HAND HYGIENE - Henry Schein

HAND HYGIENEEvery Day

Every Patient

Every Time

Volume 5 | Winter 2013

inInfection Control News for the Health of Your Practice

How CleanAre YourHands?

TM

13MS8651 Infection Control-NP:Layout 1 2/4/13 12:47 PM

At Henry Schein Medical, we support your efforts in working toward

maintaining the total health of your patients and your practice by providing

you with the products and services that enhance your clinical capabilities.

Hand hygiene is a number one step to keep your practice healthy.

Healthcare providers should practice hand hygiene at key points in time to

disrupt the transmission of microorganisms to patients including: before

patient contact, after contact with blood, body fluids, or contaminated surfaces

(even if gloves are worn); before invasive procedures and after removing

gloves (wearing gloves is not enough to prevent the transmission of pathogens

in health care settings).**

The key to staying healthy is really in YOUR HANDS.

incontrol Order: 1.800.772.4346 8am – 9pm, et | Fax: 1.800.329.9109 24 hours22

Table of Contents

Introduction/GloGerm..........................2

Editorial: Evidence-BasedApproaches to Hand Hygiene:Best Practices for Collaboration......3–7

Hand Sanitizer Products ..................8–9

Centerfold: Pullout*Handwashing Poster ..................12–13

Value-Added Services ......................14

Hand Soap Products ....................16–17

Surgical HandScrub Products ..........................18–19

Frequently Asked Questions:Hand Hygiene ............................20–21

Henry Schein Brand HandHygiene Products ............................22

WHO World HandHygiene Products ............................24

*Visit www.henryschein.com/infectioncontrolfor a Spanish version of the pullout poster.

The #1 Product for teaching handwashing, isolationtechniques, aseptic techniques, and general infection control.

Glo Germ™ GelGel is brilliant blue-white under UV light.Used to demonstrate proper hand washingand is recommended where staining may beof concern. Each 8-oz bottle is good for 75to 100 applications.8-oz Bottle(115-6115) ...............................ea

Glo Germ™ OilOil is bright orange under UV light and isused to demonstrate proper hand washing.Used in the medical field where greateraccuracy is required. Each 8-oz bottle isgood for 75 to 100 applications.8-oz Bottle(115-6113) ...............................ea

Glo-Brush ApplicatorGlo-Brush lets you apply a thin layer ofpowder to any surface quickly and withoutwaste. Refillable powder reservoir and acover to protect bristles. Comes with a 4-ozcontainer of Glo Germ™ powder that will lastfor hundreds of demonstrations.(115-6106)...............................ea

Glo Germ™ Mini GelFor greater convenience, we now offer thenew 2-oz Mini Gel. Same great product asthe 8-oz version. Used to demonstrateproper hand washing. 30 to 50 applications.2-oz Bottle(115-6116) ...............................ea

Glo Germ™ PowderUsed to demonstrate proper surfacecleaning as well as the spread of germs,especially in the area of crosscontamination. Good for hundreds ofdemonstrations. Brilliant white (alsoavailable in orange by special order; contactus for details).1.9-oz Bottle(115-6117) ...............................ea

Complete Kit(115-6101)...............................eaContains: handheld 9-LED ultraviolet flashlight,1–8-oz bottle of Glo Germ gel, 1–1.9-oz bottle ofGlo Germ powder & battery with case.

Glo Germ Kit 1003–Gel

**Source: CDC.gov/handhygiene


Historical PerspectiveHand Hygiene is recognized by Infection Prevention and Control Experts as the single mostimportant intervention to decrease the spread of infection in both healthcare and communitysettings. Because the hands are vectors for transmission between people, as well as inanimateobjects such as environmental surfaces (i.e. blood pressure cuff), it is critical to practicefrequent hand hygiene using traditional soap and water or an alcohol-based product when soapand water are not available.

The Centers for Disease Control and Prevention and World Health Organization bothmaintain extensive hand hygiene guidelines to assist healthcare providers in the properpractice of hand hygiene. In addition, various quality and patient safety organizations such asthe Institute for Healthcare Improvement (IHI) and The Joint Commission have publishedancillary resources to assist facilities with implementation of the latest evidence based practicesfor hand hygiene. A solid hand hygiene program with documented compliance will reduce therisk for transmission of microorganisms to patients, reduce the risk for healthcare workercolonization, and also reduce the mortality, morbidity, and costs associated with treatment ofhealthcare-associated infections.

Transmission of Microorganisms via theHands of HealthcareWorkersThe 2009 World Health Guidelines for Hand Hygiene for Healthcare Settings identifies fiveclear steps for the nosocomial transmission of pathogens from one patient to another via thehealthcare worker’s hands. First, microorganisms must be present on the patient’s skin or haveto be shed into the patient’s environment such as nearby inanimate objects like the bedsidetable. Next, the microorganisms must be transferred to the hands of the healthcare worker.Third, the microorganism that has contaminated the worker’s hands must be able to survive onthe hands. Next, the healthcare worker must either omit hand hygiene or inadequatelyperform it. Last, the healthcare worker’s contaminated hands must come in direct contact witheither another patient or with an inanimate object that will then come in contact with apatient such as a portable vital signs monitor being shared between patients.

Factors InfluencingAdherence to Hand Hygiene PracticesAccording to studies published by Dr. Didier Pittet1, there are several factors that influenceadherence to hand hygiene practices.

www.henryschein.com/infectioncontrol incontrol 33

Evidence-BasedApproaches to Hand Hygiene:Best Practices for CollaborationBy Dr. Hudson Garrette, Senior Director, Clinical Affairs; PDI Healthcare

Dr. Hudson GarrettDr. Hudson Garrett is employed as theSenior Director of Clinical Affairs for PDIand is a recognized international expertin Infection Prevention and Control. Heserves on many national boardsincluding the Vice President of theVascular Access Certification Board, theClinical Practice Committee for theAssociation of Vascular Access, thePresident of the Southeastern Chapterof the Infusion Nurses Society, and theEducation Chair for the Greater AtlantaChapter of the Association forProfessionals in Infection Control andEpidemiology. In addition, he haspublished many articles in the field ofInfection Prevention and Control,Vascular Access, and EnvironmentalHygiene, and was a co-author of theAssociation for HealthcareEnvironmental Practice Guidance forEnvironmental Cleaning.

1Pittet D., Improving compliance with hand hygiene in hospitals, Infec Control Hosp Epidemiol 2000; 21:381-6.


