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Answers linked to Sax H, Allegranzi B, Uçkay I, Larson E, Boyce J, Pittet D. ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67:9–21
Journal of Hospital Infection (2008) 68, 178
Available online at www.sciencedirect.com
www.elsevierhealth.com/journals/jhin
Continuing Professional Development and the Journal of Hospital Infection Answers linked to Sax H, Allegranzi B, Uc ¸kay I, Larson E, Boyce J, Pittet D. ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67:9e21 Available online 22 October 2007
1. What are the five moments for hand hygiene that cover all indications for hand hygiene action at the patient bedside? Answer: Before patient contact, before an aseptic task, after body fluid exposure risk, after patient contact, after contact with patient surroundings. 2. How many critical sites are there in the patient zone? Answer: Two. ‘Clean sites’ correspond to body sites or medical devices that have to be protected against micro-organisms potentially leading to healthcare-associated infections, and ‘body fluid sites’ to those leading to hand exposure to body fluids and blood-borne pathogens. 3. What is the ‘content’ of the patient zone? Answer: The patient zone typically includes the intact skin of the patient and all inanimate
surfaces that are touched by or in direct physical contact with the patient such as bed rails, bedside table, bed linen and infusion tubing and other medical equipment. It further contains surfaces frequently touched by HCWs while caring for the patient such as monitors, knobs and buttons, and other ‘high-frequency’ touch surfaces within the patient zone.
4. Why should hand hygiene be practised before an aseptic task such as giving an injection? Answer: Hand hygiene required at this moment aims at preventing colonisation and healthcareassociated infection. It is taking place between the last exposure to a surface, even within the patient zone, and immediately before access to a clean site. This is important because healthcare workers customarily touch another surface within the patient zone before contact with a clean site.
Summarizing the instructions from the Royal College of Pathologists: (1) One CPD point is allowed for each question and answer set (up to five questions and answers). (2) Answers must be recorded referenced back to the questions and recorded in the CPD portfolio. (3) It is essential that participants include the completed response form showing both questions and answers in their portfolio as these may be subject to audit by RCPath. For further information about the Royal College of Pathologists’ CPD scheme and credit allocation, please contact: Professional Standards Unit, CPD Section, Royal College of Pathologists, 2 Carlton House Terrace, London, SW1Y 5AF, UK. E-mail: [email protected] or visit http://www.rcpath.org 0195-6701/$ - see front matter doi:10.1016/j.jhin.2007.07.027
Available online at www.sciencedirect.com
www.elsevierhealth.com/journals/jhin
Continuing Professional Development and the Journal of Hospital Infection Answers linked to Sax H, Allegranzi B, Uc ¸kay I, Larson E, Boyce J, Pittet D. ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67:9e21 Available online 22 October 2007
1. What are the five moments for hand hygiene that cover all indications for hand hygiene action at the patient bedside? Answer: Before patient contact, before an aseptic task, after body fluid exposure risk, after patient contact, after contact with patient surroundings. 2. How many critical sites are there in the patient zone? Answer: Two. ‘Clean sites’ correspond to body sites or medical devices that have to be protected against micro-organisms potentially leading to healthcare-associated infections, and ‘body fluid sites’ to those leading to hand exposure to body fluids and blood-borne pathogens. 3. What is the ‘content’ of the patient zone? Answer: The patient zone typically includes the intact skin of the patient and all inanimate
surfaces that are touched by or in direct physical contact with the patient such as bed rails, bedside table, bed linen and infusion tubing and other medical equipment. It further contains surfaces frequently touched by HCWs while caring for the patient such as monitors, knobs and buttons, and other ‘high-frequency’ touch surfaces within the patient zone.
4. Why should hand hygiene be practised before an aseptic task such as giving an injection? Answer: Hand hygiene required at this moment aims at preventing colonisation and healthcareassociated infection. It is taking place between the last exposure to a surface, even within the patient zone, and immediately before access to a clean site. This is important because healthcare workers customarily touch another surface within the patient zone before contact with a clean site.
Summarizing the instructions from the Royal College of Pathologists: (1) One CPD point is allowed for each question and answer set (up to five questions and answers). (2) Answers must be recorded referenced back to the questions and recorded in the CPD portfolio. (3) It is essential that participants include the completed response form showing both questions and answers in their portfolio as these may be subject to audit by RCPath. For further information about the Royal College of Pathologists’ CPD scheme and credit allocation, please contact: Professional Standards Unit, CPD Section, Royal College of Pathologists, 2 Carlton House Terrace, London, SW1Y 5AF, UK. E-mail: [email protected] or visit http://www.rcpath.org 0195-6701/$ - see front matter doi:10.1016/j.jhin.2007.07.027