table of contents executive summary final report · hygiene observations submitted for the june...
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TABLE OF CONTENTS
EXECUTIVE SUMMARY
FINAL REPORT
Table 1
Table 2
Table 3
Table 4
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
BALCARRES INTEGRATED CARE CENTRE
BROADVIEW CENTENNIAL LODGE
CENTRAL NETWORK
CUPAR & DISTRICT NURSING HOME
EMERGENCY MEDICAL SERVICES REGINA
FORT QU’APPELLE ALL NATIONS HEALING HOSPITAL
FORT QU’APPELLE ECHO LODGE
GRENFELL HEALTH CENTRE
GRENFELL PIONEER HOME
HOME CARE TREATMENT CENTRE ADULT
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HOME CARE TREATMENT CENTRE PEDIATRIC
INDIAN HEAD GOLDEN PRAIRIE HOME
INDIAN HEAD UNION HOSPITAL
LESTOCK ST. JOSEPH’S INTEGRATED CARE CENTRE
LONG LAKE VALLEY INTEGRATED FACILITY
MENTAL HEALTH CLINIC
MENTAL HEALTH SERVICES ADDICTIONS TREATMENT CENTRE
MENTAL HEALTH & ADDICTION SERVICES CHILD & YOUTH
MONTMARTRE INTEGRATED HEALTH CENTRE
PASQUA HOSPITAL 1G
PASQUA HOSPITAL 2C
PASQUA HOSPITAL 3A
PASQUA HOSPITAL 3B
PASQUA HOSPITAL 3D
PASQUA HOSPITAL 4A
PASQUA HOSPITAL 4B
PASQUA HOSPITAL 4C
PASQUA HOSPITAL CT
PASQUA HOSPITAL DS/PAC
PASQUA HOSPITAL EMERGENCY
PASQUA HOSPITAL ENVIRONMENTAL SERVICES
PASQUA HOSPITAL EYE CENTRE
PASQUA HOSPITAL ICU
PASQUA HOSPITAL LABORATORY
PASQUA HOSPITAL MAMMOGRAPHY
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PASQUA HOSPITAL MSU
PASQUA HOSPITAL NUCLEAR MEDICINE
PASQUA HOSPITAL OR
PASQUA HOSPITAL PHLEBOTOMY
PASQUA HOSPITAL RESPIRATORY THERAPY
PASQUA HOSPITAL ULTRASOUND
PASQUA HOSPITAL X-RAY
POPULATION & PUBLIC HEALTH SERVICES REGULAR AUDIT
POPULATION AND PUBLIC HEALTH SERVICES SELF AUDIT
QU’APPELLE HOUSE
REGINA CROSSING CENTRE FMU
REGINA LUTHERAN HOME
REGINA PIONEER VILLAGE 2 EAST
REGINA PIONEER VILLAGE 2 WEST
REGINA PIONEER VILLAGE 3 EAST
REGINA PIONEER VILLAGE 3 WEST
REGINA PIONEER VILLAGE 4 EAST
REGINA PIONEER VILLAGE 4 WEST
REGINA PIONEER VILLAGE MAIN WEST
REGINA GENERAL HOSPITAL 0D/1D/1DW
REGINA GENERAL HOSPITAL 3B
REGINA GENERAL HOSPITAL 3C
REGINA GENERAL HOSPITAL 3E
REGINA GENERAL HOSPITAL 3F
REGINA GENERAL HOSPITAL 4B
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REGINA GENERAL HOSPITAL 4F
REGINA GENERAL HOSPITAL 5A
REGINA GENERAL HOSPITAL 5E
REGINA GENERAL HOSPITAL 6A
REGINA GENERAL HOSPITAL 6F
REGINA GENERAL HOSPITAL AMBULATORY CARE
REGINA GENERAL HOSPITAL ANGIO
REGINA GENERAL HOSPITAL CARDIAC CATH/EP
REGINA GENERAL HOSPITAL CCU
REGINA GENERAL HOSPITAL CSU
REGINA GENERAL HOSPITAL CT
REGINA GENERAL HOSPITAL DAY SURGERY
REGINA GENERAL HOSPITAL ENDOSCOPY
REGINA GENERAL HOSPITAL ENVIRONMENTAL SERVICES
REGINA GENERAL HOSPITAL EMERGENCY
REGINA GENERAL HOSPITAL LABORATORY
REGINA GENERAL HOSPITAL LABOUR & BIRTH
REGINA GENERAL HOSPITAL MBU
REGINA GENERAL HOSPITAL MDRU
REGINA GENERAL HOSPITAL MEDEC & PODIATRY
REGINA GENERAL HOSPITAL MI
REGINA GENERAL HOSPITAL MICU
REGINA GENERAL HOSPITAL MRI
REGINA GENERAL HOSPITAL NICU
REGINA GENERAL HOSPITAL NUCLEAR MEDICINE
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REGINA GENERAL HOSPITAL OR
REGINA GENERAL HOSPITAL PACU
REGINA GENERAL HOSPITAL PEDIATRIC OUTPATIENT
REGINA GENERAL HOSPITAL PHLEBOTOMY
REGINA GENERAL HOSPITAL PULMONARY FUNCTION
REGINA GENERAL HOSPITAL RENAL UNIT
REGINA GENERAL HOSPITAL RESPIRATORY THERAPY
REGINA GENERAL HOSPITAL SICU
REGINA GENERAL HOSPITAL SLEEP DISORDER CLINIC
REGINA GENERAL HOSPITAL THERAPIES
REGINA GENERAL HOSPITAL ULTRASOUND
REGINA GENERAL HOSPITAL X-RAY
SANTA MARIA
SILVER HEIGHTS SPECIAL CARE HOME
SOUTHEAST INTEGRATED CARE CENTRE/MOOSOMIN ACUTE CARE
