Infection Prevention Manual

Hand Hygiene Guidelines: The Foundation for Measurement Appendix 1-1. (continued) 1. Direct observation with HCW performance feedback; calculate number of hand hygiene episodes performed per number of opportunities 2. Indirect monitoring a. Monitor volume of product used for hand hygiene b. Other monitoring c. Electronic monitoring d. Monitor compliance with facility policies regarding jewelry, nail polish, and artificial nails 1. Recommend a. Calculate volume used per 1,000 patient days. b. No comment c. No comment d. Recommend nonspecific monitoring 1. Recommend a. Estimate volume used based on nursing activities b. Count used paper towels c. Monitor use of sinks, hand hygiene product or paper towels electronically d. Monitor compliance by direct and indirect observation, self- assessment, and patient assessment Estimate volume instead of calculating it Alternative monitoring Alternative monitoring Specific measures to monitor compliance Recommendation CDC Guideline* WHO Guideline* Key Points of WHO Guideline * Guideline Categories The CDC and WHO categorize recommendations on the basis of existing scientific research, theoretical rationale, applicability, and economic impact. The WHO also includes expert consensus in their categorization. Category IA: Strongly recommended for implementation and strongly supported by well-designed experimental, clinical, or epidemiologic studies. Category IB: Strongly recommended for implementation and strongly supported by certain experimental, clinical, or epidemiologic studies and strong theoretical rationale. Category IC: Required for implementation, as mandated by federal and/or state regulation or standard. Category II: Suggested for implementation and supported by suggestive clinical or epidemiological studies or a theoretical rationale [or per the WHO a consensus by a panel of experts]. Your Agency Name (PN System)