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.

Monday, February 1, 2010

SAQ#9

IS HAND HYGIENE IMPORTANT TO THE TEAM? GREEN, HIGH

Summary of Related Standard(s) 6.1 REQUIRED ORGANIZATIONAL PRACTICE: The organization delivers education and training for staff/service providers/and volunteers on hand hygiene.6.4 The organization’s staff, service providers and volunteers have access to alcohol-based hand rubs at the point-of-care and service delivery.6.5 REQUIRED ORGANIZATIONAL PRACTICE: The organization evaluates compliance with hand hygiene practices.

Process Currently in Place - Evidence of Current Status
• HH session on PEP day May 8th with goal to achieve 100% compliance
• Hand hygiene audits have been done by IP&C
• HH e-learning module
• Waterless, alcohol based hand rub at every unit entrance, work station, bedside. POC
• HH posters at strategic locations
• P&P on intranet

Improvement Strategy / Action Plan
July 2009-ongoing
1. ongoing auditing by OHS
2. staff awareness of compliance percentages

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