Welcome to your new SureWash: GO
• SureWash is an tool that will teach your staff and patients how to clean their hands using the 6 step WHO hand hygiene technique at any time of the day or night using smart camera technology
• SureWash will generate detailed reports on hand hygiene training for each staff member, group, etc.
• SureWash can deliver short burst lessons on topics such as WHO 5 moments for hand hygiene, PPE use, Cdiff protocol, etc. All lessons can be customised by you.
• SureWash can deliver quick quizzes to test knowledge. All quizzes can be customised by you
• SureWash can present leader boards and group training goals to help motivate staff to participate in hand hygiene training
SureWash progressively builds the muscle memory for the WHO approach over 5 learning levels
• Tutorial breaks down the technique into the 6 separate steps. It is only possible to fail this level if you skip a pose
• Level 1 has a time limit of 20 seconds per pose
• Level 2 builds flow between steps without any breaks
• Level 3 builds speed and gives less guidance
• Level 4 builds speed and gives even less guidance
• Level 5 tests muscle memory by removing all guidance
By passing level 5 the user will have automated the skill of hand hygiene and really knows the WHO technique
• SureWash allows a variety of different user types
• The Admin user can the number and type of users who can login
• The standard SureWash:GO comes with UK English
• Other languages such as Spanish, French, German are available for purchase
• Admin users can generate both high level and very detailed reports on usage
• Data is grouped by department, role and individual • Reports can be exported to a special encrypted USB key
• If units are on Wi-Fi reports can be accessed via www.surewash.net
• Individual PDF certificates of compliance with hand hygiene training can be generated for users on www.surewash.net
• SureWash can be used to deliver short quizzes to test knowledge of Infection Prevention or other topics
• The quizzes can be designed and uploaded using the online tool at www.surewash.net with video, image or text questions
• Quizzes can have up to 5 answer choices and can be in image or text format
• Lessons are short micro lessons that are structured around power point slides and can be uploaded via www.surewash.net
For technical support please contact email@example.com your system number (starting with 4xxxxx – found on the underside of your system
SureWash.Net is a tool that allows you to access your SureWash data from your computer. Upon purchase of a SureWash machine, we can create an account for you to use the website, which is accessed at www.surewash.net.
SureWash.Net provides the following features:
It is important to note that SureWash.Net currently requires your SureWash machine/s to be connected to a WiFi network at your facility. In order to keep your dashboard up-to-date with the latest hand hygiene training data from your SureWash machine/s, your SureWash machine needs to be powered on and connected to WiFi.
Our website will perform a daily scan of your SureWash machine/s. You can see when the last successful scan of each machine took place by navigating to the ‘Analytics’ page and checking the ‘Last data sync’ indicator in the top left corner of each machine’s dashboard display.
The following screen appears when the system is switched on
Press the Visitor icon and select either Hand Hygiene Training or Questionnaire. All interactions are recorded anonymously and are shown in the reports under the General Department with User ID 00000000001.
Press the Patient icon and select either Hand Hygiene Training or Questionnaire. All interactions are recorded anonymously and are shown in the reports under the General Department with User ID 00000000002.
Hint: If staff wish to train anonymously, they should select the Visitor or Patient option.
Press the Staff member button. If your system has been fitted with a card reader, staff can swipe in. The card reader will be located above the screen, as indicated in the image.
SureWash recommends that roles and departments be pre-loaded by the Asministrator to ensure better-quality reporting. (Contact SureWash for further information if you wish to automate this process). This will simplify the swipe in process for staff, as they will not be required to input any data.
If user data is not pre-loaded, staff may enter their details manually.
After a user has swiped in for the first time they may update their profile by selecting the “Your profile” option.
Roles and departments can be pre-loaded by SureWash Support Team or amended on-site by the administrator. The drop-down list will be alphabetical.
