It's important to make a plan before embarking on any project. This makes your intentions clear to all parties involved.

1. Project BHH ED- ‘Dirty Little Secret’
Emergency Departments (ED) and Critical Care areas traditionally have the lowest Hand Hygiene (HH) statics worldwide. The national
compliance rate based on the World Health Organisations ‘5 moments of Hand Hygiene’ is 70%, with BHH ED sitting around 25% at
present. This ‘dirty little secret’ of our hospital is a challenging area, however the implementation of a Hand Hygiene program is
imperative to change the culture of HH and prevent Healthcare Associated Infections (HAI) being given to our patients. Project ‘Dirty
Little Secret’ is designed to bring our HH statistics up to the national average of 70% .
February
• Project Planning
• Meet with invested parties
• Research into strategies
March/April/May
• Baseline data collection- HH
• Meeting with invested parties/Research into strategies
• Pre -campaign survey of staff i.e. survey monkey
• Ethics approval/Funding application
• Finalise project intentions and goals
• Education of interested parties i.e. nurses/doctors
June/July/August
• HH campaign
• Ongoing HH auditing
September/October November
• Evaluate results
• Publish
• Present at conferences/meeting
• Ongoing education and auditing
Suggested educational strategies
• Meet with senior emergency department staff and outline
leadership influences in the change of HH culture
• In-services, posters, videos
• Feedback of HH statistics to staff
• Educational package i.e. HHA and competition to see what
group finishes first with prizes
• Fun activities i.e. glow germ, ‘minties moment’, on the spot
quizzes with prizes
Issues
• ? introduction of hand held dispensers during campaign
• ? Introduce the ‘Its Ok to ask’ program during campaign
• Sustainability
• Funding of prizes
• Feasibility of the Infection Prevention and Control Service
(IPAC) to assist with project
• Ideally if funding could be obtained, this would mean
dedicated time could be set for auditing, documenting,
education and working with IPAC
Project Design- Jo-Anne McShane RN,
Masters Clinical Nursing- Emergency, BHH ED