Association between Adherence to Hand Hygiene Practice and Glove Use

Project: In collaboration with Environmental Services, the Epidemiology Department set out to achieve optimal cleaning and disinfection of the ICU environment using a practical and sustainable approach. A 43-point cleaning checklist was developed to include 15 high-touch items which were marked with a transparent, ultraviolet-tagged marking solution (DAZO ). EVS personnel received instruction regarding room disinfection with an emphasis on cleaning high-touch surfaces and how to use the checklist. Cleanliness was graded on the basis of removal of the marking solution post cleaning. Baseline EVS performance data was collected over three different periods. An educational DVD encompassing cleaning of high-touch items was developed, and all EVS personnel were required to view the video. Fifteen rooms in each of the 3 Adult ICUs were surveyed each month to assess performance. Unit-specific results were tallied monthly and rapidly fed back during face-to-face meetings with EVS personnel.