---
title: A+ or F? What's your Hand Hygiene knowledge grade?
description: A+ or F?  What's your Hand Hygiene knowledge grade?
---

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## A+ or F? What's your Hand Hygiene knowledge grade?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f29287934/1498845285537//img.jpg.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f29287935/1498843853580/1000w/>

Last week I attended a dinner event put on by the [Royal Canadian Institute](http://www.yorku.ca/rci/Site/Home.html).  Each table had a  
 "theme" with which to base our conversation on.  The theme for our table was "First Do No  
 Harm: Healthcare Culture and Patient Safety".  Dr. Michael Gardam (a past[ Talk Clean To Me guest blogger](http://www.talkcleantome.blogspot.ca/2011/10/just-do-it-cleaning-saves-lives.html) and current  Director of  
 Infection Prevention and Control at the University Health Network in Toronto)  
 was the table host and started off the night with the concept of [positive deviance](http://positivedeviance.ca/) (PD) by asking what we would do to ensure that each and every patient  
 we saw was given a hospital acquired infection (HAI).

For those of your who are unfamiliar with PD, it is a  
 strength-based, problem-solving approach for behavior and social change that  
 finds uncommon but successful behaviors or strategies that enable someone to  
 find better solutions to a problem than their peers.  In healthcare (and in life) we often look at  
 how we can solve or fix the problem.   
 Taking the view of how we can create the problem sometime leads to  
 finding a "better" solution.    
 As expected, not washing ones hands was the first idea that came out as  
 being "the way" to ensure we spread diseases.

As mentioned last week - May 5th is the global [SAVE LIVES: Clean Your Hands campaign](http://www.who.int/gpsc/5may/en/) organized by the WHO.  I had challenged you to ensuring you washed  
 your hands when appropriate and to point out other peoples oversights in an  
 effort to stop the transmission of HAIs.

This week I'm challenging you to be positively  
 deviant....take the following hand hygiene quiz, BUT, the objective is to  
 answer based on how NOT to follow hand hygiene best practices.   Can you score an A+ and ensure that by  
 following the wrong practices you can spread diseases?

1. How long should you scrub your hands together when  
 washing with soap and water?

a. 2 minutes

b. 15 seconds

c. Just long enough to rinse the soap off

2. How often should you clean your hands after touching  
 an environmental surface, for example a bedrail?

a. After each and every time I touch a surface

b. One if the surface is noticeably dirty

c. Never

3. Use of artificial nails by healthcare workers should  
 be promoted because pretty hands mean clean hands.

a. True

b. False

4. What is the primary purpose of hand hygiene?

a. Reduce microorganisms on the hands

b. To keep hands clean

c. To keep nails clean

d. None of the Above

5. Which is the preferred method for drying hands in a  
 healthcare setting?

a. Paper Towel

b. Air Hand Dryer

c. Using the seat of my pants

6. It's important to wash your hands:

a. After you use the restroom

b. Before you start preparing food

c. After petting an animal

d. None of the Above

e. All of the Above

7. What supplies do you need for hand washing?

a. Warm water, soap, something clean to dry your hands  
 with

b. Alcohol-based Hand Sanitizer

c. Nothing because there is no scientific evidence to  
 support the importance of hand hygiene

d. A or B

8. A co-worker who examines a patient with VRE, then  
 borrows my pen without cleaning his/her hands is likely to contaminate my pen  
 with VRE?

a. True

b. False

I hope you're as positively deviant as I am!  Give yourself an A+ if you answered 1-c, 2-c,  
 3-a, 4-d, 5-c, 6-d, 7-d, 8-b.  Your Hand  
 Hygiene practices suck! 

Now that we know what not to do, can you think outside of  
 the box to come up with a solution of how to ensure Healthcare workers wash  
 their hands 100% of the time?

*Bugging Off!*

*  
*

*  
*

Nicole

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