A user need only complete this process once. SureWash recommends that this be done when they log in for the first time. The process is not necessary if the user information has been pre-loaded. Should a user move role or department, they can edit their profile to reflect this.
SureWash is available in languages other than English. On systems with more than one language option, a user should choose their preferred language when updating their profile.
There are difficulty levels in SureWash but all users can start with the Tutorial. This allows the user to get used to positioning their hands correctly & understand the poses that they will be performing. In hand hygiene training, a user has to perform all six/seven poses one after the other in sequence. As the user passes each post the system moves automatically to the next one.
Before the user can start hand hygiene training, their hands must be presented within the silhouette outlined on the video screen. This image of the hands is saved and is available in a report, so that administrators can check if people are wearing accessories such as jewellery, false nails, bracelets, etc. The user may need to lift their hands up or down to fit the silhouette and turn the outline from red to green. This feature may be switched off – see administration(hand hygiene settings)
The user must follow the poses in the correct sequence. The system moves on to the next pose when both grey progress bars have turned white. If the user is experiencing difficulty completing a pose, a video shows how the pose should be performed. The option to “Skip this pose” is also presented. If a user chooses “Skip this pose”, they will achieve less than 100% and fail the overall assessment.
After a user has finished a hand hygiene training session, the user will be presented with a score, a comment on their proficiency and reminder of the poses, if any, they had difficulty with.
The system can be set to ensure that users pass each level a certain amount of times before unlocking the next level.
In Quizzes a user has to answer a pre-determined set of questions. There is only one correct answer to each question. Questions rotate randomly between sessions, as do the answers relevant to each question. The quiz includes an option to show the user which answer was correct after they have answered each question. (This is set when the questionnaire is being built – contact SureWash).
Below: sample of question with four answers, only one of which is correct
Below: sample question with correct answer selected by user
Below: sample question with incorrect answer selected by user
A user must answer all questions correctly to pass. Anything less than 100% is treated as a “fail”. Reports can be generated for each questionnaire, showing overall results and results by individual registered users.
Lessons are short micro lessons that are structured around power point slides and can be uploaded via www.surewash.net
A user can write their own quizzes via the SureWash.NET portal and send them to their SureWash over Wi-Fi or via their SureWash USB thumb drive
Quizzes can be developed for specific departments and roles
•Press on Staff member
•Press Keyboard login
•Type in username as advised
• Enter password as advised
•This screen will list what quizzes are active on the system
• Press the icon (three lines a.k.a. a hamburger) in top right corner to access the administrator functions
•SureWash:GO allows Touchscreen login only at this time, this is a default setting.
• Staff member allows usage to be recorded as individuals for audit purposes. SureWash recommends unique logins and completed profiles for detailed reporting purposes. Staff can have a number of quizzes available to them at any one time
• Visitor allows visitors to train in their hand hygiene technique and to do one quiz. All interactions are recorded as one person on the reports
• Patient allows patients to train in their hand hygiene technique and to do one quiz. All interactions are recorded as one person on the reports
• Student allows usage to be recorded as individuals for audit purposes. SureWash recommends unique logins and completed profiles for detailed reporting purposes. Students can have a number of quizzes available to them at any one time
• Resident, for use in a care home/ long term stay facility, allows residents to train in their hand hygiene technique and to do one quiz. All interactions are recorded as one person on the reports
•Require user profile information This option requests users complete their profile when they log in.
• Require user profile information When the box is checked, the administrator can chose the number of logins allowed before the user will be allowed to continue to train without completing their profile.
