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TABLE OF CONTENTS
FINAL REPORT – CORPORATE AUDITS
TABLE 1 - SUMMARY
TABLE 2
FIGURE 1
FINAL REPORT – SELF AUDITS
TABLE 3 - SUMMARY
TABLE 4
FIGURE 2
FINAL REPORT – PATIENT CARE AUDITS
TABLE 5 - SUMMARY
FIGURE 3
FIGURE 4
FIGURE 5
FIGURE 6
FIGURE 7
FIGURE 8
FIGURE 9
ALL NATIONS HEALING HOSPITAL
BALCARRES INTEGRATED CARE CENTRE
BROADVIEW CENTENNIAL LODGE
BROADVIEW UNION HOSPITAL
CENTRAL PRIMARY HEALTH CARE NETWORK
CUPAR AND DISTRICT NURSING HOME
2
ECHO LODGE
ELMVIEW EXTENDICARE
GOLDEN PRAIRIE HOME
GRENFELL HEALTH CENTRE
GRENFELL PIONEER HOME
INDIAN HEAD UNION HOSPITAL
KIDNEY HEALTH CENTRE
LONG LAKE VALLEY INTEGRATED CENTRE
LUMSDEN HERITAGE HOME
MENTAL HEALTH AND ADDICTIONS TREATMENT CENTRE
MENTAL HEALTH CLINIC 2110 HAMILTON 3RD FLOOR
MONTMARTRE HEALTH CENTRE
NATIVE HEALTH SERVICES
PARKSIDE EXTENDICARE
PASQUA HOSPITAL – 3A
PASQUA HOSPITAL – 3B
PASQUA HOSPITAL – 3C
PASQUA HOSPITAL – 3D
PASQUA HOSPITAL – 4A
PASQUA HOSPITAL – 4B
PASQUA HOSPITAL – 4C
PASQUA HOSPITAL – 4D
PASQUA HOSPITAL – 5D
PASQUA HOSPITAL – C.T.
PASQUA HOSPITAL – CARDIO/NEURO DIAGNOSTICS
3
PASQUA HOSPITAL – DAY SURGERY
PASQUA HOSPITAL - EMERGENCY
PASQUA HOSPITAL – EYE CENTRE
PASQUA HOSPITAL - ICU
PASQUA HOSPITAL – LABORATORY & PHLEBOTOMY
PASQUA HOSPITAL - MAMMOGRAPHY
PASQUA HOSPITAL - MSU
PASQUA HOSPITAL – NUCLEAR MEDICINE
PASQUA HOSPITAL - OR
PASQUA HOSPITAL - PACU
PASQUA HOSPITAL – RESPIRATORY THERAPY
PASQUA HOSPITAL – SHORT STAY
PASQUA HOSPITAL – THERAPY SERVICES
PASQUA HOSPITAL - ULTRASOUND
PASQUA HOSPITAL – X-RAY
QU’APPELLE HOUSE
REGINA CENTRE CROSSING - FMU
REGINA CENTRE CROSSING – SURGICAL ASSESSMENT CENTRE
REGINA LUTHERAN HOME
REGINA GENERAL HOSPITAL – 0D/1D
REGINA GENERAL HOSPITAL – 3E
REGINA GENERAL HOSPITAL – 4B
REGINA GENERAL HOSPITAL – 4F
REGINA GENERAL HOSPITAL – 5A
REGINA GENERAL HOSPITAL – 5E
4
REGINA GENERAL HOSPITAL – 5F
REGINA GENERAL HOSPITAL – 6A
REGINA GENERAL HOSPITAL – 6F
REGINA GENERAL HOSPITAL - ANGIO
REGINA GENERAL HOSPITAL – C.T.
