skin. But when we look
globally, hand hygiene
compliance is a big one,
as is disinfection of endo-
scopes, especially with
the recent duodenoscope
problems. Environmental
cleaning and disinfection
are also top concerns.
What can facilities do to
improve their hand hygiene
compliance?
Ms. Hohenberger: We have to
come back to basics and
make sure that we're con-
sistently performing hand
hygiene at all of the 5
moments (before touch-
ing a patient, before a
procedure, after a proce-
dure, after touching a patient and after touching a patient's surround-
ings), whether it's using soap and water or an alcohol hand rub. Hand
hygiene is the No. 1 way to stop the spread of disease, whether it's in
the hospital acute care or outpatient environment. It's a universal first
line of defense.
Ms. Nucci: Time and time again, studies show that it's all about opportu-
nity. You have to make things easy and error-proof for healthcare
workers who are already being pulled in 7 different directions. I work
8 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 6
• MISSED SPOTS To ensure high-touch areas are cleaned between cases, TRIA
Orthopaedic Center swabs and tests surfaces for ATP, a protein found in bioburden.
Lori
Groven,
RN,
BSN,
MSPHN,
CIC