• Show a list of all users during login When this box is check, the list of all users will appear in dropdown list when Keyboard login is pressed
• Show a list of all users during login This will permit users to access under another’s name and should only be used if they do not know their user ID/staff number – or whatever other chosen ID (could be email address)
If this option is checked, only those already registered in SureWash can use the system as a staff member or student. Unchecked, the system will allow a new user to register themselves manually
This option brings up a drop down list of all staff & student users registered on SureWash. The administrator can edit profiles – if staff move roles or departments, on this screen. The administrator can also disable users, for instance, if they have multiple profiles or if they have left the facility. Once disabled a user will no longer appear in a drop down menu
(same actions for either field)
This is where the administrator can add new roles or departments, edit roles and departments, or enable/disable roles and departments. On SureWash:GO there are a number of standard roles but no standard departments already preloaded onto the system when it arrives to your facility. If uploading a user list that includes roles and departments then this will populate both these fields.
Allows administrator to add new roles (or departments) manually.
• Highlighting a role or department allows you edit, delete or disable it (ensure no users are still listed under the setting before deleting)
•Create user list as per the user upload template provided by SureWash
To make an uploadable user list, you must create a CSV file in which each user entry is formatted correctly to match the template. The columns are as follows:
1. id: this can either be the number that is stored internally on a staff ID card, or else a unique identifier such as an email address.
2. firstname: the staff member’s first name.
3. lastname: the staff member’s last name (family name/surname).
4. department: the hospital department to which the staff member belongs, e.g., Cardiology, Radiology, etc.
5. role: the staff member’s role/job title, e.g. Nurse, Doctor, etc.
6. uniquehospitalid: this is the unique staff/personnel number for each member of staff. This may be identical to the Staff Card Number for certain types of staff card, e.g., cards with barcodes on them, but the two numbers are usually different. This field can be left blank if necessary.
An example user list can be seen below:
With the user list created, ensure that the file is saved as a CSV file and not an Excel workbook, and save it directly onto the SureWash USB(it can be saved with whatever filename you like), as shown below.
Now that the user list has been created and saved to a SUREWASH USB, it can be uploaded onto your SureWash system.
• Insert SureWash USB thumb drive into GO (left hand side)
• Log into SureWash:GO as an administrator using your administrator user name and password
• Press on the list icon in top right hand corner (it resembles a hamburger)
• Accept EULA if the message appears
• Press on Users (usually defaults to this menu tab)
•To upload a user list manually (using your SureWash USB thumb drive.
• Scroll down (on left hand side) to the bottom of the screen
• Press Import Users
•Highlight the .csv file required
•The list will appear for review
• Press Import
• Users can now log in using their user ID/staff number, if they know it
• They can choose from a dropdown list (Can be enabled or disabled in the settings menu)
•Important to encourage correct log ons in order to provide training records.
•Hand hygiene training tab allows you set hand hygiene goals, difficulty levels and advanced settings for training
• Hand Hygiene Goals A facility can set goals as required. SureWash recommends agreeing a goal with the department into which SureWash is being placed for the next period. Progress for achieving the goal is displayed as part of the attract loop when the system is not in use. The default setting (when you press Reset Goal) is to have 50 people pass level 3 within the next calendar month. The group should decide what is reasonable to achieve within the time period the system is allocated to them.
• All staff begin by doing the tutorial level – this shows new users how to use SureWash – where to place their hands, there is a prompt as to the action to be done and a video showing how the pose is done. The speed is slowed down to emphasis the action.
• When staff complete the tutorial they should continue to level 1 where they will be assessed against the clock for the first time.
• The facility can determine how many times each level needs to be completed before the next level can be unlocked.
• Each level further tests a user’s proficiency at their hand hygiene technique until at level 5 when they will have to complete the sequence with no user guidance – considered a blind assessment
• When logged in as a staff member, the next available level will be offered
• Staff & students are subject to locked levels – as set by the facility. Patients, residents and visitors have all levels available to them each time.
• SureWash recommend the staff & students levels as pre-set but these can be changed in this screen.
