HKBH has 99 infection control link nurses (ICLNs) in 26 clinical areas and from these focus groups were formed. These identified four key deficiencies and for each a program was implemented to resolve with the help of the ICLNs:
1. Help your doctors for excellence in Hand Hygiene: ICLNs reverse the low compliance amongst doctors, the accompanying nurses would squirt alcohol hand rub for them during ward rounds.
2. Competition for "Speaking Walls" poster: ICLNs helped their own ward to produce self-made posters, as the present reminders were deemed ineffective. It was believed that self-designed posters would have a better effect.
3. Identification locations for Point-of-care hand rubs: ICLNs reported that there were strategic locations without hand rub facilities. 22 such locations were identified.
4. Hand Hygiene education program and daily checklist for health care assistants (HCAs): This was implemented by the ICLNs for the reduction in compliance for HCAs is the highest.