SOUTHEAST INTEGRATED CARE CENTRE/MOOSOMIN LABORATORY
SOUTHEAST INTEGRATED CARE CENTRE/MOOSOMIN LTC
WHITEWOOD COMMUNITY HEALTH CENTRE
WILLIAM BOOTH SPECIAL CARE HOME
WASCANA REHABILITATION CENTRE 2-5
WASCANA REHABILITATION CENTRE 2-6
WASCANA REHABILITATION CENTRE 3-2
WASCANA REHABILITATION CENTRE 3-3
WASCANA REHABILITATION CENTRE 3-5
WASCANA REHABILITATION CENTRE 3-6
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WASCANA REHABILITATION CENTRE ADULT THERAPY
WASCANA REHABILITATION CENTRE CHILDREN’S PROGRAM
WASCANA REHABILITATION CENTRE ENVIRONMENTAL SERVICES
WASCANA REHABILITATION CENTRE FRP
WASCANA REHABILITATION CENTRE MAIN 5
WASCANA REHABILITATION CENTRE MAIN 6
WASCANA REHABILITATION CENTRE ORTHOTICS & PROSTHETICS
WOLSELEY MEMORIAL INTEGRATED CARE CENTRE LTC
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EXECUTIVE SUMMARY
This report provides an analysis of the June 2015 hand hygiene audits for the Regina
Qu'Appelle Health Region (RQHR). Methods of analyses included hand hygiene compliance,
the frequency of missed hand hygiene opportunities and the presence of jewellery and artificial
nails/nail polish at the regional, hospital, unit, and healthcare worker levels.
The number of facilities/units participating in the June 2015 audit was approximately the same
as the number of facilities/units from February 2015. Although the overall number of hand
hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional
audit, the number of RQHR hand hygiene observations submitted still remains high since May
2013. Overall, hand hygiene compliance at the regional level increased 4.6% from the last
audit. The number of RQHR healthcare workers observed with jewellery, artificial nails/nail
polish, or failing to conduct hand hygiene has decreased since May 2013. For the Regina
General Hospital and Pasqua Hospital, a larger number of units posted hand hygiene
compliance rates greater than 80% compared to February 2015. Hand hygiene compliance will
be re-assessed in October 2015.
In May 2015, monthly blind hand hygiene audits of randomly chosen departments in the RQHR
were initiated. Results of these blind audits are posted on the Infection Prevention and Control
intranet site. Each month, approximately 10 units will be randomly chosen for a blind hand
hygiene audit conducted by an unidentified auditor. Presently, units that are blind audited are
de-identified in the monthly reports. However, starting in October 2015, the identity of units will
be provided in the blind hand hygiene audit reports.
The regional hand hygiene report is available on-line for healthcare workers and the public at
the following sites:
http://rhdintranet/InfectionControl/public/Stats/stats.htm
http://www.rqhrlean.com/hand-hygiene.html
http://www.rqhealth.ca/programs/infection_control/hand_hygiene.shtml
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FINAL REPORT
A total of 3131 hand hygiene observations were submitted for analysis. Of these, only 3036
(97%) observations could be analyzed. Information regarding compliance at the facility and
healthcare worker levels is provided in this report.
For the analysis, the following definition of hand hygiene was used:
Compliant:
1) Hand gel or wash, AND
2) A required time component of ≥ 15 seconds
Noncompliant:
1) Gloves only,
2) Missed hand hygiene opportunity,
3) Hand gel or wash with a time component of < 15 seconds,
4) Jewellery, and/or
5) Artificial nails/nail polish
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Table 1: Regional hand hygiene audit results, May 2013 – June 2015.