• Staff & students only have the current qualified level available to them
• Unchecking a box makes a level unavailable to all users
• Enable preparation pose starts the training with a red outline of hands, a user should place their hands such that the red turns to green – this shows them where to hold their hands to successfully complete the training
• Enable sleeve detection is used when “bare below the elbow” is required by a facility – it reminds users to not have any sleeves showing
•SureWash uses the WHO technique for hand hygiene training
• This can be adapted for “bare below the elbow” by checking …with wrists option and will include a seventh pose Wrists
•There is the option to do finger tips first technique – check this box
• Pose 4 has the option to be a one-handed pose
• SureWash defaults to showing total time in score screen but you do have option to have average time per pose.
• Default settings are as pictured here
Here you can edit your admin profile by filling out your name, role and department. As well as changing your password and registering new administrators.
• The Quiz functionality allows for short sharp bursts of learning to check for gaps in knowledge
• A hospital can write their own quizzes via the SureWash.NET portal and send them to their SureWash over Wi-Fi or via their SureWash USB thumb drive
• SureWash can support multimedia quizzes also – pictures and short videos
• SureWash is shipped with a General Questionnaire
• Pass rate for a SureWash quiz is 100%
• A number of quizzes can be displayed at one time, though they will disappear from the user’s dashboard as they achieve 100%
•Quizzes can be developed for specific departments and roles
• The administrator can set who sees what quiz
• Staff members and student settings are the same
• Quizzes can be available at certain dates
• Questions can rotate randomly or in order if using a multimedia video/picture as part of a question
• Answers will continue to rotate & appear in random order within the question
• Outbreak mode if engaged means that quiz supersedes all others and is made available to all users (e.g in the case of a Norovirus/MRSA outbreak)
• SureWash, if made available to the public, can be used as an educational opportunity in both hand hygiene and other infection prevention topics
• All users as patients or visitors are treated as one user in the reports so no personal details are stored on SureWash
• If the SureWash is on Wi-Fi, quizzes can be pushed onto the system from the administrator’s desktop computer
• The settings need to be adjusted on the system to make the quiz visible to the relevant cohort
• In the event the SureWash is not on Wi-Fi, quizzes can be written on SureWash.NET and put on the system via the USB key
• Generate the new quiz from SureWash.NET to the SureWash USB thumb drive
• Insert the USB thumb drive into the SureWash machine
• Login as administrator
• Press on Quizzes tab, scroll down and press Import quizzes, this will import all quizzes on the USB thumb drive.
• Quizzes will need to be made available to the relevant cohorts via the Edit function
• Pressing Delete for a quiz will remove it from the SureWash will not delete it from the USB thumb drive
• Unchecking all users boxes will leave a quiz on SureWash but not visible
• Changing a quiz in anyway creates a new quiz and new statistics, if there is a spelling mistake in a quiz after a quiz goes live, contact firstname.lastname@example.org
• Quiz reports are generated, in the Reports tab, (or via SureWash.NET) onto the SureWash USB thumb drive to the SWQuestionnaireReport folder in both excel & .pdf format
• Ensure that the hospital name is correct – see General
• A SureWash USB key is required
• Use on-screen keyboard to log into admin screen (under enter staff ID number)
• Hand hygiene reporting generates reports for usage on the SureWash giving results over all, by department and by role.
• Generate report gives a screen with options to change date range/ department selection and generates the report to the screen, this can then be exported to the USB thumb drive to look at on a computer
• Generate Excel report generates all the usage information on the SureWash to an excel report directly to the USB thumb drive
• Defaults to six months from current date.
• Both start and end date can be amended historically
• Defaults to all departments and can be amended to just one.
• Check boxes default to generating reports without non-assessed users while at the same time producing a separate excel file of those registered users who have failed or not been assessed in the selected time frame.
• When SureWash is not in use, an attract loop rotates on the screen telling everyone to practice their hand hygiene.
• There is three basic slides.
• In addition, there are other optional slides. There are up to three leader boards (when enabled), the goal slide (also when enabled), and custom slides can also be added.
• There is no limit on the number of custom slides, speak to SureWash to add yours.
