HAND HYGIENE SURVEY. Yes: If yes, has this policy been signed and approved by the CEO and/or the board of directors? Yes No

Size: px

Start display at page:

Download "HAND HYGIENE SURVEY. Yes: If yes, has this policy been signed and approved by the CEO and/or the board of directors? Yes No"

Thomas Elliott
6 years ago
Views:

1 HAND HYGIENE SURVEY 1. Is there a written hand hygiene plicy in yur rganizatin/facility/agency? (Hand hygiene is defined as the act f washing ne s hands with sap and water, r disinfecting them with an antiseptic agent.) Yes: If yes, has this plicy been signed and apprved by the CEO and/r the bard f directrs? Yes N N 2. Des yur rganizatin prvide educatinal prgrams t staff that are exclusively abut hand hygiene? Yes: If yes, is yur educatin prgram mandatry? Yes N N 3. Which hand hygiene prducts des yur rganizatin prvide fr staff? (Please check all that apply.) Alchl hand sanitizers: If yes, what brand(s): Hand ltins: If yes, what brand(s): Anti-bacterial sap Nn-antibacterial sap

2 4. Where in yur rganizatin are hand hygiene prducts placed? (Please check all that apply.) At dr t patient/resident/client rm In staff cmmn areas Staff washrm Public washrm Waiting areas/clinic receptin Main lbby/entrance Other, please specify: 5. What type f hand hygiene prmtinal/cmmunicatin materials are being used in yur rganizatin? (Please check all that apply.) Psters Badges Stickers Brchures Nne 6. Is hand hygiene adherence part f staff jb perfrmance reviews? Yes: If yes, are disciplinary actins taken fr nn-adherence? Yes N N

3 7. Is adherence t hand hygiene plicies/practice included in jb descriptins and/r jb psting infrmatin fr yur facility? Yes N 8. Has yur rganizatin implemented any initiatives t imprve hand hygiene in the last 2 years? Yes: Skip t questin.10 N: G t questin 9 9. Is yur rganizatin develping initiatives t imprve hand hygiene practices? Yes: Due t be implemented mnth year N: Skip 10. Des yur rganizatin have defined gals fr these hand hygiene initiatives? Yes: Please list tp 3 gals N 11. Wh in the rganizatin is/was targeted by these hand hygiene initiatives? (Check all that apply.) Staff Visitrs/family/members f the public Other, please specify:

4 12. Overall, hw wuld yu rate the hand sanitizer prvided by PAC Nt at all Successful Extremely Successful 13. Overall, which hand hygiene initiatives implemented d yu think were the mst effective? Wuld yu recmmend anther brand, type? (Please explain briefly.) 14. Overall, which hand hygiene initiatives implemented d yu think were the least effective? (Please explain briefly.) 15. Please rate yur satisfactin with the prmtinal materials fr hand hygiene currently used in yur rganizatin. Nt at all Successful Extremely Successful

5 16.Please rate yur satisfactin with the availability f the hand hygiene prducts in yur rganizatin. Nt at all Successful Extremely Successful 17.Please rate yur satisfactin with the hand hygiene prducts currently used in yur rganizatin. Nt at all Successful Extremely Successful 18. What are/were the majr challenges r barriers in implementing hand hygiene initiatives in yur rganizatin? Individual/staff challenges: 19. What is/has been invlved in yur hand hygiene initiatives? (Please check all that apply.) Staff educatin/infrmatin disseminatin Cllectin f baseline indicatrs, please specify: Tlkit (e.g. alchl hand rubs, prmtinal psters, implementatin guide, etc.) Other prmtinal material (e.g. badges, stickers, etc.) Staff invlvement in planning client invlvement in planning Baseline audits f hand hygiene adherence Pst-implementatin audits f hand hygiene adherence

6 Cmmunity educatin prgrams Interviews r fcus grups with staff Hand hygiene rle mdels/hand hygiene resurce persns Other, please specify: 20. D/did yur rganizatin receive any financial supprt fr the hand hygiene initiatives implemented/in prgress? Yes: If yes, what type f financial supprt? (Please check all that apply.) Funding frm research agency External funding (e.g. frm reginal health authrity) Funding frm industry Internally identified targeted funding Other, please specify: N Thank Yu

GUIDE TO THE PROFESSIONAL PRACTICE STANDARD

GUIDE TO THE PROFESSIONAL PRACTICE STANDARD Veterinarian-Client-Patient Relatinship (VCPR) Published: July 2016 Revised: April 2017; Nvember 2017 Intrductin The Cllege s Prfessinal Practice Standard: Veterinarian-Client-Patient