Appendix 2 Trust wide Hand Hygiene Action Plan 2016 Trust wide Hand Hygiene Action Plan 2016 V5.0 THEME ACTION LEAD TIMESCALE PROGRESS UPDATE STATUS Availability of Ensure that the Trust has a plentiful supply of IPCT Completed hand hygiene foam and 47ml gel bottles of sanitiser ‘tottles’ – supplies with clips purchasing to be contacted – Ensure that staff carry the 47ml bottles of Sister / Completed IPCT have been out small bottles to staff while sanitiser on their clothing at all times whilst Charge checking posters on the wards. working in clinical areas Nurse / Nurse in charge Nominate a member of staff to check sanitiser Sister / Completed bottles on the end of the beds / on top of Charge lockers every shift to ensure availability Nurse / Nurse in charge Continue to remind to call the ISS helpdesk Sister / Commenced if soap / hand towels are in short supply IPCT Deb Rep to audit all areas to ensure enough IPCT Completed dispensers available. Improved Saving Link Practitioners to carry out peer review IPCT Commenced Lives Audits audits every month instead of quarterly Link nurses to actively challenge poor Link Commenced compliance during audit, and speak directly to the nurse in charge upon completion, getting a signature to demonstrate that a discussion has taken place Repeating offenders to be warned that they will Link Commenced be notified to the Divisional Director
Appendix 2 Trust wide Hand Hygiene Action Plan 2016 Trust wide Hand Hygiene Action Plan 2016 V5.0 THEME ACTION LEAD TIMESCALE PROGRESS UPDATE STATUS Availability of hand hygiene supplies Ensure that the Trust has a plentiful supply of ‘tottles’ – foam and 47ml gel bottles of sanitiser with clips – purchasing to be contacted IPCT Completed Ensure that staff carry the 47ml bottles of sanitiser on their clothing at all times whilst working in clinical areas Sister / Charge Nurse / Nurse in charge Completed IPCT have been out small bottles to staff while checking posters on the wards. Nominate a member of staff to check sanitiser bottles on the end of the beds / on top of lockers every shift to ensure availability Sister / Charge Nurse / Nurse in charge Completed Continue to remind to call the ISS helpdesk if soap / hand towels are in short supply Sister / IPCT Commenced Deb Rep to audit all areas to ensure enough dispensers available. IPCT Completed Improved Saving Lives Audits Link Practitioners to carry out peer review audits every month instead of quarterly IPCT Commenced Link nurses to actively challenge poor compliance during audit, and speak directly to the nurse in charge upon completion, getting a signature to demonstrate that a discussion has taken place Link Commenced Repeating offenders to be warned that they will be notified to the Divisional Director Link Commenced
ipct-annual-report-2015-16-final-2.docx