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

Published:March 05, 2019DOI:https://doi.org/10.1016/j.ajic.2019.01.022

      Highlights

      • Of nurses, 99% “scrubbed the hub” of the needleless connector.
      • Of nurses, 3.7% were compliant with a 15-second needleless connector “scrub.”
      • Hand hygiene premedication preparation was 33%.
      • Hand hygiene postmedication administration was 65%.
      • Poorest hand hygiene rates observed in the ED and those wearing gloves.
      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).

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