Observed risk factors for poor adherence to recommended hand-hygiene practices

• Physician status

• Male Sex

• Nursing assistant

• Working in an Intensive Care Setting

• Wearing gowns/gloves

• Automated sinks

• Activities associated with high risk of cross-contamination

• High number of opportunities for hand hygiene per hour of patient care

Self reported factors for poor adherence with hand hygiene

• Handwashing agents cause irritation and dryness of the skin

• Sinks are not located in convenient locations

• Lack of soap and water and/or paper towels to dry the hands

• Too busy

• Understaffing

• Patient care needs take priority

• No administrative support

• Disagreement with the hand hygiene recommendations

• Low risk of acquiring infection from patients

Indications for Hand Hygiene in Healthcare SettingsThe goal of handwashing and hand hygiene is to remove as much of the microorganismsfrom the hands as possible to avoid transmission. The skin flora is divided into two layers:transient and resident. The transient flora is the layer that colonizes the most superficiallayers of the skin (epidermis) and are easily removed from the hand after thorough handhygiene is performed. The resident flora is found on deeper layers of the skin such as stratumcorneum.

According to the latest guidelines from the World Health Organization, healthcare workersshould concentrate their hand hygiene efforts: 1) before touching the patient, 2) aftertouching the patient, 3) after touching inanimate objects in the patients surroundings, 4)after exposure to blood fluids, and 5) before clean/aseptic procedures.



Alcohol-based agents may be used when:• When hands are NOT visibly soiled or contaminated with blood or body fluids• Before having direct contact with patient’s• After having direct contact with a patients skin• After contact with body fluids or excretions, mucous membranes, non-intact skin,

or wound dressings• If moving from contaminated to clean body site• After contact with inanimate environment (equipment or furniture near patient)• After removing gloves• Emergency situations where sinks are not available (EMS, Police, Fire Rescue)

and hands visibly soiled

Availability of Hand HygieneAgentsHand Hygiene products are available in a wide variety of forms to meet the specific clinicalneeds of the healthcare environment. Typical agents include: plain (non-antimicrobial)soap, alcohols, chlorhexidine, chloroxylenol, hexachlorophene, iodine and iodophors,quaternary ammonium compounds, or triclosan. The Food and Drug Administration (FDA)classifies healthcare antiseptic drug products into three unique categories: 1) surgical handscrub-which is defined as a antiseptic containing preparation that substantially reduces thenumbers of microorganisms on intact skin; 2) antiseptic handwash-an antiseptic containingpreparation designed for frequent use, it reduces the numbers of microorganisms on intactskin to an initial baseline level after adequate washing, rinsing, and drying; and 3) patientpreoperative skin preparation-fast acting, broad spectrum, and persistent antisepticcontaining preparation that reduces the number of microorganisms. Most products currentlyavailable to healthcare workers are alcohol-based as alcohol has significant efficacy against awide variety of bacteria and viruses.

All too often, the hands of the patients and/or residents are neglected while in a healthcarefacility. The contaminated hands of the patient can certainly serve as not only a source fortransmission, but also as a reservoir for microbial growth. The acuity of many of today’shospitalized patients is extremely high, with some of them being completely non-ambulatoryand confined to their bed. Others are able to move about throughout their patient room andwithin the nursing unit perhaps during common restorative activities such as physical andoccupational therapy. Healthcare providers should encourage not only the patient, but alsotheir family members and visitors to regularly practice hand hygiene frequently to minimizecontamination and potential transmission. Hand hygiene dispensers located on a wall awayfrom the patient are not ideal for situations where the patient may not be able to reach thedispenser. It is critical to place hand hygiene solutions at the point-of-care and use, which inmany cases is directly at the patient’s bedside. This will improve compliance for patient handhygiene, and more importantly serve as a constant reminder of the importance of handhygiene for all that are involved with the care of the patient.


Evidence-BasedApproaches to Hand Hygiene:Best Practices for Collaboration


Selection of Hand HygieneAgentsHand Hygiene agents must be carefully selected in order to ensure compliance, efficacy, andsafety of the agent for both the healthcare worker and patient. Several factors must be takeninto consideration: 1) cost of the agent, 2) ease of use of healthcare workers to utilize theproduct, 3) dermal irritation and potential skin reactions, 4) efficacy of the agent, 5) productavailability and accessibility, 6) drying time necessary after applying the agent, and 7) staffsupport for the product selected. An evaluation of the agent should be done to evaluate thestaff’s usage of the product and to ensure a smooth transition to the new agent. In addition,adjuncts to prevent contact dermatitis such as hospital grade lotions must be considered toensure a low risk for adverse events2.

Technique for Hand Hygiene for Healthcare Providers and PatientsSoap and water when available is still considered the gold standard for hand hygiene. Whensoap and water is not available, alcohol-based hand rubs (wipes, gels, or foams) should beutilized. When using soap and water, it is important to wet the hands first. Then apply 3 to 5mL of soap to the hands, avoiding bar soap. Next rub the hands together for a minimum offifteen (15) seconds covering all surfaces of the hands and fingers. Finally rinse the hands offwith water and dry thoroughly, and use the used paper towel to turn off the faucet.

Many times, the patient is not able to move around their room unassisted or unable to reacha sink. The use of an alcohol-based hand sanitizer is recommended for hand hygiene whenhands are not visibly soiled. Patients can easily use an alcohol-based hand sanitizer, such aswipes, with minimal effort and high compliance at the bedside. Healthcare providers canadditionally remind patients upon their facility visits to sanitize their hands, and patients canremind their healthcare provider to perform hand hygiene as indicated as well. Hand hygienecontinues to be recognized as the single most important intervention to reducing infections.


12

3

BEFORETOUCHINGA PATIENT 4 AFTER

TOUCHINGA PATIENT

5 AFTERTOUCHING PATIENTSURROUNDINGS

BEFORE

CLEAN/ASEPTIC

PROCEDURE

RISK

FLUID EXPOSUREAFTER BODY

My 5 Moments for Hand Hygiene

2WHO Guidelines on Hand Hygiene in Health Care, World Health Organization, 2009


When utilizing an alcohol-based product, healthcare workers must completely follow themanufacturer’s label to ensure that the desired efficacy is reached. Ensure that you cover allsurfaces of the hand when using alcohol based products such as wipes. Allow the agent tocompletely dry prior to using gloves. In addition, the use of a healthcare grade lotion may berequired to ensure that adequate moisture is retained in the hands, especially during thewinter season.

Strategies for ComplianceMonitoring of hand hygiene is a key component in process improvement and improvingcompliance. The use of “secret shoppers for hand hygiene” has proven to be an effectivemeasurement tool for some facilities, while others rely on other measures to gaugecompliance within their facility. Monitoring should be conducted on a routine basis anddocumented. Any personnel not compliant with the hand hygiene standards should beimmediately counseled without delay to ensure instant remediation. The Institute forHealthcare Improvement has created an entire resource guide centered around the propermethods to monitor hand hygiene and judge compliance.

