adavis_proceduresforcompliance_12323
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School
Rasmussen College, Florida *
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Course
HSA3422
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
7
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Module 5: Procedures for Compliance
Ariel Davis
Rasmussen University
H340/HSA3422: Regulation and Compliance in Healthcare
Rebecca Mangali
12/3/2023
Clinical Staff Members Must Wash Their Hands Between Patients
A crucial part of a compliance program is to monitor the effectiveness of the procedures set in
place. Monitoring tools allow staff to find any errors in the compliance plan and actively work to
fix them. I have put several different monitoring tools into action regarding the hand washing
policy.
Sign-Off Sheet
To keep track of whether people are washing their hands, I have administered a sign-off sheet
that is located at every hand washing station. The sign-off sheet would consist of writing the time
the employee washed their hands, answering yes/no if they followed the required hand washing
guidelines and whether the wash station needs to be restocked. The sheet will need to be signed
by the employees each time they wash their hands throughout their shift. At the end of the day
the supervisor will sign off and make sure that each employee washed their hands before and
after every patient. The sign-off sheet will help keep employees on top of their responsibilities
and will also help keep supplies stocked. Hand hygiene compliance increases dramatically when
these observers, who are usually well known to the staff, are circulating in the unit (Infectious
Disease News, 2014). Having supervisors check off on the sign-off sheets will allow for more
compliance from staff.
Electronic Monitoring Systems
Use of electronic monitoring can be a valuable tool for educating healthcare workers on their
hand hygiene performance, and tracking hand hygiene performance improvements (Infection
Control, 2013). Electronic monitoring systems can have a great impact on hand hygiene
compliance. An electronic monitoring system can help improve workflow because it does not
require healthcare workers to record information. Although a sign-off sheet requires employee
attention, it’s important to make sure that a monitoring system works properly before eliminating
the sign-off sheet requirement. A monitoring system can also help save money because they can
easily be attached to existing features, unlike other expensive hospital equipment. Electronic
monitoring systems continuously monitor and process data on employee hand washing.
Visuals
Hand washing visuals are an important monitoring tool that should be displayed throughout the
hospital. The visuals should consist of step-by-step instructions on how to correctly wash your
hands. These visuals will make it less likely for staff members to forget to wash their hands in
between patients. Hand washing visuals will also show patients how seriously our hospital staff
takes hand hygiene compliance.
Conclusion
There are several monitoring tools that can help the hand washing compliance process. I believe
that sign-off sheets, electronic monitoring systems, and visuals can have a great impact on hand
hygiene. Hand washing is not a complicated process, so I do not believe that training is
necessary. If employees cannot follow the hand washing guidelines correctly then training may
be the next best option for this hospital.
Employees Must be Knowledgeable in the use of Fire Extinguishers
It is a crucial part of a compliance program to monitor how effective each compliance plan is. I
have put several different monitoring tools in action, regarding the use of fire extinguishers. The
following monitoring tools will help ensure that every staff member is knowledgeable and
comfortable while using a fire extinguisher.
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