Course Access
Hi Tenzin
I agree 100% re 4 moments in aged care – a RACF resident does not neatly sit within a boundary such as a room or patient area as they would in a hospital setting
There are many shared spaces, such as dining rooms, activity areas, cafes etc
At my organisation we combine moments 4 and 5 as you describe
Based on the Canadian Ontario Health ‘Just clean your hands’ (long term care) program https://www.publichealthontario.ca/en/health-topics/infection-prevention-control/hand-hygiene/jcyh-ltch or https://www.youtube.com/watch?vWQKu7V2sy64 , they have some amazing resources for an aged care setting
SA Health adapted the tool we developed at my organisation based on the Ontario model for use by providers who do not contribute to the NHHI
This tool more accurately reflects an aged care setting
Instead of identifying Moments 1, 2, 3 etc we assess against opportunities observed and whether HH was undertaken
Initially we developed posters and education focussing on the 4 moments, but over time most signage reflects the standard 5 moments for HH.
I don’t really get hung up on 4 / 5 moments, I talk to the opportunities which is observing HH being undertaken prior to and after any care / person / environment contact
IA bit hard to explain in an email sorry
At the end of the day our focus is on improving hand hygiene practice ensuring improved resident outcomes
Tenzin, I am happy to chat if you want more information
Regards
Robyn
[cid:image001.png@01D8CC1A.364F43D0]Robyn Russell RN, CICP-P
Client Safety & Quality Consultant
34 Molesworth Street, North Adelaide SA 5006
T. (08) 8224 7851
M. 0424 167 101
F. (08) 8267 2690
http://www.helpinghand.org.au
Hi All
I am fairly new to the role as a centralised IPC lead. Prior to taking on the role, in the recent time my organisation had adopted 4 moments of hand hygiene instead of 5 moments and the rationale behind this is 5 moments apparently doesn’t support aged care setting. If we are to apply a 5 moments, we must either have a ABHR at each resident’s bedside or alternatively all staff would need to carry hand gel with them. The posters were changed from 5 moments to WHO 4 moments.
This was not something that I have implemented, but was there in place. When I started our HH audit, my audit template was based on 4 moments. However, recent SA health online infection course that all aged care workers required to complete still has 5 moments. I find this quite misleading for the staff given there are now 2 different instructions to follow. I was wondering if other organisation follow 4 or 5 moments. If 5, how do you make sure this is followed correctly by staff.
I would really appreciate some response.
Tenzin Chokey
Infection Prevention and Control Lead
Life Care SA
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