Resources for SuccessSeveral organizations provide free resources to healthcare providers to assist them withcompliance of hand hygiene standards for healthcare providers. WHO has hundreds ofresources on not only the scientific evidence to support the WHO recommendations forhand hygiene, but also easy to utilize implementation guides and training materials that caneasily be adapted for use in any healthcare setting. This resource can be accessed by visitingthe WHO website at www.who.int. The Centers for Disease Control and Prevention hasseveral key resources and a dedicated web course to hand hygiene for healthcare providers.This resource can be access by visiting the CDC website at www.cdc.gov. Hand Hygieneremains the most important infection prevention practice that healthcare workers andpatients alike can practice, and one of the simplest and most cost effective. The impact,however, on the patient and healthcare delivery system when proper Hand Hygiene does nottake place can be significant both on a mortality and financial scale.

For more information, contact the author at [email protected] by: J. Hudson Garrett Jr., PhD, Senior Director, Clinical Affairs, PDI

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Evidence-BasedApproaches to Hand Hygiene:Best Practices for Collaboration

www.henryschein.com/infectioncontrol


Guidelines &Recommendations

CDC guidelines state that health careworkers:• Alcohol-based hand rubs are strongly

recommended for routinelydecontaminating hands if they are notvisibly soiled

• In order to improve hand hygienecompliance, make alcohol-based handrubs easily available

• Provide healthcare workers with handlotions and creams to minimize skindryness and irritation

• Provide staff education and trainingregarding proper hand hygienepractices and methods

• Monitor healthcare workers’ handhygiene compliance and providefeedback

Sanitize...when hands arenot visibly soiled

BEFORE:– Patient contact– Donning sterile gloves prior toinserting a central intravascularcatheter

– Inserting indwelling catheters andother invasive devices that do notrequire a surgical procedure

– Moving from a contaminated bodysite to a clean body site duringpatient care

AFTER:– Contact with a patient’s skin– Contact with bodily fluids orexcretions

– Contact with non-intact skin– Contact with wound dressings– Contact with inanimate objects,including medical equipment in theimmediate vicinity of the patient

– Removing gloves

Source: Metrex.com

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VioNex® HealthcareAntisepticTowelettesCleans hands and kills germs when soapand water are not available. Gentle andnonirritating. 0.5% PCMX.(176-5471)..........................................50/box

Avagard™ D InstantHand Antisepticwith MoisturizersIts the waterless handantiseptic that feelslike a moisturizer. Thislatex-glove-compatibleantiseptic offers moremoisturizing, less redness,and less skin breakdown wthan othercomparable products. Featuring a uniquerich emollient base that feels smooth onhands, it won't leave hands sticky or impactglove performance.3-oz Bottle(493-9176) ................................................ea16-oz Bottle(378-5483) ................................................ea#9222, 500 mL, 16.9-oz Pump Bottle(493-5108) ................................................ea

PURELL® Instant HandSanitizer with AloeRefreshing sanitizer that kills99.9% of germs on the handswithout water or towels.Leaves hands feeling soft.Contains 62% ethyl alcohol.

4-fl-oz Bottle(313-1626) ................................................ea8-fl-oz Pump Bottle(590-6751) ................................................eaWith Aloe, 12-oz Pump Bottle(590-0066) ................................................ea12-fl-oz Pump Bottle(590-0065) .......................................12/case800-mL Refill, Original(274-7896)..........................................6/case2-Liter Pump Bottle(948-0474)..........................................4/caseDispenser for 800 mL(415-2214) ................................................ea#2120-06, NXT® Space Saver™ Dispenser,Dove Gray(590-1177) ................................................ea

GBG AloeGel® Instant Hand SanitizerKills the Germs, Not Your Hands!• Accessible: Apply when you can't wash, orbetween washings

• Effective: Kills 99.9% of harmfulmicroorganisms in 15 seconds

• Gentle: Contains moisturizers and skinconditioners including vitamin E, aloe vera,glycerin and isopropyl myristate4-fl-oz Flip-Top Bottle(365-5030) ................................................ea18-fl-oz Pump Dispenser(923-8209) ................................................ea800-mL Bag-in-Box Refill(300-4126) ................................................ea

GBG Foaming™Instant HandSanitizerFormulated withmoisturizers and skinconditioners to helpincrease skin hydrationand maintain theskin's health.

Hand Sanitizer, 7-oz Can(437-0002) ................................................eaWall Bracket/GBG Foam(437-0004) ................................................ea

KIMCARE™ InstantHand Sanitizer#93060, Clear,sweet citrus scentkills germs whenwater is not available.Its 62% ethyl alcoholformula evaporates quickly.(643-1235)...............................................8 oz.

GBG AloeGel Automatic Wall Dispenser(437-0008) ................................................ea



The Help Center:

iScrub Application – FREEiScrub is an iPhone/iPod Touch applicationfor Infection Control Professionals who wishto monitor hand hygiene compliance withoutthe time-consuming and error-prone use ofclipboards and transcription.

iScrub’s touch interface lets you record yourobservations, and when finished, e-mails theresulting comma-separated value file to youfor easy analysis.

https://itunes.apple.com/app/iscrub-lite/id329764570?mt=8

Hand Hygiene Promotional PostersFREE material that will further emphasize theconcepts and techniques to increase handhygiene in healthcare facilities.http://www.cdc.gov/handhygiene/training/interactiveEducation/index2.htm

Hand Hygiene Interactive Training CourseThis course and promotional materials reviewkey concepts of hand hygiene and otherstandard precautions to prevent health care-associated infectionshttp://www.cdc.gov/handhygiene/training/interactiveEducation/

Alcohol-based Handrub Planning andCosting ToolThe tool provides guidance for health carefacilities to help senior managersconceptualize the necessary steps forimplementation and assists in makingdecisions in relation to infrastructural andeconomic informationhttp://www.who.int/gpsc/5may/tools/system_change/en/index.html

Hand Hygiene Symposium VideosEarn 3.0 contact hours of CE credits byreviewing the Hand Hygiene Symposiumvideos sponsored by GOJO at APIC 2012and posted in the AJIC Hand HygieneResource Center.http://handhygiene.ajicjournal.org/

Hand Hygiene: A Patient-CenteredSafety Initiative. Eligible for 1.0 contacthour of continuing educationAt the end of this presentation, theparticipant will be able to:• Discuss the evolution of hand hygiene as

an infection control measure• Identify evidence supporting patient

hand hygiene• Assess the most critical components of a

patient hand hygiene program• Formulate outcome measures of patient

hand hygiene initiativeshttp://marketing.infectioncontroltoday.com/ceu/?course=278/

