I don't agree with the surveyor's suggestion. I have never heard of recording names for general hand hygiene audits and agree it could be seen as punitive. It is also not realistic in many environments. Do the people submitting hand hygiene observations know every single person's name in the department? Sometimes I am the one recording observations and I do not know everyone's name. It isn't feasible to try and check the person's badge - staff are on the move and sometimes badges flip over.
For the hand hygiene programs I've worked on, we do not record the individual's name, but we do try to record their job role. We have a variety of categories, such as RN/LPN, CNA, Tech, Provider (MD, DO, PA, NP), etc. This helps ensure data includes a variety of staff members and makes it easier to provide targeted feedback without singling someone out.
Rather than recording someone's name, developing a speak-up culture would be much more meaningful (if you don't already have one). I haven't rolled this out myself, but I've heard of organizations designating a code word for hand hygiene to help staff provide each other with just-in-time feedback. If you see someone miss a hand hygiene opportunity, say the code word and that person will know you are asking them to perform hand hygiene. It makes feedback easier, especially in front of patients/visitors. I found this article from Cleveland Clinic that discusses their "SNAP" campaign.
https://consultqd.clevelandclinic.org/all-in-with-successful-hand-hygiene-program
I hope this helps!
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Larkin Miers, MS, CIC
Infection Preventionist IV
Oregon and SW Washington
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