Hand hygiene and needleless connector decontamination for peripheral intravenous catheter care-time and motion observational study

Karen Slater; Marie Cooke; Emma Scanlan; Claire M Rickard

doi:10.1016/j.ajic.2019.01.022

Hand hygiene and needleless connector decontamination for peripheral intravenous catheter care-time and motion observational study

Am J Infect Control. 2019 Aug;47(8):1017-1019. doi: 10.1016/j.ajic.2019.01.022. Epub 2019 Mar 6.

Authors

Karen Slater¹, Marie Cooke², Emma Scanlan³, Claire M Rickard²

Affiliations

¹ Princess Alexandra Hospital, Brisbane, Australia; School of Nursing and Midwifery, Griffith University, Brisbane, Australia. Electronic address: karen.slater@health.qld.gov.au.
² Alliance for Vascular Access Teaching & Research Group, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.
³ Princess Alexandra Hospital, Brisbane, Australia.

PMID: 30850248
DOI: 10.1016/j.ajic.2019.01.022

Abstract

Good hand hygiene and "scrub the hub" practices are important to prevent bloodstream infections. This observational study (n = 108) found high compliance with "scrubbing the hub," although scrub time was shorter than the recommended duration (average 6.1 seconds). Compliance with hand hygiene before medication preparation (33%) and before medication administration (43%) showed room for improvement compared with postadministration (65%), the emergency setting and glove use were associated with poorer compliance (P < .01).

Keywords: Decontamination; Hand Hygiene; Observation; PIVC.

MeSH terms

Adult
Catheter-Related Infections / prevention & control*
Catheters, Indwelling / microbiology*
Catheters, Indwelling / standards*
Central Venous Catheters / adverse effects
Central Venous Catheters / microbiology*
Cross Infection / prevention & control
Decontamination
Disinfection
Equipment Contamination / prevention & control
Female
Gloves, Protective
Hand Hygiene*
Humans
Infection Control
Male
Nurses