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According to the Centers for Disease Control and Prevention (CDC), hand hygiene is one of themost important ways to prevent the spread of infections. Approximately 1.7 million hospital patientscontract an HAI each year in the U.S. That means one in 20 individuals walking into a facility willbecome infected while seeking help for a medical concern. HAIs cost more Americans their lives thanbreast cancer and HIV/AIDS combined, accounting for nearly 99,000 deaths. Many of theseinfections are preventable. Source: Infection Control Today

99

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#10-1802, Handwash Solution, 2-oz Bottle(176-2443) ................................................ea#10-1800, Handwash Solution, 1-LiterBottles(176-9583)............................................2/box

No-Touch™ DispenserBattery operated (included). Dispenses apremeasured atomized application over thesurface of the hands.(176-0730) ................................................eaVioNexus™ Drip TrayFor use with No-Touch™ Dispenser.(640-6607) ................................................eaManual Dispenser(176-0415) ................................................ea

SafeHands Hand Sanitizer• Alcohol-free• Moisturizing• Safe around children• Planet friendlyNontoxic, nonflammable, will not dry hands.Scientifically proven to kill 99.99% of germsthat cause infection. Cost-effective foamer(2X as many applications per ounce thangel). Safe for everyone, everywhere.Alcohol-free Foam Hand Sanitizer7-oz Bottle#SH-7-12, Scented(120-1322) ................................................ea#SHC-7-12, Clean Linen(120-1325) ................................................ea#SHM-7-12, Cucumber(120-1328) ................................................ea#SHU-7-12, Unscented(120-1329) ................................................ea

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SaniTyze™WaterlessAntimicrobial Gel

Kills 99.99% of bacteriain as little as 15seconds. Meets all CDCguidelines as aneffective waterless gel.Contains 61% ethylalcohol, emollients, aloevera, and vitamin E topromote and acceleratehealing and encouragethe growth of healthytissue. Leaves handsfeeling soft and smooth,enhancing the donningof gloves.

4-oz Squeeze Bottle(107-1036).................................................ea8-oz Squeeze Bottle(999-0994) ................................................ea18-oz Pump Bottle(107-8118) .................................................ea800-mL Press Pack(107-0123) .................................................ea1000-mL Press Pack(110-5865).................................................eaOne-Touch DispenserFor use with 800-mL and 1000-mLpouches.(110-5862).................................................eaPromo Pack(110-5992).................................................eaContains: 2 dispensers & 6–1000-mL pouches.



Be Prepared with Safetec® Hand Hygiene Products

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Visit www.henryschein.com for moreinformation and to purchase these products.

*Offer valid 2/18/13 - 4/30/13. Free products will beshipped with order with use of the promo code MP.

“SAFETEC® offers a full line of antimicrobial handcleaners formulated with aloe vera to help keepskin feeling soft and smooth after repeated use”

SPECIAL BUY,SPECIAL BUY, GET OFFER! Buy 12 Canisters, GET 1 FREE 16 oz. Hand Sanitizer

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3M™ Avagard™ waterless, brushless surgical hand scrub is now available in two convenient sizes.

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MAXICLENS® INSTANTANTIMICROBIAL SOAPContains 0.6% PCMX forantimicrobial action andaloe vera to add moisturewith each use. The productaids in reducing crosscontamination while helpingyou meet APIC and OSHArecommendations for handwashing.800-mL Bag for Manual Dispenser(112-5987) ................................................ea800-mL Bag for Automatic Dispenser(112-5990) ................................................eaManual Dispenser(112-5983) ................................................eaAutomatic Dispenser(112-5985) ................................................eaStand(112-5989) ................................................ea

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CDC Recommendations:• Hand-washing facilities should be

accessible and sufficient for themaximum anticipated attendance andconfigured for use by children (lowenough for them to reach or equippedwith a stool), adults, and those withdisabilities.

• Hand-washing stations should beconveniently located.

• Maintenance should include routinecleaning and restocking to ensureadequate supply of paper towels andsoap.

• Running water should be of sufficientvolume and pressure to remove soil fromhands. Volume and pressure might besubstantially reduced if the water supplyis furnished from a holding tank.Therefore, a permanent pressured watersupply is preferable.

• The hand-washing station should bedesigned so that both hands are free forhand washing by having operation with afoot pedal or water that stays on afterturning on hand faucets.

• Hot water is preferable, but if the hand-washing stations are supplied with onlycold water, a soap that emulsifies easily incold water should be provided.

• Liquid soap dispensed by a hand or footpump is recommended.

• Signs with proper hand-washinginstructions should be posted at hand-washing stations and restrooms toencourage proper practices.

• Depending on the setting, hand washingsigns might need to be available indifferent languages.

When should you wash your hands?• Before preparing or eating food• After going to the bathroom• After changing diapers or cleaning up a

child who has gone to the bathroom• Before and after caring for a sick patient• After blowing your nose, coughing, or

sneezing• After handling garbage• Before and after treating a cut or wound• When your hands are visibly soiled

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VioNex® AntimicrobialLiquid SoapBroad-spectrum antimicrobialsoap with 99.94% germreduction in 30 seconds.Moisturizing, lotion-basedformula for frequent usewithout irritation. Fresh scent.Active ingredient: 0.5% PCMXwith nonoxynol-9.Flip-Top Bottle, 4 oz(176-7024) ................................................ea18-oz Bottle with Pump(176-3829) ................................................ea#25128, Refill Bottle, 1 gal(176-5139) ................................................eaWall-Mount Bracket for Pump Bottle(176-2701) ................................................eaWall-Mount Dispenser for 800-mL BagSystem(176-2254) ................................................ea

PROVON® FoamingAntimicrobialHandWash withMoisturizersFormulated for effectivegerm-killing but gentleenough for general use,this prelathered handwashcontains 0.3% chloroxylenol(PCMX) with a light floralfragrance.#5186-03, FMX-12™ 1250-mL Refill(680-2808) .........................................3/case#5160-06, PROVON® FMX-12™ Dispenser,Dove Gray(108-6700) .........................................6/case#5286-02, FMX-20™ 2000-mL Refill(108-8841)..........................................2/case#5260-06, PROVON® FMX-20™ Dispenser,Dove Gray(622-5762)..........................................6/case

Liquid Dial® GoldBroad-spectrumantimicrobial soapwith skin conditionersfor mildness.Active ingredient:0.2% triclosan.#2340084014, 71/2-oz Pump Bottle(390-7666) ................................................ea#2340080790, 16-oz Pump Bottle(390-3681) ................................................ea1-liter Refill Bottle(390-3922) ................................................ea#2340088047, 1-gal Refill Bottle(390-4396) ................................................ea#2340097501, 800-mL Bag(390-3272) ................................................eaDispenserFor 1-Liter Refill Cartridge(100-9187) ................................................ea

Bacti-Foam®

Mild, superconcentrated,foam hand wash thatprovides a faster wash andrinse. Foaming reducesthe amount of soap usedper wash, saving time andmoney. Medicated with0.3% triclosan. Leaves afresh scent.500 mL(120-3913) ................................................ea750 mL in Dispenser(335-0403) .........................................6/case

Provon Clear & MildHandwashSpa-inspired, green-certified foam hand soapoffers luxurious foamlather in a fragrance-and dye-free formulation. Enriched withmoisturizers and skin conditioners.USDA-certified and EcoLogo-certifiedbiobased formulation.