Measurement
May
2013
(%)
October
2013
(%)
February
2014
(%)
June
2014
(%)
October
2014
(%)
February
2015
(%)
June
2015
(%)
Number of observations submitted 2847 2651 2626 2078 2528 3415 3131
Number of observations excluded
from analysis
1177
(41.3)
36
(1.4)
67
(2.6)
24
(1.2)
29
(1.1)
39
(1.1)
95
(3.0)
Compliance at the region level 572/1670
(34.3)
1513/2615
(57.9)
1516/2559
(59.2)
Not
reported
1461/2499
(58.5)
2346/3376
(69.5)
2251/3036
(74.1)
Noncompliance at the region level 1098/1670
(65.7)
1102/2615
(42.1)
1043/2559
(40.8)
Not
reported
1038/2499
(41.5)
1030/3376
(30.5)
785/3036
(25.9)
Number of observations in which
the healthcare worker wore
jewellery
331/1670
(19.8)
246/2615
(9.4)
259/2559
(10.1)
129/2054
(6.3)
156/2499
(6.2)
183/3376
(5.4)
78/3036
(2.6)
Number of observations in which
the healthcare worker had artificial
nails/nail polish
46/1670
(2.8)
71/2615
(2.7)
46/2559
(1.8)
68/2054
(3.3)
51/2499
(2.0)
81/3376
(2.4)
33/3036
(1.1)
Number of observations in which
the healthcare worker did not
conduct hand hygiene at all
Not
reported
Not
reported Not reported
438/2054
(21.3)
602/2499
(24.1)
615/3376
(18.2)
487/3036
(16)
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Table 2: Facilities and units that participated in the June 2015 regional hand hygiene audit.
Facility Unit
REGINA GENERAL
HOSPITAL
0D/1D/1DW
3B
3E
3F
4B
4F
5A
5E
6A
6F
Ambulatory Care
Cardiac Cath/EP
CCU
CSU
Day Surgery
Endoscopy
Emergency
Environmental Services1
Laboratory
Labour & Birth
MBU1
MEDEC and Podiatry1
Medical Imaging – Angio, C.T., MDRU, MI, MRI, Nuclear Medicine,
Ultrasound, X-Ray
MICU
NICU
OR
PACU
1 A hand hygiene audit was conducted by the unit using a self-audit process. As the self-audit process is
different compared to the audit process for other patient care areas, the results are not included in the overall
analyses for this report.
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Pediatric OP
Phlebotomy
Pulmonary Function
Renal
Respiratory Therapy
SICU
Sleep Disorder Centre
Therapies
Women's Health Centre – 3C
PASQUA
HOSPITAL
1G – Ambulatory Care
2C - Cardio Neuro
3A
3B
3D
4A
4B
4C
DS/PAC
Emergency
Environmental Services1
Eye Centre
ICU
Imaging – C.T., Mammography, Nuclear Medicine, Ultrasound, X-
Ray,
Laboratory
MSU
OR
Phlebotomy
Respiratory Therapy
WASCANA
REHABILITATION
CENTRE
2-5
2-6
3-2
3-3
3-5
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3-6
Main 5
Main 6
Adult OT
Children's Program
Environmental Services1
FRP
Orthotics & Prosthetics
RURAL ACUTE
Balcarres Integrated Care Centre
Fort Qu'Appelle All Nations Healing Hospital
Indian Head Union Hospital
Southeast Integrated Care Centre – Moosomin (Acute, Laboratory)
RURAL LTC
Broadview Centennial Lodge
Cupar and District Nursing Home
Fort Qu'Appelle Echo Lodge
Grenfell Pioneer Home
Indian Head Golden Prairie Home
Lestock St. Joseph's Integrated Care Centre
Long Lake Valley Integrated Facility
Montmartre Integrated Health Centre
Qu’Appelle House
Santa Maria (2, 4, Recreation Therapy, Support Services)
Silver Heights Special Care Home
Southeast Integrated Care Centre - Moosomin
Whitewood Community Health Centre
William Booth Specialty Care Home
Wolseley Memorial Integrated Care Centre
Regina Lutheran Home
Regina Pioneer Village – 2 East and West, 3 East and West, 4 East
and West, Main West
COMMUNITY
Central Network (Meadow)
Grenfell Health Centre
EMS
Home Care Treatment Centre (Adult and Pediatric)1
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Mental Health and Addiction Services (Child & Youth)1
Mental Health Clinic (2110 Hamilton)
Mental Health Services (Victoria Ave)
Population & Public Health Services Regular Audit (East Office, North
Office, Travel Health/Central Immunization)
Population & Public Health Services Self Audit (Outreach, Clinic,
Office, Home Visit, Needle Exchange Program)1
Regina Crossing Centre – FMU
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Table 3: Facilities and units that did not participate in the June 2015 regional hand hygiene audit.
