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Overview

Welcome to your new SureWash: GO

SureWash is a tool that will teach your staff, visitors 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.

It is scientifically proven to improve compliance in hand hygiene, thereby reducing the risk of Hospital Acquired infections (HAI).

     Your GO can:

  • Generate detailed reports on hand hygiene training for each staff member, group, hospital, location, department and role via SureWash.Net.
  • Deliver short lessons on topics such as WHO 5 moments for hand hygiene, PPE use, C Diff protocol, etc. Choose from existing lessons or make your own.
  • Deliver quick quizzes to test knowledge. Choose from existing SureWash quizzes or make your own.
  • Display leaderboards and group training goals to help motivate staff to participate in hand hygiene training.

By incorporating gamification and e-learning techniques (lessons, quizzes and leaderboards) into the training process, healthcare staff are more engaged in the learning process, developing muscle memory for life, improving staff’s hand hygiene efficiency.

Learning approach

SureWash progressively builds the muscle memory for the WHO approach over 5 learning levels and a tutorial.

  • The tutorial option 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.

Login & Languages

  • SureWash allows a variety of different user types.
  • The Admin user can choose the type of users that can login.
  • The standard SureWash: ELITE comes with UK English.
  • Other languages such as Spanish, French, German are available. Contact SureWash for more information.

Reports & Certificates

  • 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.

Quizzes and Lessons

  • 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 powerpoint slides and can be uploaded via www.surewash.net.

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:

  • View high level breakdowns of usage across each of your SureWash machines.
  • Create PDF and Excel reports for your SureWash machines.
  • If you have more than one SureWash machine, you can create a merged report which combines the data from your different SureWash machines.
  • Create micro-learning questionnaires, which can be sent directly to your machine if it is online, or downloaded to your SureWash USB stick for manual installation otherwise.
  • Download existing micro-learning questionnaires to your SureWash USB stick for manual installation.
  • Create PDF certificates of hand hygiene compliance to certify the users who have passed Level 1 or higher.
  • Create/upload CSV user lists and upload them directly to your machine. This feature requires that your SureWash machine be powered on, and connected to the Internet at the time of upload.

While there is a ‘offline data upload’ method available for getting your SureWash data uploaded to your SureWash.Net account in cases where no Internet connection is available, we generally recommend that you connect your SureWash machine(s) to a WiFi network at your facility, for best performance and to unlock more features.

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 ‘Reporting Suite’ and checking the ‘Last data sync’ indicator. If you wish to know more, you can find further details at www.surewash.net/help, or you can email us at support@surewash.com.

User Login

The following screen appears when the system is switched on:

Depending on the configuration of the SureWash system a user can log in to the system in many ways:

  • Visitor
  • Patient 
  • Staff

Visitor

Press the Visitor icon and select either hand hygiene training, quiz or lesson, depending on content loaded. All interactions are recorded anonymously and are shown in the reports under the ‘Other’ Department with the name ‘Visitor use’ and User ID: ‘00000000001’.

Patient

Press the Patient icon and select either hand hygiene training, quiz or lesson, depending on content loaded. All interactions are recorded anonymously and are shown in the reports under the ‘Other’ Department with the name ‘Patient use’ and User ID: ‘00000000002’. 

 

Hint: If staff wish to train anonymously, they should select the Visitor or Patient option.

 

Staff

Press the staff member button. If your system has been fitted with a card reader, staff can swipe their card to login. The card reader will be located above the screen. SureWash recommends that roles and departments be pre-loaded by the Administrator to ensure better quality reporting.  This will simplify the swipe in process for staff, as they will not be required to input any data. More information can be found on pg 19.

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. (The icon with three lines in the top right.) 

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.

Hand Hygiene Training

There are difficulty levels in SureWash but we recommend all users start with the Tutorial. This allows the user to get used to positioning their hands correctly and understand the poses that they will be performing. In hand hygiene training, a user has to perform all required poses one after the other in sequence. As the user passes each pose, 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 functions (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 demonstrates 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, they will be presented with a score, a comment on their proficiency and an overview of which 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.

Common Problems in assessments

First time users can have trouble passing on their first attempt as they are not only learning the WHO hand hygiene sequence but also how to use SureWash. Here are a few items to watch out for if you are having trouble:

  • Hand position:

Your hands should be centrally located in the field of view of the camera and not touching the tabletop or too close to the camera.

  • Movement:

To pass the poses you have to actively move your hands, you will not be able to pass the poses if your hands remain static (except when presenting to the silhouette during the preparation pose).

  • Environment:

SureWash should be used in a well lit indoor environment, not too close to a window, too much natural sunlight can confuse the camera

  • Overcrowding:

SureWash can only assess one set of hands at a time, make sure that other people are not too close as SureWash might have trouble detecting the correct set of hands.

Quizzes

In the Quizzes, a user has to answer a predetermined 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 is correct after they have answered each question, this is set when the quiz is being built – see SureWash.NET. Quizzes can be configured in the admin screen to only be displayed to users from specific roles and departments.

Below: sample of a question with four answers, only one of which is correct

A user must answer all questions correctly to pass. Anything less than 100% is treated as a “fail”. Reports can be generated for each quiz, showing overall results and results by individual registered users.

Lessons

Lessons are short micro lessons that are structured around powerpoint 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.

Lessons  can be developed for specific departments and roles.

Logging in as administrator

The Administrator screen of the SureWash Training System provides access to extra features on the system. In order to access the Administrator screen, press the Keyboard button on the staff login screen.