REGINA GENERAL HOSPITAL – CARDIO/NEURO DIAGNOSTICS
REGINA GENERAL HOSPITAL – CATH LAB
REGINA GENERAL HOSPITAL - CCU
REGINA GENERAL HOSPITAL - CSU
REGINA GENERAL HOSPITAL – DAY SURGERY
REGINA GENERAL HOSPITAL - EMERGENCY
REGINA GENERAL HOSPITAL - ENDOSCOPY
REGINA GENERAL HOSPITAL – LABORATORY & PHLEBOTOMY
REGINA GENERAL HOSPITAL – LABOUR & BIRTH
REGINA GENERAL HOSPITAL - MDRU
REGINA GENERAL HOSPITAL - MICU
REGINA GENERAL HOSPITAL - MRI
REGINA GENERAL HOSPITAL - NICU
REGINA GENERAL HOSPITAL – NUCLEAR MEDICINE
REGINA GENERAL HOSPITAL - OR
REGINA GENERAL HOSPITAL - PACU
REGINA GENERAL HOSPITAL – PEDIATRIC OUTPATIENT
REGINA GENERAL HOSPITAL – PULMONARY FUNCTION
REGINA GENERAL HOSPITAL - RENAL
REGINA GENERAL HOSPITAL – RESPIRATORY THERAPY
5
REGINA GENERAL HOSPITAL – SHORT STAY UNIT
REGINA GENERAL HOSPITAL - SICU
REGINA GENERAL HOSPITAL - THERAPIES
REGINA GENERAL HOSPITAL - ULTRASOUND
REGINA GENERAL HOSPITAL – WOMEN’S HEALTH
REGINA GENERAL HOSPITAL – X-RAY
REGINA PIONEER VILLAGE – 2 EAST
REGINA PIONEER VILLAGE – 2 WEST
REGINA PIONEER VILLAGE – 3 WEST
REGINA PIONEER VILLAGE – 4 EAST
REGINA PIONEER VILLAGE – 4 WEST
REGINA PIONEER VILLAGE – HOSTEL
REGINA PIONEER VILLAGE – MAIN WEST
SANTA MARIA
SILVER HEIGHTS SPECIAL CARE HOME
SOUTHEAST INTEGRATED CARE CENTRE – ACUTE CARE
SOUTHEAST INTEGRATED CARE CENTRE - LTC
SOUTHEAST INTEGRATED CARE CENTRE - DIAGNOSTICS
ST. JOSEPH’S INTEGRATED CARE CENTRE
SUNSET EXTENDICARE
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
6
WASCANA REHABILITATION CENTRE – 3-6
WASCANA REHABILITATION CENTRE – ADULT THERAPIES
WASCANA REHABILITATION CENTRE – CHILDREN’S PROGRAM
WASCANA REHABILITATION CENTRE - FRP
WASCANA REHABILITATION CENTRE – MAIN 5
WASCANA REHABILITATION CENTRE – MAIN 6
WASCANA REHABILITATION CENTRE – ORTHOTICS & PROSTHETICS
WASCANA REHABILITATION CENTRE - RENAL
WASCANA REHABILITATION CENTRE – RESP (2-6)
WHITEWOOD COMMUNITY HEALTH CENTRE
WILLIAM BOOTH SPECIAL CARE HOME
WOLSELEY MEMORIAL INTEGRATED CARE CENTRE
7
FINAL REPORT – CORPORATE AUDITS
For October – December 2017, a total of 547 hand hygiene observations were submitted for analysis.
