This idea was changed with the education we were giving on hand hygiene.
• The hospital ran out of stock of hand rub.
This was overcome by making our own hand rub using glycerine & methylated spirits and some even bought their own hand rub.
• Since the posters were written in English some patient’s guardians used the hand washing buckets to clean their utensils or even wash their faces. This was overcome by health education and additional posters in our mother language so that they could read and understand the use of the buckets.
Patricia is covering most of the points mentioned above to consider for sustainability: engage all involved; communicate; keep monitoring the change; provide training; and have a clear sustainability strategy.
Patricia’s sustainability plan: • Keep track of all activities/records of the project and present monthly reports. • Staff/teammotivation. • Ensure project ownership. • Orientation of new staff on the project. • Supportive supervision.
Staff involvement in QI projects can be a challenge. People often do not like change, and busy healthcare staff can be afraid it adds to their high workload or makes their work more complicated. It is therefore very important to communicate the need for the project and the results of making changes.
Example: Richard also encountered some challenges in his project on the use of pain medication during dressing changes:
CHALLENGES • • LIQUID MORPHINE STOCK RAN OUT. • Discussed with relevant stakeholders to ensure the drug is always in stock. • • NON ADHERENCE TO THE GUIDELINES BY SOME MEMBERS OF STAFF. • Discussed with relevant stakeholders during supportive supervision and dissemination. • • FEW PATIENTS WERE ADMITTED BETWEEN OCTOBER AND DECEMBER. • Included orthopaedic patients in the projects who had wounds from January 2020
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