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January 2010




Focus Groups

Several focus groups have been held over the last month with campaign coordinators to inform the campaign strategy work. The groups were small but the feedback gained has been valuable and will help us to develop the next set of materials as well as the longer term strategy. We would like to thank all those who contributed at such short notice; your participation was greatly appreciated.


Give me 'Five'!

It’s now been some months since the cleanyourhands team launched the ‘Your Five Moments for hand hygiene’ toolkit, within England and Wales. Concentrating on the ‘when’ and ‘why’, rather than the ‘how’ of hand hygiene, the approach seems simple in theory, but can on occasion lead to confusion in practice.


Keen to progress the Five Moments message and application, Enfys Mercieca, the team’s Infection Control Adviser is seeking examples of innovative ways that trusts have implemented the Five Moments approach, at the point of patient care. “Sharing good practice is key to generating fresh ideas as well as motivating others to progress the message so it gets fully understood and embedded into practice” she advocates.


“Many teams are doing great work, but are slow to celebrate good practice. It is vital to promote and raise awareness of what is happening in the clinical settings, as this is where the infection risks are highest. Staff can take positive steps to affect those risks by implementing the Five Moments.”


Here are examples of how some Infection Prevention & Control Teams/Leads have utilised the Five Moments:


Plymouth Hospitals NHS Trust

Plymouth Hospitals NHS Trust have pulled out all the stops and developed an Action Plan to help focus how they wish to integrate the message throughout the organisation. The plan includes a robust training programme, aimed at staff groups coming into contact with clinical tasks and duties and the creation of their ‘My Five Moments’ calendar, depicting hospital staff demonstrating the Five Moments in action. Local sports celebrities were recruited to launch the initiative whilst the kids from the hospital day nursery were enlisted to fashion t-shirts bearing the Five Moments.


Chesterfield Royal Hospital NHS Foundation Trust

The trust has worked hard to translate the concept of the Five Moments into a truly multi-disciplinary feature by taking the approach and applying it in a different context. Extending the point of care message into the Neonatal Unit, the Senior Matron for Infection Control has extended the concept into the Microbiology Department, highlighting the importance of ‘Knowing your Zones’. The team have also prepared a short presentation entitled, ‘A Day in the Life of a Pharmacist’, to target  a particular staff group and demonstrate the possible transmission risk if the Five Moments are not adhered to.


Royal Brompton & Harefield NHS Foundation Trust

The team at the Royal Brompton have integrated the Five Moments into their audit process, with the development of a hand hygiene audit tool, that is currently used as a performance indicator. The team lead is passionate about keeping the hand hygiene message ‘bedside focused’ and this is an ideal way of monitoring right at the point of patient care. Their hard work paid off by successfully presenting a

poster detailing the work at the national Infection Prevention Society Conference in September 2009.


Well done to all the teams who have transformed the concept into practice in novel ways!


Enfys is keen to hear from any trust that feels they have something worthwhile to share and hopes that this will become a regular feature in the ebulletin during 2010. It would be especially encouraging to hear from primary care and mental health trusts, and the newly formed local health boards within Wales.


Please contact Enfys or contribute to our discussion forum in the restricted resource area of the website.


Spread the word about 5 May 2010

The World Health Organization (WHO) has produced a one page information sheet that can be used to raise awareness of its annual global initiative on 5 May 2010. The information sheet contains details about the day which will include a special webinar by Professor Didier Pittet who will be delivering a lecture on ’Improving hand hygiene worldwide'. There is also information on how to pledge support and contribute to their aim of 10,000 pledges by May 2010.


Glove use survey

The Royal College of Nursing  (RCN) is undertaking a survey on glove use in healthcare settings. This will help to inform them on what organisations are doing to protect their healthcare staff from latex allergies and skin dermatitis as well as gauging knowledge of appropriate glove use and infection control.


It takes approximately 10-15 minutes to complete the survey and will be open until 26th February 2010. 


The RCN are welcoming responses from members and non-members so please feel free to forward this to your link nurses and networks.




Enlarge ImageMy Five Moments calendar
Plymouth Hospitals' Five Moments calendar