For the analysis of corporate audits, the following definition of hand hygiene was used:
Compliant:
1) Person was not observed with artificial nails/nail polish or jewellery not approved
Non-compliant:
1) Person was observed with artificial nails/nail polish not allowed, and/or
2) Person was observed with jewellery not allowed
8
Table 1: Regional hand hygiene compliance rates, Corporate Areas, September – December 2017
Measurement September 2017 October 2017 November 2017 December 2017
Number of observations submitted 195 178 144 225
Compliance at the region level 94% 94% 97% 91%
Noncompliance at the region level 6% 6% 3% 9%
Percentage of observations in which the
healthcare worker wore jewellery 5% 6% 2% 8%
Percentage of observations in which the
healthcare worker had artificial nails/nail
polish
3% 1% 1% 2%
9
Table 2: Results for facilities, services, and units that conducted Corporate Audits, October –
December 2017
Corporate Area Overall hand hygiene
compliance
Percentage of
observations in which
the healthcare worker
wore jewellery
Percentage of
observations in which
the healthcare worker
had artificial nails/nail
polish
Academic Health Sciences
69% 31% 0%
Clinical Engineering
91% 9% 9%
Employee Health & Safety
100% 0% 0%
Enterostomal Therapy
96% 4% 0%
Environmental Public Health
96% 4% 0%
Facilities Management – RGH
100% 0% 0%
Governance and Policy
100% 0% 0%
Grenfell Regional Office
92% 8% 0%
Home TPN 100% 0% 0%
IT – Infrastructure 93% 7% 0%
IT – Point of Care 93% 7% 0%
IT -Corporate and Clinical Support
94% 2% 4%
Learning and Development
100% 0% 0%
10
Corporate Area Overall hand hygiene
compliance
Percentage of
observations in which
the healthcare worker
wore jewellery
Percentage of
observations in which
the healthcare worker
had artificial nails/nail
polish
Patient Safety and Risk Management
100% 0% 0%
PH- Medical Media 100% 0% 0%
PPHS 2110 Hamilton Admin
100% 0% 0%
Primary Health Care – Navigation Services
80% 20% 0%
Public Health Admin – 2110 Hamilton
100% 0% 0%
Quality and Strategy 2180 Victoria Ave
100% 0% 0%
Quality and Strategy Primary Health
100% 0% 0%
Research and Health Information
83% 13% 3%
RGH – HIMS 90% 10% 7%
Security and Parking Services
100% 0% 0%
Workforce Planning and Development
100% 0% 0%
WRC – Communications
100% 0% 0%
WRC – Executive Offices
100% 0% 0%
Overall 94% 6% 1%
11
Figure 1: Hand hygiene compliance rates, Corporate Areas, September – December 2017
12
FINAL REPORT – SELF AUDITS
For October – December 2017, a total of 2912 hand hygiene observations were submitted for
analysis.
For the analysis of self-audits, the following definition of hand hygiene was used:
Complaint:
1) Hand gel or soap/water
Non-compliant:
1) Gloves only,
2) Missed hand hygiene opportunity,
3) Jewellery, and/or
4) Artificial nails/nail polish
13
Table 3: Regional hand hygiene compliance rates, Self-Audits, September – December 2017
Measurement September 2017 October 2017 November 2017 December 2017
Number of observations submitted 775 985 1006 921
Compliance at the region level 95% 95% 97% 96%
Noncompliance at the region level 5% 5% 3% 4%
Percentage of observations in which
the healthcare worker wore jewellery 1% 1% 1% 2%
Percentage of observations in which
the healthcare worker had artificial
nails/nail polish
1% 1% 1% 1%
Percentage of observations in which
the healthcare worker did not conduct
hand hygiene at all
4% 5% 2% 2%
14
Table 4: Results for facilities, services, and units that conducted Self Audits, October – December
2017
Area Overall hand hygiene
compliance
Percentage of observations in which the healthcare worker
wore jewellery
Percentage of observations in which the healthcare worker had artificial nails/nail
polish
Acquired Brain Injury Outreach Team
100% 0% 0%
Central Primary Health Care Network
98% 2% 0%
Communicable Disease and Sexual Health
100% 0% 0%
East Primary Healthcare Network
91% 2% 7%
EMS Indian Head 99% 0% 0%
EMS Regina 100% 0% 0%
EMS Rural 50% 0% 0%
EMS Whitewood 99% 1% 0%
Home Care – Palliative
95% 0% 0%
Home Care – Pediatric
97% 1% 1%
Home TPN 100% 0% 0%
Maternity Visiting Program
100% 0% 0%
Mental Health and Addictions – Child and Youth Services
98% 0% 1%
Mental Health Clinic (2110 Hamilton)
83% 17% 17%
15
Area Overall hand hygiene
compliance
Percentage of observations in which the healthcare worker
wore jewellery
Percentage of observations in which the healthcare worker had artificial nails/nail
polish
North Primary Health Care Network
97% 1% 0%
PH – Ambulatory Care
100% 0% 0%
PH – Dermatology 100% 0% 0%
PH – Environmental Services
99% 0% 0%
PH – Nutrition and Food Services
94% 0% 0%
PH – Pharmacy 97% 3% 0%
PH – Porters 80% 0% 0%
PH – SWADD 90% 0% 0%
PH – Unit Support Workers
85% 8% 5%
Prairie East Primary Health Care Network
96% 1% 0%
RGH – Ambulatory Care
97% 0% 0%
RGH – Environmental Services
97% 0% 0%
RGH – Fetal Assessment
97% 0% 0%
RGH – Infectious Diseases
100% 0% 0%
RGH – MEDEC and Foot Health
96% 4% 1%
16
Area Overall hand hygiene
