Bold Voices - May 2012 - (Page 23)

AT THE BEDSIDE Cameras, Feedback: Effective Tools to Enforce Hand Washing A study in Clinical Infectious Diseases finds hospital workers may wash their hands properly when camera monitors are used and feedback is provided. “Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-Party Remote Video Auditing and Real-Time Feedback in Healthcare,” published online, used video cameras to monitor hospital workers as they entered and left patient rooms. While workers knew about the cameras, compliance was still low at 6.5 percent. Once researchers installed light-emitting diode boards in the hallway that announced hand-washing compliance rates and positive feedback was provided, compliance jumped to 81.6 percent and peaked at an average of 87.9 percent over the following 18 months. During the two-year study in a 17-bed ICU, cameras were placed within view of every sink and hand sanitizer dispenser. No feedback was provided Study placed cameras within view of every sink until 16 weeks had elapsed. “People’s behavior does change and hand sanitizer dispenser in a 17-bed ICU. when they’re being watched,” lead author Bruce F. Farber, chief of infectious disease at North Shore University Hospital, tells The New York Times. “This changed the culture. It’s now three years later, and people are washing their hands at dramatically higher rates.” How do you ensure hand-washing compliance among your peers? Tell us at, or leave a wall comment at Telemedicine Success Hinges on Acceptance by Bedside Providers Of the 52 percent who responded, A survey in January’s American 72 nurses had some telemedicine Journal of Critical Care finds bedside experience, and 77 percent believe nurses generally support telemeditelemedicine increases patient cine but express concerns about survival. As a result, 44 percent say privacy and being unacquainted they regularly incorporate intervenwith physicians at remote locations. tions suggested by the telemedicine Broad implementation of teleteam. A minority of respondents think medicine programs hinges on telemedicine interbedside providers’ Survey: 4 out of 10 rupts work flow (9 acceptance of the technology, says nurses incorporated percent), is intrusive (11 percent) “Bedside Nurses’ the telemedicine or say they feel Perceptions of Intensive Care Unit team’s suggestions. spied upon by the technology (13 Telemedicine.” percent). An Internet survey in three critical Tell us about your experiences care units and two university-affiliwith telemedicine. Write to aacnboldated academic hospitals asked 179, click on the blue nurses about their perceptions of auto-reply button in the digital edition telemedicine. or post a wall comment at facebook. com/aacnface. CCRN-E Certification for Tele-ICU Do you or any of your RN colleagues work in a tele-ICU? CCRN-E specialty certification recognizes your expertise. The CCRN-E exam takes three hours and consists of 150 multiplechoice items. More information at AACN BOLD VOICES MAY 2012 23

Table of Contents for the Digital Edition of Bold Voices - May 2012

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Your NTI Checklist
AACN, Case Western Reserve University Announce Innovative DNP, PhD Collaboration
Patients at End of ICU Rounds Receive Less Face Time
Medical Panel Members Have Conflicts of Interest
Adverse Events Unreported
Penn Nursing Study: Nurse Burnout a Worldwide Problem
Low-Cost Changes to Nurses' Work Environment Also Benefit Patients
Hospital Workers Reluctant to Report Medical Errors
Flame of Excellence Awards
Circle of Excellence Awards
UTI Prevention Lower Priority Than Other HAIs
Children at Higher Risk for Infection in Intensive Care
Cameras, Feedback: Effective Tools to Enforce Hand Washing
In Our Journals
More Coronary Events Associated With Dabigatran
Certification Capsules
Publishing-related Events at NTI
Stay Connected at NTI
From the President

Bold Voices - May 2012