

9

29

31%



The Day Surgery Unit demonstrated an overall HH compliance rate of 19% (220/41). By HCW, the HH compliance rate among the nurses was 18% (170/31) with the lowest compliance during the 1st and 2nd moment at 6% (52/3) and 3% (34/1), respectively. Among the anesthesiologists, the compliance rate was 27% (37/10), with lowest compliance during the 4th moment at 20% (10/2). Post intervention, the compliance rate, among nurses, increased substantially. Within this group, HH compliance increased from 18% (170/31) to 48% (176/84). This increase in compliance was significant (p<0.001). With regards to the anesthesiologists, with whom the intervention was not performed, results indicated that HH compliance went from 27% (37/10) to 31% (29/9). This was shown to not be significant (p=0.768).


*** Please note that the intervention was only carried out with the nurses.

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