compliance
Percentage of observations in which the healthcare worker
wore jewellery
Percentage of observations in which the healthcare worker had artificial nails/nail
polish
RGH – Mother Baby 92% 0% 0%
RGH – Pharmacy 100% 0% 0%
RGH – Porters 96% 0% 0%
RGH – SWADD 73% 0% 0%
RGH – Unit Support Workers
94% 0% 1%
RGH –Nutrition and Food Services
98% 0% 0%
RPV – ADSP/Therapies
59% 0% 0%
RPV – Environmental Services
93% 0% 3%
RPV – Nutrition and Food Services
100% 0% 0%
South Primary Health Care Network
100% 0% 0%
Specialty Immunization/Travel Health Clinic
100% 0% 0%
Touchwood Qu’Appelle Primary Health Care Network
98% 1% 0%
Twin Valleys Primary Health Care Network
96% 0% 0%
WRC – Environmental Services
100% 0% 0%
WRC – Nutrition and Food Services
100% 0% 0%
Overall 96% 1% 1%
17
Figure 2: Hand hygiene compliance rates, Self-Audits, September – December 2017
18
FINAL REPORT – PATIENT CARE AUDITS
For October – December 2017, a total of 9553 hand hygiene observations were submitted for
analysis.
For the analysis of patient care audits, 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
19
Table 5: Regional hand hygiene audit results, Patient Care Audits, September - December 2017
Measurement
September 2017
October 2017 November 2017 December 2017
Number of observations submitted 3156 3177 3195 3181
Compliance at the region level 83% 82% 83% 84%
Noncompliance at the region level 17% 18% 17% 16%
Percentage of observations in which the
healthcare worker wore jewellery 1% 1% 1% 1%
Percentage of observations in which the
healthcare worker had artificial nails/nail
polish
1% 1% 1% 1%
Percentage of observations in which the
healthcare worker did not conduct hand
hygiene at all
11% 18% 16% 16%
20
Figure 3: Hand hygiene compliance rates, Patient Care Areas, September – December 2017
21
Figure 4: Hand hygiene compliance, by facility, Patient Care Areas, October – December 2017
22
Figure 5: Hand hygiene compliance, by Healthcare Worker, Patient Care Areas, October – December 2017
23
Figure 6: Hand hygiene compliance, Regina General Hospital, Patient Care Areas, October – December 2017
24
Figure 7: Hand hygiene compliance, Pasqua Hospital, Patient Care Areas, October – December 2017
25
Figure 8: Hand hygiene compliance, Wascana Rehabilitation Centre, Patient Care Areas, October – December 2017
26
Figure 9: Hand hygiene compliance, Regina Pioneer Village, Patient Care Areas, October – December 2017
27
ALL NATIONS HEALING HOSPITAL
October – December 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate
28
BALCARRES INTEGRATED CARE CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
29
BROADVIEW CENTENNIAL LODGE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
30
BROADVIEW UNION HOSPITAL
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
31
CENTRAL PRIMARY HEALTH CARE NETWORK
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
32
CUPAR AND DISTRICT NURSING HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
33
ECHO LODGE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
34
ELMVIEW EXTENDICARE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 7%
Nails not allowed = 0%
35
GOLDEN PRAIRIE HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
36
GRENFELL HEALTH CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
37
GRENFELL PIONEER HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
38
INDIAN HEAD UNION HOSPITAL
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
39
KIDNEY HEALTH CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
40
LONG LAKE VALLEY INTEGRATED CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
41
LUMSDEN HERITAGE HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in November 2017
Jewellery not allowed = 8%
Nails not allowed = 0%
42
MENTAL HEALTH AND ADDICTIONS TREATMENT CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
43
MENTAL HEALTH CLINIC 2110 HAMILTON 3RD FLOOR
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 17%
Nails not allowed = 4%
44
MONTMARTRE HEALTH CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
45
NATIVE HEALTH SERVICES
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
46
PARKSIDE EXTENDICARE
October – December 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate
47
PASQUA HOSPITAL – 3A
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
48
PASQUA HOSPITAL – 3B
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
49
PASQUA HOSPITAL – 3C
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
50
PASQUA HOSPITAL – 3D
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
51
PASQUA HOSPITAL – 4A
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
52
PASQUA HOSPITAL – 4B
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 1%
53
PASQUA HOSPITAL – 4C
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
54
PASQUA HOSPITAL – 4D
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
55
PASQUA HOSPITAL – 5D
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
56
PASQUA HOSPITAL – C.T.