1200-mL Refill(118-2361) ..........................................2/case

Provon AntibacterialFoam HandwashExceptionally mild formuladelivers effective germ killof a broad range ofmicroorganisms.Contains 0.3% triclosan.Meets healthcare personnel handwashprotocol. Rich, luxurious lather withadvanced skin moisturizers for mildness inhealthcare settings.Plum Scented 1200-mL Refill(118-5133) ..........................................2/caseFragrance-Free 1200-mL Refill(117-9471) ..........................................2/caseFragrance-Free 700-mL Refill(590-0068) ................................................ea



The Help Center:

Safe Care CampaignThe goal of the Safe Care Campaign is tohelp prevent health care- andcommunity-acquired infections throughawareness, education and betterpractices. Its Web site has a fullspectrum of materials , includingstreaming videos on hand hygiene. Thecampaign was formed by Victoria andArmando Nahum after three membersof their family developed health care-associated infections, including theirson who died of his infection.http://www.safecarecampaign.org/Hand-Hygiene.html

Henry The Hand – ChampionHandwasherThis Web site uses music, cartoons,coloring books, posters and othermaterials to engage children andfamilies to promote hand washingand good hygiene habits, such as,not coughing on hands or touchingyour eyes.http://www.henrythehand.com/

Hand Hygiene Measurementand Bench Marking ProgramMcGuckin Methods International (MMI)offers an evidence-based program forincreasing and sustaining hand hygienein any health care facility for bothin-patient and out-patient sites. Formore information or to view samplemonthly reports and patientempowerment materials, go to HandHygiene Reports.http://www.hhreports.com

The Hand Hygiene ProjectSee what everyone is saying…www.facebook.com

Top Ten Hand Washing TipsTop Ten" Hand washing BehaviorChange Tips from the HygieneImprovement Projecthttp://www.hip.watsan.net/page/2135

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Did you know...• 80% of all infectious diseases are transmitted by touch.• Implications of sicknesses, like the common cold, that spread through contact have led to a U.S.economic effect of $25 billion in lost productivity.• One of the easiest ways to help prevent the spread of illness is through proper hand hygiene, yet lessthan one third of U.S. adults report always washing their hands after coughing and sneezing.

Source: Harris Interactive Study

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Hibiclens®Antiseptic/AntimicrobialSkin Cleanser• Broad-spectrumantimicrobial activity:including MRSA(in vitro testing) and other staph infections;effective in the presence of organicmaterial; iodine is neutralized byorganic material; alcohol is dilutedby organic material

• Long lasting: bonds to skin for effectiveresidual kill up to 6 hours; superior toalcohol, iodine, and PCMX

Hand Wash, Bottle, 4 oz(107-8796).................................................eaSkin Cleanser, 8-fl-oz Bottle(555-3169) ................................................ea

Hand Wash, 16-fl-oz Bottle(107-1746) .................................................ea

Hand Wash, 32-fl-oz Bottle(107-4860).................................................ea

Foaming Nozzle for 32-oz Bottle(555-0222) ................................................ea

Hand Wash, 1-gal Bottle(107-4972).................................................ea

15 mL(107-6936) ..........................................50/box

Pump Dispenser, 16 oz(310-1745).................................................ea

AloeGuard® Antimicrobial Soap

• Kills pathogenic microorganisms• Reduces risk of cross contamination• Gentle, soothing, nonirritating• Moisturizes and softens skin• Pleasant fragrance• Fast acting

18-fl-oz Pump Bottle(833-8374) ................................................ea1-gal Refill Bottle(300-6331) ................................................ea800-mL Bag-in-Box(306-9953) ................................................eaWall Dispenserfor 800-mL Bag-in-Box(252-4751) ................................................eaAloeGuard Automatic Wall Dispenser(437-0007) ................................................ea

Antibacterial Skin CleanserContains 0.25% triclosan toprotect against the spread ofpotentially harmful bacteria.Mild, general-purpose,antibacterial cleanser that'sgentle enough for everydayuse. Clear color with a lightfloral fragrance.

#92517, 500 mL(643-6665) ................................................ea

Sani-Sept™Antimicrobial SoapGentle and nondrying:contains 0.3% triclosan,effective againstgram-negative andgram-positive bacteria. Enriched with aloevera and vitamin E to promote andaccelerate healing and encourage growth ofhealthy skin tissue. Petroleum-free and willnot affect latex.

Pump Bottle(108-9131)...........................................18 oz.Gallon(107-4963).................................................ea

KIMCARE® Luxury FoamSoap Cassette SystemSoap-dispenser maintenanceis now quick and easy. Thissystem has a 1-liter capacity,so it requires fewer refills thanthe 800 mL systems. Foamor lotion skin-care cassettesare easily interchangeable. Fresh pumpwith each refill for greater hygiene. Rich,luxurious, prefoamed lather caresses andcleans with a mild pH balanced formula.Lasts 4 times longer than liquid soap.Moisturizing Foam Soap(643-3214) ...................................6 per caseAntibacterial Foam Soap(643-9144) ...................................6 per case1000 mL Cassette Dispenser(643-3504) ...............................................ea.


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All sterile surgical team members shouldperform the hand and arm scrub beforeentering the surgical suite. The basicprinciple of the scrub is to wash the handsthoroughly, and then to wash from a cleanarea (the hand) to a less clean area (the arm).A systematic approach to the scrub is anefficient way to ensure proper technique.

There are two methods of scrub procedure.One is a numbered stroke method, in whicha certain number of brush strokes aredesignated for each finger, palm, back ofhand, and arm. The alternative method is thetimed scrub, and each scrub should lastfrom three to five minutes, depending onfacility protocol.

The procedure for the timedfive-minute scrub consists of:• Remove all jewelry (rings, watches,

bracelets).• Wash hands and arms with anitmicrobial

soap. Excessively hot water is harder onthe skin, dries the skin, and is toouncomfortable to wash with for therecommended amount of time. However,because cold water prevents soap fromlathering properly, soil and germs may notbe washed away.

• Clean subungual areas with a nail file.• Start timing. Scrub each side of each

finger, between the fingers, and the backand front of the hand for two minutes.