  • Press on Staff member
  • Press Keyboard login
  • Enter username as advised by the SureWash support team. 
  • (The username is case sensitive, please ensure it is entered correctly).
  • If this is the first time that the administrator screen has been accessed, you should enter the default password provided by the SureWash technical team. Otherwise enter the admin password you have set.

 

  •  Press the icon (three lines a.k.a. a hamburger) in the top right corner to access the administrator functions.

Users

Login types

  • SureWash:GO allows Touchscreen login only at this time, this is a default setting.

User types

  • 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. SureWashrecommends 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.

User login Settings

Enabling ‘Require user profile information’ requires staff to complete their profile information. You can choose between all fields being required or just role and department. These details will generate more useful reports.

Enabling ‘Show a list of all users during login’ (also requires Touchscreen login be enabled) will bring up a list of all registered users and allow a user choose their profile. This will allow users to find their own profiles but can potentially breach facility security protocols as all usernames are visible on the machine. Please check with your IT department before enabling this setting.

‘Allow only pre-loaded users to log-in’ prevents unregistered users from using SureWash. Users must be added to the system by the administrator. 

‘Number of logins allowed before user profile information required’, if set to 0 this prevents staff members  proceeding in SureWash without completing their profile information. Increasing this number allows login without this information being required and results in incomplete reports.

Edit users

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.

 

Edit roles and departments

(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.

Highlighting a role or department allows you edit, delete or disable it (ensure no users are still listed under the setting before deleting).

Importing user lists

If you have a high number of users, it is recommended that user profiles, (i.e., unique user ID, name, role and department for each user) be pre-loaded.  This will provide high-quality reporting and simplify the initial “login” process, as staff will not have to enter their own profile data.

This can be done through SureWash.Net which we recommend, however if required, it is possible to do manually following the steps below:

 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.

Uploading Via USB

  • Insert SureWash USB thumb drive into GO (left hand side).
  • Log into SureWash:GO as an administrator using your administrator username and password.
  • Press on the list icon in the top right hand corner (it resembles a hamburger).
  • Accept EULA if the message appears.
  • Press on Users (usually defaults to this menu tab).
  • Scroll down (on the 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.

Logging in

  • Users can 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 admin settings menu).
  • Important to encourage correct logins in order to provide training records.

Hand hygiene training settings

Hand hygiene training tab allows you set hand hygiene goals, difficulty levels and advanced settings for training.

‘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.

‘Difficulty Levels’

  • 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 emphasize 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.

 

‘Advanced settings’

  • 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 the option to have average time per pose.
  • Default settings are as pictured here.

Administrators Settings

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.

Quizzes Settings

SureWash will provide a standard quiz, but it is also possible to have multiple quizzes on a SureWash system, which can be activated as required through the configuration screen shown below. Quizzes can be created and uploaded to your surewash machine via SureWash.NET

  • The administrator can set who sees what Quiz.
  • The settings need to be adjusted on the system to make the quiz visible to the relevant cohort.
  • Unchecking all users boxes will leave a quiz on SureWash but not visible.
  • Staff members and student settings are the same.
  • Quizzes can be available at certain dates.
  • 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.

 Adding a new Quiz

  • 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 and will not delete it from the USB thumb drive.

 

 Points to note

  • 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 support@surewash.com.
  • Quiz reports are generated, in the Reports tab, onto theSureWash USB thumb drive to the SWQuestionnaireReport folder in both excel & .pdf format (or via SureWash.NET).

Reports

  • 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

  • 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 a 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.

 

PDF report

  • 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.

Lessons settings

  • The administrator can set who sees what lesson.
  • Staff members and student settings are the same.
  • Lessons can be available at certain dates.
  • 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.

Adding a new lesson

  • If the SureWash is on Wi-Fi, lessons 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, lessons 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 Lessons tab, scroll down and press Import lessons, this will import all lessons on the USB thumb drive.
  • Lessons 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.

Attract loop

When SureWash is not in use, an attract loop rotates on the screen designed to attract users to the system, by asking have they completed their hand hygiene training and telling them to practice their hand hygiene here.

There are three basic slides.

In addition, there are other optional slides. There are up to three leaderboards (when enabled), the goal slide (also when enabled), and custom slides can also be added. The goal slide can be enabled from Hand hygiene training settings.  Different slides last for different lengths if animated

Contact support@surewash.com to request custom slides for the attract loop. Please note that your machine will need to be brought online in order to facilitate this request.

Leaderboards

There are three leaderboards – department, role or user

They can be enabled as required by the administrator.

Department & role leader boards are good for driving engagement between departments & roles in day-to-day usage

User leaderboard is great on promotional days for driving competition. 

Note- please consult with your HR/IT department on hospital policy before enabling user leaderboards as a list of the top users will be visible to all who see the machine.

General

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 & Unit location

  • 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.

Default language

  • 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 weeksand will need the system to be put on the Wi-Fi network for updating.
  • Languages currently available – English, French, Dutch and Spanish.

Training Unit ID

  • This is the unique system identification number and starts with 400xxx.
  • This number is required when sending an email to support@surewash.com to report any issues or ask any questions.

Software

  • This is the version of software that the machine is running.
  • SureWash will advise when an upgrade of the software will be made available to you.
  • Software can be upgraded via SureWash.NET once the system is connected to Wi-Fior 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.

Licence

  • 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.

System backup & diagnostics

  • 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 support@surewash.com for analysis.

 

LDAP

  • SureWash can be integrated to your LDAP system – depending on your contract type, please contact your sales person for further details.

 

Device settings

Camera settings  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 the 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 the top right corner.
  • You may need to restart your system.
  • 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.
  • Login 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 successful 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.