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
57
PASQUA HOSPITAL – CARDIO/NEURO DIAGNOSTICS
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
58
PASQUA HOSPITAL – DAY SURGERY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
59
PASQUA HOSPITAL - EMERGENCY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
60
PASQUA HOSPITAL – EYE CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
61
PASQUA HOSPITAL - ICU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
62
PASQUA HOSPITAL – LABORATORY & PHLEBOTOMY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
63
PASQUA HOSPITAL - MAMMOGRAPHY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
64
PASQUA HOSPITAL - MSU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
65
PASQUA HOSPITAL – NUCLEAR MEDICINE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
66
PASQUA HOSPITAL - OR
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
67
PASQUA HOSPITAL - PACU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
68
PASQUA HOSPITAL – RESPIRATORY THERAPY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in November and December 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
69
PASQUA HOSPITAL – SHORT STAY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in October 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
70
PASQUA HOSPITAL – THERAPY SERVICES
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in October and December 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
71
PASQUA HOSPITAL - ULTRASOUND
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
72
PASQUA HOSPITAL – X-RAY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
73
QU’APPELLE HOUSE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
74
REGINA CENTRE CROSSING - FMU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in October and November 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
75
REGINA CENTRE CROSSING – SURGICAL ASSESSMENT CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
76
REGINA LUTHERAN HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 2%
77
REGINA GENERAL HOSPITAL – 0D/1D
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 9%
Nails not allowed = 6%
78
REGINA GENERAL HOSPITAL – 3E
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
79
REGINA GENERAL HOSPITAL – 4B
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 1%
80
REGINA GENERAL HOSPITAL – 4F
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
81
REGINA GENERAL HOSPITAL – 5A
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 2%
82
REGINA GENERAL HOSPITAL – 5E
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
83
REGINA GENERAL HOSPITAL – 5F
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
84
REGINA GENERAL HOSPITAL – 6A
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in October 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
85
REGINA GENERAL HOSPITAL – 6F
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
86
REGINA GENERAL HOSPITAL - ANGIO
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
87
REGINA GENERAL HOSPITAL – C.T.