• Proceed to scrub the arms, keeping thehand higher than the arm at all times. Thisprevents bacteria-laden soap and waterfrom contaminating the hand.

• Wash each side of the arm to three inchesabove the elbow for one minute.

• Repeat the process on the other handand arm, keeping hands above elbows atall times. If the hand touches anythingexcept the brush at any time, the scrubmust be lengthened by one minute forthe area that has been contaminated.

• Rinse hands and arms by passing themthrough the water in one direction only,from fingertips to elbow. Do not movethe arm back and forth through the water.

• Proceed to the operating room suiteholding hands above elbows.

• If the hands and arms are grossly soiled,the scrub time should be lengthened.However, vigorous scrubbing thatcauses the skin to become abradedshould be avoided.

• At all times during the scrub procedurecare should be taken not to splash wateronto surgical attire.

• Once in the operating room suite, handsand arms should be dried using a steriletowel and aseptic technique. You arenow ready to don your gown andsterile gloves.

Source: Infection Control Today

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E-Z Scrub® Premium Surgical BrushesSterile, 30 Scrub Brushes/DispenserThis line of products offers a wide range ofefficacious antimicrobial formulationsspecifically designed to enhanceperformance as they reduce irritationto skin.• Proprietary polyethylene soft bristlesenhance mechanical action while reducingskin irritation

• Soft sponge provides gentle cleaning onirritated areas or when firm mechanicalaction is not required

• Ergonomic brush design allows greateruser comfort and effectiveness, ultimatelyimproving complianceWith PCMX, Deluxe(987-0287)..........................................30/boxUltradex Scrub with PCMX(987-1041) ..........................................30/boxWith 4% CHG(987-6022)..........................................30/boxWith Iodophor(780-3379) .........................................30/boxWet-Pack Iodophor(780-3946) .........................................30/boxDry, without Solution(780-4291) .........................................30/box

Scrub Care® Surgical Scrub BrushesSystem features a full line of antimicrobialsolutions used for scrubbing hands prior tosurgical procedures.#4456A, Saturated, Parachlorometaxylenol(PCMX) Solution, 12 mL(107-4039) ..........................................30/box#4457A, Saturated, Parachlorometaxylenol(PCMX) Solution with Emollients, 20 mL(108-3532)..........................................30/box#4458A, Saturated, Exidine®-4Chlorhexidine Gluconate (CHG) 4%Solution, 25 mL(153-1005) .........................................30/box#4454A, Unsaturated, Sterile(155-1199) ..........................................30/box

Anchor SurgicalScrub BrushFirm nylon back,bristles, nonslip,autoclavable.• Open-end, channel-back block• Nylon bristles• Firm texture• Autoclavable(100-8055) ................................................ea

Betadine® Surgical ScrubMicrobicidal sudsing cleanser that contains7.5% povidone-iodine. Broad-spectrummicrobicide that kills most gram-positiveand gram-negative bacteria, includingantibiotic-resistant strains, as well as mostviruses, fungi/yeasts, mycobacteria,and protozoa.4 oz(690-3564) .......................................36/case16 oz Refill(690-4214) ................................................eaWith Dispenser, 16 oz(690-5432) ................................................eaRefill, 32 oz(690-0581) ................................................ea1 gal(690-6863) ................................................ea

BETASEPT® Scrub4% ChlorhexidineGluconate (CHG)Indicated for surgicalhand scrubbing, healthcarepersonnel hand washing,preoperative patient prepping,and general skin degerming. Chlorhexidinegluconate 4% provides rapid antisepticaction with a persistent antimicrobial effectagainst a wide range of microorganisms.4-fl-oz Bottle(690-2253) .......................................48/case16-fl-oz Bottle(690-3189)........................................12/case32-fl-oz Bottle(690-3076)........................................12/case1 gal(690-9306) .........................................4/case


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Human hands are the most important tools for caring. Hands feel, diagnose, cure, prod, and provoke as theyare placed upon each patient who is hoping for answers and understanding. The hands can also be a portaland transmitter of infection. Surgical hand scrubbing is the most important way to control infection it willhelp prevent the transmission of nosocomial infections into the surgical site.

Source: www.outpatientsurgery.net

Excelle™

Green SoapTincture, USPFormulated with moisturizers and emollientsthat remain effective for up to 6 hours. Fast-acting 15-second formula contains 4%chlorhexidine gluconate.8-oz Bottle(102-6558) ................................................eaGallon(991-0259) ................................................ea

TriseptinWater-AidedSurgical Hand ScrubAn alcohol-based antiseptic that works withwater to remove microorganisms on skin.Triseptin hand scrub can be used with abrush or water alone, providing skin-conditioning benefits and antimicrobialaction. Triseptin is an ideal complement toSurgicept® waterless surgical hand scrubwhen a water-aided scrub is needed.32-oz Bottle(227-6114) ..........................................6/case32-oz Bottle(840-2629) ................................................eaTriseptin Nail Pick(104-3088)........................................12/caseDispenser Accessory for 32-oz Bottle(935-2956) ................................................eaFoot Pump Bulb Replacement, Green(104-7495) ................................................ea

Bacti-Stat®

Offers the ultimatecombination of effectivenessand cosmetic properties.The 0.3% triclosan providesproven infection prevention,and the aloe vera andvitamin E promote hand-washing compliance.18-oz Pump Bottle(120-3367) ................................................ea1-gal Refill(120-2130) ................................................ea8 oz(690-6606) ................................................ea16 oz(690-6950) ................................................ea32 oz(690-6727) ................................................eaWith Dispenser, 16 oz(690-5432) ................................................ea

Chlorhexidine GluconateAntimicrobial Skin CleanserIt contains either 4% or 2% w/wchlorhexidine gluconate with 4% isopropylalcohol in a nonalkaline base.Withpersistent antimicrobial action, CHG SkinCleanser attacks a wide range ofmicroorganisms, including gram-negativeand gram-positive bacteria, fungi, andyeasts. It is also effective as a 15-secondhand wash. The solution does not containred dye, which may stain clothing.Uses:• Surgical hand scrub• Health care personnel hand wash• Preoperative skin preparation• General skin and wound cleanser2% CHG Flip-top Cap#82-319, 4 oz(113-0188) ........................................48/case4% CHG Flip-top Cap#82-286, 4 oz(867-7116) ........................................48/case#82-287, 8 oz(232-0005)................................................ea4% CHG Screw Cap#82-288, 16 oz(232-8920) ................................................ea#82-291, 1 Gallon(232-5065) ................................................ea4% CHG Screw Cap with Pump#82-289, 32 oz(232-8091) ................................................ea


The Help Center:

Surgical Hand Washing Videos –You Tube

• Comprehensive Surgical Scrub

• Wash 'Em - Hand Hygiene Music

• Dancing for Hand Hygiene

• Hand Washing PreOp

www.youtube.com

Infection Control Surveyor WorksheetThe worksheet contains the list of itemsthat a surveyor must assess during theonsite survey. Specific areas for observationinclude, hand hygiene compliance,injection practices, sterilization andhigh-level disinfection, and environmentalinfection control.www.unc.edu

Institute for Health careImprovement (IHI)A not-for profit-organization that focuseson motivating and building the will forchange; identifying and testing new modelsof care in partnership with both patientsand health care professionals; and ensuringthe broadest possible adoption of bestpractices and effective innovations.www.ihi.org

Association for Professionals inInfection Control and Epidemiology,Inc. (APIC)APIC is recognized as the leader in infectionprevention and control by practitioners,policy makers, health care executives, andconsumers.www.apic.org

Get exclusive member accessto a growing library of free CEoffered through AORN and acomplimentary ANA AffiliateMembership included as afree member benefit.https://www.aorn.org/FreeCE/



1. Is hand hygiene as important as most government agencies suggest?Hand hygiene is one important component in the battle against health care-associated infection(HCAI). Minimizing risk of infection to patients depends on a range of factors. However, just byincreasing compliance with hand hygiene at the point-of-care you can dramatically reduce therisk of a patient acquiring a HCAI. This is supported by scientific evidence, not just opinion,which demonstrates that the bacteria that cause HCAIs are most frequently spread from onepatient to another on the hands of health care staff.

2. Does hand hygiene reduce the number of health care-associated infections (HAIs)?Yes! 5–10% of patients acquire health care-associated infections (HAIs) that can lead to up to220,000 HAIs per year and up to 8000 deaths. HAIs are the 4th leading cause of death and thevehicle identified most commonly in their spread are the hands of health care workers. It isestimated that a 20% increase in hand hygiene compliance can result in a 40% reduction in therate of HAIs.

3. Why is hand hygiene compliance at such a low level?There are many reasons: lack of sinks, activity levels on the wards/departments, staffing levels,staff perceptions about soap and its irritant effects, lack of role models, lack of organizationalsupport for hand hygiene — to name but a few. All of these reasons add to the low internalmotivation which staff have for performing timely and effective hand hygiene.

4. Is hand hygiene improvement only an issue for acute hospitals?Health care is not just delivered in acute hospitals. The proportion and range of care that is beingdelivered outside acute hospitals is increasing. The risk of HCAI remains regardless of where thecare is being provided, including HCAI caused by microorganisms unintentionally transferred bystaff providing health or personal care. By improving compliance with hand hygiene at the rightmoments, we can reduce the risk of HCAI.

Because of changes in how care is delivered it is important to recognize that staff and patientscross care setting boundaries. Patients and service users may receive care in a number of settings.Also staff may work in more than one geographical location. This is why the same approach tohand hygiene is required across the healthcare economy to ensure consistency.

5. How does alcohol-based hand rub (ABHR) work?Alcohol (whether ethanol, isopropanol, or a combination of the two) is the key ingredient inalcohol-based hand rub (ABHR) when it comes to killing the transient microorganisms that wepick up on our hands. Alcohols provide for rapid kill of most transient microorganisms due totheir ability to denature proteins. The efficacy of ABHR depends on the quality of the product,the amount of product used, the time spent rubbing and the hand surfaces rubbed. For maximumefficacy, health care providers should perform hand hygiene at the appropriate moment of carewhich is why ABHR should be available as close to the point-of-care as possible.

6. When is the best time to use alcohol-based hand rub (ABHR)?For maximum efficacy, health care providers should perform hand hygiene based on the "4Moments” strategy developed by the Ministry of Health and Long Term Care which stresses theneed for alcohol-based hand rub (ABHR) to be available as close to the point-of-care as possible.

This is a list of some frequently asked and anticipated questions on hand hygiene in healthcare. Answers are taken from the available evidence, as outlined within Joint Commission,CDC, and the WHO Guidelines on Hand Hygiene in Health Care (Advanced Draft), andexpert opinion and learning from professionals in the field.

Source: World Health Organization



7. What concentration of alcohol should be used in an alcohol-based hand rub (ABHR)?In health care settings, it is preferable that a minimum concentration of 70% alcohol be chosenas this level kills norovirus. Norovirus and other non-enveloped viruses (e.g., rotavirus,enterovirus) cause acute gastroenteritis in humans and are a frequent cause of outbreaks inhealth care facilities. As norovirus is a concern in all health care settings, this should beconsidered when choosing an alcohol-based hand rub (ABHR) product. In non-health caresettings, a concentration of 60–90% is acceptable.

8. Is alcohol absorbed through the skin when using an alcohol-based hand rub (ABHR)?Evidence indicates that alcohol is not absorbed through the skin and therefore does not pose arisk as far as increasing blood serum alcohol levels (blood alcohol levels).

9. How would I go about starting up a hand hygiene program?• First and foremost, in healthcare settings all staff must be educated on and trained to use

good hand washing methods. This includes education on how and when to wash hands, butalso at home to avoid spreading illness to family members.

• Second, in order to educate staff, workplaces should follow and implement the U.S. Centersfor Disease Control and Prevention (CDC) hand hygiene recommendations. This can bedone through meetings and by e-mail or posting materials describing the proper way to washhands and when to wash hands. Having reminders in exam rooms, on mirrors in bathroomsand near sinks, will help improve and adhere with recommended hand hygiene practices.

• Third, there are some great resources available to assist you in the planning andimplementation of a hand hygiene program. The Save Lives: Clean Your Hands (WHO’s)global annual campaign aims to galvanize action at the point of care to demonstrate thathand hygiene is the entrance door for reducing health care-associated infection and patientsafety. It also aims to demonstrate the world's commitment to this priority area of health care.Health care facilities are encouraged to start with the “Guide to Implementation of theWHO Multimodal Hand Hygiene Improvement Strategy.” This is a key tool that providescomprehensive advice on how to develop an effective action plan and how to use theother tools.

10. Is hand hygiene really that important?Yes! It is a simple concept, but ultimately improving hand hygiene compliance byhealth care staff will help to save lives.

HELPFUL CHECKLIST TO IMPLEMENT PROPER HANDHYGIENE PROTOCOL

Is there a primary administrative resource available to develop and maintain infectioncontrol policies that adhere to proper hand hygiene practices?Does the healthcare facility have an allocated budget to meet hand hygiene policies?Are healthcare workers regularly monitored to ensure proper hand hygiene compliance?Does the healthcare facility provide healthcare workers with up-to-date education on properhand hygiene?Are healthcare workers compensated on hand hygiene compliance?Are proper hand hygiene reminders posted throughout the facility to ensure compliance fromhealthcare workers and patients?Are patients encouraged to remind healthcare workers to follow hand hygiene compliance?