• Different slides last for different lengths if animated
• There are three leader boards – department, role or user
• Department & role leader boards are good for driving engagement between departments & roles in day-to-day usage
• User leader board is great on promotional days for driving competition!
• None, one, two or all can be enabled as required, by the administrator.
• Enabling & setting goals is done in the Hand hygiene training tab
• See Hand hygiene training guide to set
• A goal should be set in discussion with the department into which SureWash is being deployed as its purpose is to drive engagement
•This screen contains system information – the facility name, location, system serial number, the current software version, licence, back-up & diagnostics and device settings
• Hospital name this is where the facility name is entered, it is this name that will appear on the Reports
• Unit location this should be set to differentiate different sites if the system moves to clinics or other hospital campuses
• SureWash is available in multiple languages, depending on your contract, there may be an additional charge for this
• If the chosen language is not already available, this process can take up to two weeks and will need the system to be put on the Wi-Fi network for updating.
• Languages currently available – English, French, Dutch and Spanish
• This is the unique system identification number and starts with 400xxx (unknown in this picture)
• This number is required when sending an email to email@example.com to report any issues or ask any questions
• This is the version of software that the machine is running
• SureWash will advise when an upgrade of software will be made available to you
• Software can be upgraded via SureWash.NET once the system is connected to Wi-Fi or by SureWash USB thumb drive
• If upgrading via thumb drive, you will be sent an email with a file to be downloaded to the thumb drive and a password – you will need both to access the upgrade
• SureWash recommends taking the opportunity to back up all data and transferring the file to a secure location
•The licence is valid for 12 months and will be updated following the annual fee being paid, SureWash will update this when connected over Wi-Fi
• SureWash recommends backing up your system on to your SureWash USB thumb drive and copying this file to a secure location
• SureWash recommends backing up your system prior to upgrading your software
• On occasion you may be asked to collect system diagnostics from your SureWash – you should send this file to firstname.lastname@example.org for analysis
• SureWash can be integrated to your LDAP system – depending on your contract type, please contact your sales person for further details
• Camera settings: these are set by the factory for the location where we ship the system, they should not be changed.
• In general, for US setting should be 30Hz
• For Europe, setting should be 25Hz
• In all regions camera type will be Auto
• SureWash:GO has to be put on to Wi-Fi for assistance from the support desk. www.surewash.net will also require your system to be on Wi-Fi to facilitate transfer of information to the cloud & allow access from your desktop
• SureWash recommends using the hospital Wi-Fi rather than the Guest Wi-Fi, speak with your IT department in relation to this (or ask them to speak with us)
• Display settings
SureWash can be shared to other screens via a wireless display dongle
• Time settings
• SureWash will automatically update the time and date settings when connected to Wi-Fi
• In the event of the power being completely run down, the time may be incorrect and affect accurate recording of training activity
• Press Time settings and the Windows box will overlay the SureWash screen
• Ensure correct time zone and correct date and time, apply changes and press x in top right corner
• You may need to restart your system
• Welcome to your new SureWash system
• This guide will help you integrate, rollout and implement the SureWash system with your current hand hygiene infection control practices and protocols
• The system is designed to be user friendly and intuitive helping staff train at a time to suits them and at their own pace
• The content is based on how SureWash has been successfully deployed in other healthcare settings
• Become comfortable with using the SureWash system
• Practice – if you are comfortable, others will also be….
• Familiarise yourself with customisable settings
• Understand the menus, admin settings and file structures within the system
• Introduce SureWash to your hand hygiene champions (most important ambassadors and influencers for the technology)
• Emphasize why technique matters & why training records are important
• Ensure they know how staff/patients & visitors should engage with the system
• Explain how the system will be rotated around the hospital
• If using Goal setting, explain how this will work
• Explain who to contact for assistance if they have questions
• SureWash.net (will require access over Wi-Fi. This will allow you to manage your system(s) from your desk – update users lists, pull reports, push quizzes and more.