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
88
REGINA GENERAL HOSPITAL – CARDIO/NEURO DIAGNOSTICS
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
89
REGINA GENERAL HOSPITAL – CATH LAB
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
90
REGINA GENERAL HOSPITAL - CCU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
91
REGINA GENERAL HOSPITAL - CSU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
92
REGINA GENERAL HOSPITAL – DAY SURGERY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
93
REGINA GENERAL HOSPITAL - EMERGENCY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
94
REGINA GENERAL HOSPITAL - ENDOSCOPY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
95
REGINA GENERAL HOSPITAL – LABORATORY & PHLEBOTOMY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
96
REGINA GENERAL HOSPITAL – LABOUR & BIRTH
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 1%
97
REGINA GENERAL HOSPITAL - MDRU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 3%
98
REGINA GENERAL HOSPITAL - MICU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
99
REGINA GENERAL HOSPITAL - MRI
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
100
REGINA GENERAL HOSPITAL - NICU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
101
REGINA GENERAL HOSPITAL – NUCLEAR MEDICINE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
102
REGINA GENERAL HOSPITAL - OR
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
103
REGINA GENERAL HOSPITAL - PACU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
104
REGINA GENERAL HOSPITAL – PEDIATRIC OUTPATIENT
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
105
REGINA GENERAL HOSPITAL – PULMONARY FUNCTION
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in December 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
106
REGINA GENERAL HOSPITAL - RENAL
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
107
REGINA GENERAL HOSPITAL – RESPIRATORY THERAPY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in November and December 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
108
REGINA GENERAL HOSPITAL – SHORT STAY UNIT
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in October 2017
Jewellery not allowed = 4%
Nails not allowed = 0%
109
REGINA GENERAL HOSPITAL - SICU
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 1%
110
REGINA GENERAL HOSPITAL - THERAPIES
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in November 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
111
REGINA GENERAL HOSPITAL - ULTRASOUND
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
112
REGINA GENERAL HOSPITAL – WOMEN’S HEALTH
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
113
REGINA GENERAL HOSPITAL – X-RAY
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
114
REGINA PIONEER VILLAGE – 2 EAST
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
115
REGINA PIONEER VILLAGE – 2 WEST
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
116
REGINA PIONEER VILLAGE – 3 WEST
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
117
REGINA PIONEER VILLAGE – 4 EAST
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 4%
Nails not allowed = 0%
118
REGINA PIONEER VILLAGE – 4 WEST
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
119
REGINA PIONEER VILLAGE – HOSTEL
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
120
REGINA PIONEER VILLAGE – MAIN WEST
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
121
SANTA MARIA
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 2%
122
SILVER HEIGHTS SPECIAL CARE HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 2%
Nails not allowed = 0%
123
SOUTHEAST INTEGRATED CARE CENTRE – ACUTE CARE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 3%
Nails not allowed = 0%
124
SOUTHEAST INTEGRATED CARE CENTRE - LTC
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 3%
Nails not allowed = 1%
125
SOUTHEAST INTEGRATED CARE CENTRE - DIAGNOSTICS
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
126
ST. JOSEPH’S INTEGRATED CARE CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
127
SUNSET EXTENDICARE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in November 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
128
WASCANA REHABILITATION CENTRE – 2-5
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
129
WASCANA REHABILITATION CENTRE – 2-6
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
130
WASCANA REHABILITATION CENTRE – 3-2
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
131
WASCANA REHABILITATION CENTRE – 3-3
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
132
WASCANA REHABILITATION CENTRE – 3-5
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
133
WASCANA REHABILITATION CENTRE – 3-6
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
134
WASCANA REHABILITATION CENTRE – ADULT THERAPIES
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
135
WASCANA REHABILITATION CENTRE – CHILDREN’S PROGRAM
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
136
WASCANA REHABILITATION CENTRE - FRP
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 3%
Nails not allowed = 0%
137
WASCANA REHABILITATION CENTRE – MAIN 5
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
138
WASCANA REHABILITATION CENTRE – MAIN 6
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 1%
139
WASCANA REHABILITATION CENTRE – ORTHOTICS & PROSTHETICS
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
140
WASCANA REHABILITATION CENTRE - RENAL
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
141
WASCANA REHABILITATION CENTRE – RESP (2-6)
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Did not participate in October 2017
Jewellery not allowed = 0%
Nails not allowed = 0%
142
WHITEWOOD COMMUNITY HEALTH CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 0%
Nails not allowed = 0%
143
WILLIAM BOOTH SPECIAL CARE HOME
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 3%
Nails not allowed = 3%
144
WOLSELEY MEMORIAL INTEGRATED CARE CENTRE
OCTOBER – DECEMBER 2017
Red line = Hand hygiene compliance
Green Line = Hand hygiene target
Jewellery not allowed = 1%
Nails not allowed = 0%
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