When implementing a multimodal strategy (or bundle) for hand hygiene, the infection preventionist should first assess barriers to compliance before implementing solutions.
Step-by-Step Justification:
Understanding Barriers First:
Identifying barriers (e.g., lack of access to sinks, high workload, or poor compliance culture) is critical for effective intervention.
APIC Guidelines on Hand Hygiene Improvement:
Strategies must be tailored based on the institution's specific challenges.
Why Other Options Are Incorrect:
A. Signage for hand hygiene reminders:
Signage alone is insufficient without addressing systemic barriers.
B. Cost-effectiveness of hand hygiene products:
While important, cost analysis comes after identifying compliance barriers.
C. Availability of gloves in the patient care area:
Gloves do not replace hand hygiene and may lead to lower compliance.
CBIC Infection Control References:
APIC/JCR Workbook, "Hand Hygiene Compliance and Institutional Barriers".
APIC Text, "Hand Hygiene Improvement Strategies".