Facility Facility/Unit
REGINA GENERAL HOSPITAL
5F
FAU
Food and Nutrition Services
Infectious Disease Clinic
PASQUA HOSPITAL
3C
4D
Food and Nutrition Services
WASCANA REHABILITATION
CENTRE Food and Nutrition Services
RURAL ACUTE Broadview Union Hospital
Wolseley Memorial Integrated Care Centre
RURAL LTC
Golden Prairie Nursing Home
Regina Pioneer Village - Hostel
COMMUNITY
Kidney Health Centre
Regina Crossing Centre - PAC, Surgical Assessment
Centre
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Table 4: Participating facilities and units that did not submit the required number of hand hygiene
observations for the June 2015 regional hand hygiene audit.
Facility Unit
REGINA GENERAL HOSPITAL 4B
Medical Imaging – MI, X-Ray
WASCANA REHABILITATION CENTRE 2-6
RURAL LTC Long Lake Valley Integrated Facility
Regina Pioneer Village – 3 West
COMMUNITY Central Network (Meadow)
Mental Health Clinic (2110 Hamilton)
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Figure 1: Regional hand hygiene audit results for Regina Qu'Appelle Health Region, May 2013 – June 2015*.
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Figure 2: Hand hygiene compliance, by facility, Regina Qu'Appelle Health Region, June 2015.
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Figure 3: Hand hygiene compliance, by healthcare worker category, Regina Qu'Appelle Health Region, June 2015.
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Figure 4: Hand hygiene compliance, before and after patient contact, by healthcare worker category, Regina Qu'Appelle Health
Region, June 2015.
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Figure 5: Distribution of jewellery, artificial nails/nail polish, and missed hand hygiene opportunities by healthcare worker
category, Regina Qu'Appelle Health Region, June 2015.
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Figure 6: Hand hygiene compliance, by unit, Regina General Hospital, June 2015.
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Figure 7: Hand hygiene compliance, by unit, Pasqua Hospital, June 2015.
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Figure 8: Hand hygiene compliance, by unit, Wascana Rehabilitation Centre, June 2015.
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BALCARRES INTEGRATED CARE CENTRE HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene before patient
contact
6% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
85%
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BROADVIEW CENTENNIAL LODGE HAND HYGIENE RESULTS
43% of staff were not compliant with hand hygiene before patient
contact
8% of staff were not compliant with hand hygiene after patient
contact
4 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
68%
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CENTRAL NETWORK HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the facility
90%
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CUPAR & DISTRICT NURSING HOME HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the facility
100%
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EMERGENCY MEDICAL SERVICES REGINA HAND HYGIENE RESULTS
83% of staff were not compliant with hand hygiene before patient
contact
59% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
31%
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FORT QU’APPELLE ALL NATIONS HEALING HOSPITAL
HAND HYGIENE RESULTS
32% of staff were not compliant with hand hygiene before patient
contact
33% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
64%
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FORT QU’APPELLE ECHO LODGE HAND HYGIENE RESULTS
13% of staff were not compliant with hand hygiene before patient
contact
32% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
74%
![Page 31: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/31.jpg)
GRENFELL HEALTH CENTRE HAND HYGIENE RESULTS
13% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
93%
![Page 32: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/32.jpg)
GRENFELL PIONEER HOME HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
19% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
76%
![Page 33: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/33.jpg)
HOME CARE TREATMENT CENTRE ADULT HAND HYGIENE RESULTS
June 2015
Overall compliance for the unit
78%
![Page 34: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/34.jpg)
HOME CARE TREATMENT CENTRE PEDIATRIC
HAND HYGIENE RESULTS
1 staff member wore jewellery
1 staff member wore artificial nails/nail polish
June 2015
Overall compliance for the unit
97%
![Page 35: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/35.jpg)
INDIAN HEAD GOLDEN PRAIRIE HOME HAND HYGIENE RESULTS
50% of staff were not compliant with hand hygiene before patient
contact
47% of staff were not compliant with hand hygiene after patient
contact
3 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
52%
![Page 36: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/36.jpg)
INDIAN HEAD UNION HOSPITAL HAND HYGIENE RESULTS
79% of staff were not compliant with hand hygiene before patient
contact
25% of staff were not compliant with hand hygiene after patient
contact
3 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
44%
![Page 37: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/37.jpg)
LESTOCK ST. JOSEPH’S INTEGRATED CARE CENTRE
HAND HYGIENE RESULTS
7% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the facility
97%
![Page 38: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/38.jpg)
LONG LAKE VALLEY INTEGRATED FACILITY
HAND HYGIENE RESULTS
67% of staff were not compliant with hand hygiene before patient
contact
43% of staff were not compliant with hand hygiene after patient
contact
3 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
50%
![Page 39: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/39.jpg)
MENTAL HEALTH CLINIC HAND HYGIENE RESULTS
20% of staff were not compliant with hand hygiene before patient
contact
63% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
1 staff member wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
60%
![Page 40: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/40.jpg)
MENTAL HEALTH SERVICES ADDICTIONS TREATMENT CENTRE
HAND HYGIENE RESULTS
0 staff members wore jewellery
1 staff member wore artificial nails/nail polish
11 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
54%
![Page 41: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/41.jpg)
MENTAL HEALTH & ADDICTION SERVICES CHILD & YOUTH
HAND HYGIENE RESULTS
11 staff members wore jewellery