• Technical support for SureWash can be delivered remotely and IT will need to be aware of this
• Put your IT department in contact with SureWash and we will go through requirements with them
• Are you locating a SureWash:GO system on a wall? Check with us about how to mount it
• Check the system settings – is your facility comfortable with the recommendations for passing each level?
• Preload your user template file
• Are you using the quiz functionality? Set who sees which quiz.
• Determine and communicate the rotation schedule for the machine (more detail on next slide)
• Understand the level of records you need to keep for CMS compliance
• List the individual units in the group: e.g. – Day Unit – Out patient areas – Administration – Catering
• Prioritise the rotation with Infection Prevention/Education
• Typically, it should take 7-8 days to train each department/unit
• Discuss what goal a department/unit should achieve over the period SureWash is located with them
• Be sure to engage with department/unit to check progress of training; follow up with responsible team champions.
• Consider incentivising usage of the system to enhance engagement
• Create a campaign to tell everyone in the group about SureWash. This should include staff, patients and visitors (each group is optional)
• Schedule should also include patients and visitors
• Don’t forget special hand hygiene events, global hand hygiene day
• Utilise ‘huddles’ as a teaching moment and to introduce SureWash for the first time to each department/unit
• Key to placing device: – accessible power outlet – convenient location – easily available for staff, patients, visitors to see and use
• You will need to revisit the system and check on usage
• Be active, especially on the 1st rotation
• Give an interim report to the unit manager
• Repetition builds habit: inform departments/units the SureWash will rotate back to them in the future
• Request a number of interactions from each person
• Some hospitals request minimum 100% on level 1 for each person on 1st rotation and 100% on level 2 for 2nd rotation
• Let staff know where and when the system is going to be placed
• The system will return to the unit to re-inforce the learning
• Encourage the unit to build on their previous goals
• All staff should know where the SureWash system is in the hospital even when it is not on their unit
• All training at any location will be captured for reports
• Ask SureWash how to use marketing collateral to make the unit and campaign more visible
• Make sure housekeeping know how to clean the system
• If a department/unit encounter a problem, give them a contact name and number (yours) to follow up with, if they cannot get support, the system will not be used
• Ensure only you or authorised people un-plug the system and relocate it as per the schedule
• Make sure staff understand that the system should be powered down before unplugging
•SureWash can have multiple quizzes available
•Consider if you want specific topics available to specific roles
• Should you have patient and visitor quizzes available
•SureWash comes with a standard quiz that can be made available to all users
•Quizzes can be written via www.surewash.net
• Topics can include glove use, MRSA, norovirus, etc. – work with your IP team to determine which topics are pertinent
• Run report early in rotation
• Give the Unit Manager early feedback to support use
• If initial usage is low then this will help increase usage
• Ensure that staff details are being captured correctly
• Check reports and make sure data is correct
• Give initial feedback to local champion and staff leads
• Also give feedback to staff, encourage them to achieve their goal!
•For the first period:
• Visit the machine regularly (daily or every two days)
• Get feedback from local staff:
• Are they using it?
• Check to see if it’s powered on
• If not on, what is the problem?
• Use standard alcohol wipes to wipe down the system
• Before/after relocation
• On the screen, use ONLY a damp microfiber cloth
• Only clean screen when the unit is fully powered down
• Questions or concerns: support@SureWash.com
• Does the next unit know SureWash is coming to them?
• Run a report for current unit.
• Advise department/unit that SureWash is on its way.
• Physically wipe down the SureWash device.
• Turn it off. Allow computer to shut down and screen to go black
• Unplug, lower camera head & close door
• Log in as administrator
• Go to General tab
• Scroll down to the Wi-Fi settings
• Click Connect on the desired network
• Enter the network security key and then click Open web browser to ensure the connection has worked
• You can test if the connection is complete by entering www.google.com into the search bar, and ensuring the webpage loads
• You may be prompted with an additional credentials page depending restrictions in place by your IT department