When implementing amultimodal strategy (or bundle) for hand hygiene, the infection preventionist shouldfirst assess barriers to compliancebefore implementing solutions.
Step-by-Step Justification:
Understanding Barriers First:
Identifying barriers(e.g., lack of access to sinks, high workload, or poor compliance culture)is critical for effective intervention.
APIC Guidelines on Hand Hygiene Improvement:
Strategiesmust be tailoredbased on the institution's specific challenges.
Why Other Options Are Incorrect:
A. Signage for hand hygiene reminders:
Signagealoneis insufficient without addressingsystemic barriers.
B. Cost-effectiveness of hand hygiene products:
While important,cost analysis comes after identifying compliance barriers.
C. Availability of gloves in the patient care area:
Gloves do not replace hand hygiene and maylead to lower compliance.
CBIC Infection Control References:
APIC/JCR Workbook, "Hand Hygiene Compliance and Institutional Barriers".
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