13 staff members wore artificial nails/nail polish
16 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
31%
![Page 42: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/42.jpg)
MONTMARTRE INTEGRATED HEALTH CENTRE
HAND HYGIENE RESULTS
54% of staff were not compliant with hand hygiene before patient
contact
20% of staff were not compliant with hand hygiene after patient
contact
4 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
67%
![Page 43: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/43.jpg)
PASQUA HOSPITAL 1G HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene before patient
contact
17% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
88%
![Page 44: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/44.jpg)
PASQUA HOSPITAL 2C HAND HYGIENE RESULTS
5% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
90%
![Page 45: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/45.jpg)
PASQUA HOSPITAL 3A HAND HYGIENE RESULTS
7% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
96%
![Page 46: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/46.jpg)
PASQUA HOSPITAL 3B HAND HYGIENE RESULTS
29% of staff were not compliant with hand hygiene before patient
contact
5% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
![Page 47: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/47.jpg)
PASQUA HOSPITAL 3D HAND HYGIENE RESULTS
29% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
74%
![Page 48: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/48.jpg)
PASQUA HOSPITAL 4A HAND HYGIENE RESULTS
28% of staff were not compliant with hand hygiene before patient
contact
30% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
71%
![Page 49: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/49.jpg)
PASQUA HOSPITAL 4B HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene before patient
contact
17% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
11 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
84%
![Page 50: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/50.jpg)
PASQUA HOSPITAL 4C HAND HYGIENE RESULTS
25% of staff were not compliant with hand hygiene before patient
contact
18% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
74%
![Page 51: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/51.jpg)
PASQUA HOSPITAL CT HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
17% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
6 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
78%
![Page 52: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/52.jpg)
PASQUA HOSPITAL DS/PAC HAND HYGIENE RESULTS
7% of staff were not compliant with hand hygiene before patient
contact
17% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
88%
![Page 53: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/53.jpg)
PASQUA HOSPITAL EMERGENCY HAND HYGIENE RESULTS
60% of staff were not compliant with hand hygiene before patient
contact
6% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
74%
![Page 54: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/54.jpg)
PASQUA HOSPITAL ENVIRONMENTAL SERVICES
HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
89%
![Page 55: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/55.jpg)
PASQUA HOSPITAL EYE CENTRE HAND HYGIENE RESULTS
42% of staff were not compliant with hand hygiene before patient
contact
30% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
63%
![Page 56: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/56.jpg)
PASQUA HOSPITAL ICU HAND HYGIENE RESULTS
36% of staff were not compliant with hand hygiene before patient
contact
31% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
67%
![Page 57: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/57.jpg)
PASQUA HOSPITAL LABORATORY HAND HYGIENE RESULTS
19% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
1 staff member wore artificial nails/nail polish
June 2015
Overall compliance for the unit
81%
![Page 58: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/58.jpg)
PASQUA HOSPITAL MAMMOGRAPHY HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
100%
![Page 59: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/59.jpg)
PASQUA HOSPITAL MSU HAND HYGIENE RESULTS
21% of staff were not compliant with hand hygiene before patient
contact
8% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
85%
![Page 60: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/60.jpg)
PASQUA HOSPITAL NUCLEAR MEDICINE HAND HYGIENE RESULTS
31% of staff were not compliant with hand hygiene before patient
contact
38% of staff were not compliant with hand hygiene after patient
contact
4 staff members wore jewellery
0 staff members wore artificial nails/nail polish
7 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
63%
![Page 61: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/61.jpg)
PASQUA HOSPITAL OR HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
100%
![Page 62: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/62.jpg)
PASQUA HOSPITAL PHLEBOTOMY HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene before patient
contact
21% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
85%
![Page 63: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/63.jpg)
PASQUA HOSPITAL RESPIRATORY THERAPY
HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
100%
![Page 64: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/64.jpg)
PASQUA HOSPITAL ULTRASOUND HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene before patient
contact
38% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
81%
![Page 65: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/65.jpg)
PASQUA HOSPITAL X-RAY HAND HYGIENE RESULTS
45% of staff were not compliant with hand hygiene before patient
contact
13% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
73%
![Page 66: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/66.jpg)
POPULATION & PUBLIC HEALTH SERVICES REGULAR AUDIT
HAND HYGIENE RESULTS
9% of staff were not compliant with hand hygiene before patient
contact
14% of staff were not compliant with hand hygiene after patient
contact
4 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
![Page 67: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/67.jpg)
POPULATION AND PUBLIC HEALTH SERVICES SELF AUDIT
HAND HYGIENE RESULTS
1 staff member wore jewellery
1 staff member wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
![Page 68: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/68.jpg)
QU’APPELLE HOUSE HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the facility
100%
