This sample hand hygiene policy and procedure is based on the Centers for Disease Control and Prevention (CDC) guidelines. The template should be adapted to fit the unique circumstances of each center. This sample letter from clinical leaders in the ASC may be used to share plans for a hand hygiene improvement initiative with other staff in the center. The guide also includes a hand hygiene knowledge assessment questionnaire. This guide from the Institute for Healthcare Improvement provides a framework for projects aimed at improving hand hygiene and the use of gloves among health care workers. How-to-Guide: Improving Hand Hygiene (IHI).It is included in Institute for Healthcare Improvement's "How-to Guide: Improving Hand Hygiene". This checklist may be used to assess the availability of alcohol-based hand rub and clean gloves in patient care areas. Checklist for the Availability of Alcohol-Based Hand Rub and Clean Gloves (IHI).It is included in the Institute for Healthcare Improvement's "How-to Guide: Improving Hand Hygiene". This questionnaire may be used to survey clinical staff about their knowledge of key hand hygiene information. Hand Hygiene Knowledge Assessment Questionnaire (IHI).Perform a self-assessment using the same tool CMS surveyors use when evaluating hand hygiene practices in the ASC setting.
Institute for Healthcare Improvement (IHI)Ĭomments and other feedback may be directed to Ann Shimek, Executive Director, ASC Quality Collaboration, Assessment Tools.Centers for Disease Control and Prevention (CDC).The materials presented here include publicly available resources from the following organizations: The EXPANDED Hand Hygiene Toolkit contains both essential resources and a broader array of materials, including: Hand Hygiene Policy and Procedure Template.Hand Hygiene: What CMS Surveyors Are Looking For.The BASIC Hand Hygiene Toolkit includes four essential resources: The ASC Quality Collaboration has assembled a variety of resources and information that may be used to supplement your current processes to improve hand hygiene practices. Clean hands are the single most important factor in preventing the spread of pathogens and antibiotic resistance in healthcare settings. Hand hygiene reduces the risk of healthcare associated infections. They may not be used for commercial purposes. The resources in this toolkit may only be used for internal improvement and education efforts.
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