2. cleanyourhands campaign
[insert name of your
trust/organisation]

3. Why the campaign?
In the 21st century infections continue to be acquired by patients in hospital
Some patients die (5000)
Many are harmed
A proportion are completely avoidable
Many can be prevented solely by improving hand hygiene (9-50%)

4. The cleanyourhands campaign
Staff commonly clean their hands less than half the time they should
The are a number of reasons for this, but it is clearly unacceptable
The cleanyourhands campaign is based on achievements in Geneva, US, Australia and Oxford;

5. What the campaign involves
Removing the practical barriers faced by staff:
Near patient alcohol handrub (bedside)
Personal dispensers.
Raising awareness of the issue:
Rotating posters and supporting materials
A consistent feel and distinct designs
Involving patients
Management support and clinical role models

6. Testing the campaign
Tested in two wards in each of six pilot trusts over a six-
month period:
Baseline measurements taken
Interviews with a range of staff and patients

7. Pilot findings The pilot showed:
Staff went from cleaning their hands 28% of times to 76% of times (reflects the literature)
The patient involvement aspect was popular with the majority of staff and patients, but needs careful introduction
The costs of the campaign products and promotions are incredibly small compared to the excess costs of HCAI
An economic evaluation indicates a trust with 500 beds could save 1,540 bed days by replicating this success organisation-wide.

8. The cleanyourhands campaign and toolkit
A series of three different posters:
the core campaign posters which change monthly
the staff champion posters: no set frequency of changes
the patient posters: to supplement patient involvement
Supporting tools and materials
Near-patient alcohol handrubs
Tools for involving patients
Economic tools
The Ready, Steady, Go! guide to preparation and implementation.

9. What it means at ward level -1
The campaign materials delivered to the individual ward
Alcohol handrubs placed at the point of clinical/ patient care (attached to the bed or attached to the member of staff).
Alcohol handrubs need to be replenished when empty
Alcohol handrubs need to be replaced if they are faulty
Alcohol handrubs must look clean

10. What it means at ward level - 2
The core campaign posters need to be displayed in the ward/department in areas where staff have contact with patients
core posters change every four weeks.
Staff need to be identified to be displayed on the staff champion posters
Photographs need to be taken of staff for the staff champion posters
The staff champion posters need to be displayed around the ward/department in areas where staff have contact with patients

11. What it means at ward level - 3
Patient posters and leaflets - to be displayed in areas where patients are most likely to see them
The campaign badges (enamel) to be available and worn to show support of the campaign.
The campaign stickers stating ‘It’s okay to ask’ to be promoted and worn
An observation of hand hygiene compliance is recommended prior to implementing the campaign – with results fed back to directorate meetings

14. What you can do next
Use the alcohol at the right time to prevent microbes spreading
Use soap and water when you need to remove dirt and soiling
Look out for the posters
Be aware that patients know about the importance of hand cleaning
Be open to patient comments about infection and hand cleaning

15. What you can do next
A recent CDC study found that nurses, junior doctors and medical students tended to follow the example senior medical staff with respect to hand cleaning
In the study the normal compliance of nurses, junior doctors and medical students was
When staff accompanied senior medics on ward rounds who did not wash their hands, this dropped to
Each member of staff can be a very powerful influence on fellow staff.
50%
10%