![Page 69: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/69.jpg)
REGINA CROSSING CENTRE FMU HAND HYGIENE RESULTS
26% of staff were not compliant with hand hygiene before patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
76%
![Page 70: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/70.jpg)
REGINA LUTHERAN HOME HAND HYGIENE RESULTS
17% of staff were not compliant with hand hygiene before patient
contact
56% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
6 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
53%
![Page 71: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/71.jpg)
REGINA PIONEER VILLAGE 2 EAST HAND HYGIENE RESULTS
38% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
64%
![Page 72: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/72.jpg)
REGINA PIONEER VILLAGE 2 WEST HAND HYGIENE RESULTS
10% of staff were not compliant with hand hygiene before patient
contact
14% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
6 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
76%
![Page 73: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/73.jpg)
REGINA PIONEER VILLAGE 3 EAST HAND HYGIENE RESULTS
47% of staff were not compliant with hand hygiene before patient
contact
20% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
2 staff members wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
59%
![Page 74: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/74.jpg)
REGINA PIONEER VILLAGE 3 WEST HAND HYGIENE RESULTS
40% of staff were not compliant with hand hygiene before patient
contact
50% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
56%
![Page 75: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/75.jpg)
REGINA PIONEER VILLAGE 4 EAST HAND HYGIENE RESULTS
92% of staff were not compliant with hand hygiene before patient
contact
21% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
11 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
44%
![Page 76: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/76.jpg)
REGINA PIONEER VILLAGE 4 WEST HAND HYGIENE RESULTS
73% of staff were not compliant with hand hygiene before patient
contact
40% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
48%
![Page 77: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/77.jpg)
REGINA PIONEER VILLAGE MAIN WEST HAND HYGIENE RESULTS
73% of staff were not compliant with hand hygiene before patient
contact
14% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
58%
![Page 78: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/78.jpg)
REGINA GENERAL HOSPITAL 0D/1D/1DW HAND HYGIENE RESULTS
41% of staff were not compliant with hand hygiene before patient
contact
43% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
10 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
58%
![Page 79: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/79.jpg)
REGINA GENERAL HOSPITAL 3B HAND HYGIENE RESULTS
15% of staff were not compliant with hand hygiene before patient
contact
5% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
91%
![Page 80: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/80.jpg)
REGINA GENERAL HOSPITAL 3C HAND HYGIENE RESULTS
25% of staff were not compliant with hand hygiene before patient
contact
7% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
85%
![Page 81: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/81.jpg)
REGINA GENERAL HOSPITAL 3E HAND HYGIENE RESULTS
47% of staff were not compliant with hand hygiene before patient
contact
20% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
1 staff member wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
63%
![Page 82: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/82.jpg)
REGINA GENERAL HOSPITAL 3F HAND HYGIENE RESULTS
25% of staff were not compliant with hand hygiene before patient
contact
13% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
80%
![Page 83: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/83.jpg)
REGINA GENERAL HOSPITAL 4B HAND HYGIENE RESULTS
20% of staff were not compliant with hand hygiene before patient
contact
29% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
1 staff member wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
76%
![Page 84: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/84.jpg)
REGINA GENERAL HOSPITAL 4F HAND HYGIENE RESULTS
55% of staff were not compliant with hand hygiene before patient
contact
27% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
61%
![Page 85: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/85.jpg)
REGINA GENERAL HOSPITAL 5A HAND HYGIENE RESULTS
29% of staff were not compliant with hand hygiene before patient
contact
25% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
74%
![Page 86: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/86.jpg)
REGINA GENERAL HOSPITAL 5E HAND HYGIENE RESULTS
55% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
56%
![Page 87: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/87.jpg)
REGINA GENERAL HOSPITAL 6A HAND HYGIENE RESULTS
43% of staff were not compliant with hand hygiene before patient
contact
50% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
56%
![Page 88: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/88.jpg)
REGINA GENERAL HOSPITAL 6F HAND HYGIENE RESULTS
21% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
87%
![Page 89: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/89.jpg)
REGINA GENERAL HOSPITAL AMBULATORY CARE
HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
17% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
74%
![Page 90: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/90.jpg)
REGINA GENERAL HOSPITAL ANGIO HAND HYGIENE RESULTS
36% of staff were not compliant with hand hygiene before patient
contact
36% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
6 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
67%
![Page 91: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/91.jpg)
REGINA GENERAL HOSPITAL CARDIAC CATH/EP
HAND HYGIENE RESULTS
79% of staff were not compliant with hand hygiene before patient
contact
38% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
16 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
41%
![Page 92: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/92.jpg)
REGINA GENERAL HOSPITAL CCU HAND HYGIENE RESULTS
20% of staff were not compliant with hand hygiene before patient
contact
12% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
85%
![Page 93: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/93.jpg)
REGINA GENERAL HOSPITAL CSU HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene before patient
contact
11% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
87%
![Page 94: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/94.jpg)
REGINA GENERAL HOSPITAL CT HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
88%
![Page 95: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/95.jpg)
REGINA GENERAL HOSPITAL DAY SURGERY
HAND HYGIENE RESULTS
31% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
1 staff member wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
85%
![Page 96: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/96.jpg)
REGINA GENERAL HOSPITAL EMERGENCY
HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
38% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
63%
![Page 97: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/97.jpg)
REGINA GENERAL HOSPITAL ENDOSCOPY
HAND HYGIENE RESULTS
13% of staff were not compliant with hand hygiene before patient
contact
21% of staff were not compliant with hand hygiene after patient
contact
3 staff members wore jewellery
3 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
81%
![Page 98: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/98.jpg)
REGINA GENERAL HOSPITAL ENVIRONMENTAL SERVICES
HAND HYGIENE RESULTS
7 staff members wore jewellery
2 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
53%
![Page 99: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/99.jpg)
REGINA GENERAL HOSPITAL LABORATORY
HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
100%
![Page 100: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/100.jpg)
REGINA GENERAL HOSPITAL LABOUR & BIRTH
HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
23% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
8 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
71%
![Page 101: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/101.jpg)
REGINA GENERAL HOSPITAL MBU HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
10 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
69%
![Page 102: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/102.jpg)
REGINA GENERAL HOSPITAL MDRU HAND HYGIENE RESULTS
25% of staff were not compliant with hand hygiene before patient
contact
12% of staff were not compliant with hand hygiene after patient
contact
3 staff members wore jewellery
2 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
85%
![Page 103: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/103.jpg)
REGINA GENERAL HOSPITAL MEDEC & PODIATRY
HAND HYGIENE RESULTS
2 staff members wore jewellery
5 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
88%
![Page 104: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/104.jpg)
REGINA GENERAL HOSPITAL MI HAND HYGIENE RESULTS
22% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
![Page 105: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/105.jpg)
REGINA GENERAL HOSPITAL MICU HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
93%
![Page 106: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/106.jpg)
REGINA GENERAL HOSPITAL MRI HAND HYGIENE RESULTS
67% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
10 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
62%
![Page 107: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/107.jpg)
REGINA GENERAL HOSPITAL NICU HAND HYGIENE RESULTS
6% of staff were not compliant with hand hygiene before patient
contact
9% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
93%
![Page 108: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/108.jpg)
REGINA GENERAL HOSPITAL NUCLEAR MEDICINE
HAND HYGIENE RESULTS
18% of staff were not compliant with hand hygiene before patient
contact
7% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
88%
![Page 109: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/109.jpg)
REGINA GENERAL HOSPITAL OR HAND HYGIENE RESULTS
7% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
96%
![Page 110: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/110.jpg)
REGINA GENERAL HOSPITAL PACU HAND HYGIENE RESULTS
14% of staff were not compliant with hand hygiene before patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
92%
![Page 111: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/111.jpg)
REGINA GENERAL HOSPITAL PEDIATRIC OUTPATIENT
HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
1 staff member wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
95%
![Page 112: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/112.jpg)
REGINA GENERAL HOSPITAL PHLEBOTOMY
HAND HYGIENE RESULTS
69% of staff were not compliant with hand hygiene before patient
contact
62% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
35%
![Page 113: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/113.jpg)
REGINA GENERAL HOSPITAL PULMONARY FUNCTION
HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene before patient
contact
16% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
87%
![Page 114: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/114.jpg)
REGINA GENERAL HOSPITAL RENAL UNIT HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene before patient
contact
8% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
92%
![Page 115: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/115.jpg)
REGINA GENERAL HOSPITAL RESPIRATORY THERAPY
HAND HYGIENE RESULTS
44% of staff were not compliant with hand hygiene before patient
contact
68% of staff were not compliant with hand hygiene after patient
contact
4 staff members wore jewellery
3 staff members wore artificial nails/nail polish
18 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
43%
![Page 116: TABLE OF CONTENTS EXECUTIVE SUMMARY FINAL REPORT · hygiene observations submitted for the June 2015 audit was 8.3% less than the last regional audit, the number of RQHR hand hygiene](https://reader034.vdocument.in/reader034/viewer/2022050515/5f9fa4cd4d5b8b099a610e01/html5/thumbnails/116.jpg)
REGINA GENERAL HOSPITAL SICU HAND HYGIENE RESULTS
23% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
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REGINA GENERAL HOSPITAL SLEEP DISORDER CLINIC
HAND HYGIENE RESULTS
38% of staff were not compliant with hand hygiene before patient
contact
15% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
7 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
73%
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REGINA GENERAL HOSPITAL THERAPIES HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
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REGINA GENERAL HOSPITAL ULTRASOUND
HAND HYGIENE RESULTS
15% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
85%