MAXICLENS INSTANT HAND SANITIZERKills 99.99% of germs in 15 secondswithout the use of soap and water. Containsaloe vera to add moisture with every use.Henry Schein's hand sanitizer helps youmeet OSHA, APIC and CDC hand washingrecommendations.800-mL Bag for Manual Dispenser(112-5988) ................................................ea800-mL Bag for Automatic Dispenser(112-5991) ................................................eaManual Dispenser(112-5984) ................................................eaAutomatic Dispenser(112-5986) ................................................eaStand(112-5989) ................................................ea

MAXICLENS® INSTANTANTIMICROBIAL SOAPContains 0.6% PCMX for antimicrobialaction and aloe vera to add moisture witheach use. The product aids in reducingcross contamination while helping you meetAPIC and OSHA recommendations forhand washing.800-mL Bag for Manual Dispenser(112-5987) ................................................ea800-mL Bag for Automatic Dispenser(112-5990) ................................................eaManual Dispenser(112-5983) ................................................eaAutomatic Dispenser(112-5985) ................................................eaStand(112-5989) ................................................ea

HAND SANITIZER• Alcohol-based waterless hand gel• Kills 99.9% of most common disease-causing germs spread by the hands

• Rinse-free; no water required• Fresh clean scent and soothing emollientsleave hands soft and clean8-oz Pump Bottle(900-4443) ................................................ea16-oz Pump Bottle(900-4442) ................................................ea

FOAMING HANDSANITIZERAlcohol-free, waterlessfoaming hand sanitizer.Special formulationcontains emollientsand a fresh pleasantMountain Meadow fragrance, leaving handsfeeling soft and clean after use, without anystickiness or drying out of the skin. Rinse-free: no water required. Kills 99.9% of themost common disease-causing germsspread by hands. Contains benzalkoniumchloride (active ingredient) to kill germs.18.6-oz Pump Bottle(900-4444) ................................................ea

QUICKWIPES• Soft, strong towelettes:allow easy and gentlecleansing of handsand face

• Effective and gentle formulation thatcontains aloe: formulated for fast dryingand gentleness

• Convenient packaging: towelettes easilydispensed through orifice; each toweletteis saturated with cleansing liquidPop-Up Container, 9" x 51/2"(104-4176) .......................................150/cont

FOAMINGANTIBACTERIALHAND SOAP• Luxurious foaming soap• Provides a rich, dense lather• Rinses easily using minimal water• Leaves hands feeling soft and smooth• Pleasant Spring Water Clean fragrance• Active ingredient is 0.2% triclosan18.6-oz Pump Bottle(900-4441) ................................................ea

ANTIBACTERIAL LIQUID HAND SOAPLuxurious Liquid Hand Soap for Sinksand DispensersProvides a luxurious feel, leaving handssmooth and soft. Mild, gentle, andmoisturizing. Pleasant Cucumber and Aloefragrance. Active ingredient is 0.2% triclosan.8-oz Pump Bottle(900-4439) ................................................ea16-oz Pump Bottle(900-4438) ................................................ea1-gal Refill Bottle(900-4440) ................................................ea

MAXICLENS®ANTIMICROBIAL/ANTISEPTIC SKINCLEANSERFormulated withdetergents, moisturizers,skin protectors, and humectants thatcleanse without drying. Fast-acting formulathat is proven effective at 15 secondsagainst a broad spectrum of bacteria.Effective for up to 6 hours after use. Activeingredient: 4% chlorhexidine gluconate.1 Quart(431-0032) ................................................ea1 Gallon(431-0099) ................................................eaHand Pump for Quart Bottle(431-1478) ................................................ea

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inInfection Control News for the Health of Your Practice

Visit www.henryschein.com/medical for the latest version of ourInfection Control Quarterly

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SURGITEAMSOLUTIONSGUIDE

SUMMER 2012 EDITION

MOHS SURGERYTIPS & STRATEGIES

SOLUTIONS GUIDE

12MS7337

SOLUTIONS GUIDEWINTER 2012 EDITION

GI/ENDOSCOPYTIPS & STRATEGIES

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am–9pm, et

To Fax: 1.800.329.9109 24 HrsFor more information visit: www.henryschein.com/SurgiTeam

SOLUTIONS GUIDEProducts, resources and services for all facilities performing outpatient procedures



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Due to manufacturer price increases, prices are subject to change without notification. Offervalid on our full array of products, excluding flu vaccine and Synagis®. Upon any request byMedicare, Medicaid, Tricare or other payer, you must report the value of any benefit receivedfrom a discount program (e.g., points redemptions, gifts or other special awards). ©2013Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.No adjustments from prior sales. Offer not to be combined with other promotions and/or specialcontract pricing. Void where prohibited. Local regulatory requirements may apply to use orinstallation of certain products. It is your responsibility to understand and comply with any suchrequirements prior to purchase, use or installation of products. †For informational purposesonly. Source: ReimbursementCodes.com and/or www.cms.gov. Customer is responsible forverification of billing/coding in accordance with applicable specific circumstances.

Celebrations for May 5, 2013 aim to be as inclusive of everyone as possible! This time, the day actuallyfalls on a Sunday, a rest day for most, but not for all. Activities in support of May 5 have always beenpromoted as on or around May 5 to ensure all health care workers have the opportunity to take part inimportant hand hygiene awareness-raising activities. Therefore,we encourage those working onSaturday and Sunday, to celebrate hand hygiene promotion and improvement on 4 and 5 May 2013.

TheWorld Health Organization (WHO) call-to-action for 2013 is two-fold:•Continue to focus on hand-hygiene monitoring and feedback!

Re-use the WHO Hand Hygiene Self-Assessment Framework (HHSAF) to check whether your facility has improved compared to last year. If youhave never used it, please do so and join the thousands of facilities that have used this powerful tool to track their situation and progress withhand hygiene improvement. It’s one of the most popular tools to be downloaded up to now! After completing the HHSAF, use and adapt theWHO Template Action Plans to implement plans for local improvement! Please visit www.who.int for downloading of both documents.

•Your patients have a voice too!Patient participation is a powerful approach to achieving improvements in health care by building and strengthening a strong patient safetyclimate. Identify the best way to gather patient participation in hand hygiene promotion and improvement, according to your facility’s approach.

•Registering for SAVE LIVES:CleanYour HandsYou can still register now at www.who.int and be part of this global movement to improve hand hygiene! Registrations are particularly encouragedfrom countries with zero or low numbers of registrations. If you have already registered, there is no need to register again.

Visit www.who.int for more information.Source: World Health Organization

WHOWorld Hand Hygiene

May 5, 2013 isHand Hygiene Day


HAND HYGIENE - Henry Schein

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