Infection Prevention Manual

EXPOSURE CONTROL PLAN Hand Hygiene Improvement Interventions (aggregated data to show improvement or lack of, compliance with hand hygiene guidelines) Quarter: ____________ Year: ________ Current Compliance %: Action Yes/No Date of Action or Plan Comment Monthly HH Compliance results are posted in a visible space Monthly HH Compliance results are discussed in staff meetings Staff have been educated about Hand Hygiene Policy, competency, or Annual Infection Control Training. Supervisor/leadership monitor staff performance by: Gathering Hand Hygiene Observations, or verbal contacts Staff indicate through their signature their knowledge of hand hygiene requirements and their commitment to implement (e.g. in- services; infection committee board) Supervisor/leadership intervenes in personnel performance by: Identifying factors that contribute to non-compliance -Implementing corrective actions for common factors that impact compliance - Taking action on persistent individual non- compliance Supervisor/leaders collaborate and communicate to improve compliance Supervisors/leadership develops additional program-level corrective action plan to achieve 95% compliance Other: Comment: _______________________________________________________________ Name/Title of Staff completing report: ________________________________________ Staff signature: ________________________________ Your Agency Name (PN System)