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REGINA GENERAL HOSPITAL X-RAY HAND HYGIENE RESULTS
33% of staff were not compliant with hand hygiene before patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
89%
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SANTA MARIA HAND HYGIENE RESULTS
5% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
0 staff members wore artificial nails/nail polish
1 staff member did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
89%
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SILVER HEIGHTS SPECIAL CARE HOME HAND HYGIENE RESULTS
100% of staff were not compliant with hand hygiene before patient
contact
87% of staff were not compliant with hand hygiene after patient
contact
2 staff members wore jewellery
12 staff members wore artificial nails/nail polish
15 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
7%
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SOUTHEAST INTEGRATED CARE CENTRE/MOOSOMIN ACUTE CARE
HAND HYGIENE RESULTS
23% of staff were not compliant with hand hygiene before patient
contact
38% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
69%
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SOUTHEAST INTEGRATED CARE CENTRE/MOOSOMIN LABORATORY
HAND HYGIENE RESULTS
18% of staff were not compliant with hand hygiene before patient
contact
8% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
3 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
88%
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SOUTHEAST INTEGRATED CARE CENTRE/MOOSOMIN LONG TERM
CARE HAND HYGIENE RESULTS
29% of staff were not compliant with hand hygiene before patient
contact
31% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
7 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
70%
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WHITEWOOD COMMUNITY HEALTH CENTRE
HAND HYGIENE RESULTS
11% of staff were not compliant with hand hygiene before patient
contact
10% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
4 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the facility
83%
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WILLIAM BOOTH SPECIAL CARE HOME HAND HYGIENE RESULTS
8% of staff were not compliant with hand hygiene before patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the facility
96%
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WASCANA REHABILITATION CENTRE 2-5 HAND HYGIENE RESULTS
25% of staff were not compliant with hand hygiene before patient
contact
18% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
80%
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WASCANA REHABILITATION CENTRE 2-6 HAND HYGIENE RESULTS
100% of staff were not compliant with hand hygiene before patient
contact
67% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
6 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
26%
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WASCANA REHABILITATION CENTRE 3-2 HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
100%
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WASCANA REHABILITATION CENTRE 3-3 HAND HYGIENE RESULTS
50% of staff were not compliant with hand hygiene before patient
contact
25% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
7 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
62%
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WASCANA REHABILITATION CENTRE 3-5 HAND HYGIENE RESULTS
13% of staff were not compliant with hand hygiene before patient
contact
25% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
2 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
81%
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WASCANA REHABILITATION CENTRE 3-6 HAND HYGIENE RESULTS
50% of staff were not compliant with hand hygiene before patient
contact
33% of staff were not compliant with hand hygiene after patient
contact
3 staff members wore jewellery
0 staff members wore artificial nails/nail polish
6 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
58%
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WASCANA REHABILITATION CENTRE ADULT THERAPY
HAND HYGIENE RESULTS
63% of staff were not compliant with hand hygiene before patient
contact
47% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
5 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
48%
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WASCANA REHABILITATION CENTRE CHILDREN’S PROGRAM
HAND HYGIENE RESULTS
39% of staff were not compliant with hand hygiene before patient
contact
55% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
4 staff members wore artificial nails/nail polish
10 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
55%
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WASCANA REHABILITATION CENTRE ENVIRONMENTAL SERVICES
HAND HYGIENE RESULTS
2 staff members wore jewellery
2 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
93%
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WASCANA REHABILITATION CENTRE FRP HAND HYGIENE RESULTS
13% of staff were not compliant with hand hygiene before patient
contact
6% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the unit
92%
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WASCANA REHABILITATION CENTRE MAIN 5
HAND HYGIENE RESULTS
100% of staff were not compliant with hand hygiene before patient
contact
50% of staff were not compliant with hand hygiene after patient
contact
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
11 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
30%
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WASCANA REHABILITATION CENTRE MAIN 6
HAND HYGIENE RESULTS
64% of staff were not compliant with hand hygiene before patient
contact
46% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
0 staff members wore artificial nails/nail polish
9 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
42%
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WASCANA REHABILITATION CENTRE ORTHOTICS & PROSTHETICS
HAND HYGIENE RESULTS
87% of staff were not compliant with hand hygiene before patient
contact
75% of staff were not compliant with hand hygiene after patient
contact
1 staff member wore jewellery
1 staff member wore artificial nails/nail polish
13 staff members did not conduct hand hygiene at all
June 2015
Overall compliance for the unit
19%
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WOLSELEY MEMORIAL INTEGRATED CARE CENTRE LTC
HAND HYGIENE RESULTS
0 staff members wore jewellery
0 staff members wore artificial nails/nail polish
June 2015
Overall compliance for the facility
100%