To effectively interrupt the transmission of pathogens, correct hand disinfection is essential. 

For this reason, the Commission for Hospital Hygiene and Infection Prevention (KRINKO) recommends training on the indications for hand disinfection at least once a year in conjunction with training:

"To ensure compliance with hand hygiene, all employees must be trained at least once a year (and promptly when problems in this area are indicated) on the indications for hand disinfection in conjunction with training, e.g. with [...] dye in the HDM (Cat. IB)." ^{[1; p. 1209]}

Although it "Recommendation" means that some RKI recommendations causing obligation:

• This is the case because Section 1 Paragraph II of the Infection Protection Act (IfSG) requires action in accordance with the current state of medical and epidemiological science and the RKI was appointed as a scientific body in accordance with Section 4 II 1. IfSG. The states are in turn responsible for enforcement in accordance with Section 54 IfSG.
  
  The RKI recommendations of categories IA and IB are based on a secure, epidemiological background, whereas recommendations of categories II, III and IV are based on indications, discuss conflicting opinions or reflect laws. ^{[1; p. 1189]}
  
  
• The recommendation for annual hand disinfection training for all employees is based on these clinical and epidemiological studies ^{[1; p. 1206]} and was deemed effective by experts from the Commission for Hospital Hygiene and Infection Prevention at the Robert Koch Institute as part of a consensus decision. This justifies the strict, comprehensible classification in the mandatory category IB. ^{[1; p. 1209]}
  
  
• Failure to implement RKI recommendations is therefore a violation of the IfSG.

This is how DesiCoach® supports you in implementing this recommendation in practice:

Through visual feedback, each user develops a individual disinfection technology!

In order to fully comply with the recommendation and to be able to effectively train the correct implementation of hand disinfection, the DesiCoach® training method addresses for the first time 3 important learning objectives:

DOSING

1. The individual amount for your hand size

➝ DesiCoach® shows you which dosage you need for your individual hand size and which technique you can use to transfer this amount to both hands without any loss.

Hardly any aspect of hand disinfection is as important as the correct dosage.

Only with the optimal amount - for the individual hand size - do you have a chance of correctly wetting both hands and achieving the appropriate exposure time. A volume of at least 3 ml is recommended for this, or the amount that fits in the palm of a hand. 

Delayed ON-coloring

2. Correct wetting of the hands

➝ The coloring of the hands takes place with a slight delay, making any deficiencies in the wetting only clearly visible after the rubbing is complete. This helps you to learn an independent rubbing technique.

The individual dosage should be rubbed into both hands so that the entire surface of the hand, ie fingertips, nail folds, thumb, spaces between fingers, inner and outer surfaces are wetted with the disinfectant for the duration of the exposure time declared by the manufacturer (usually 30 s). If less than 2 ml is applied, the wetted area is significantly reduced! ^[2]

Immediate ENT-staining

3. Internalize the correct order

➝ In the second part of the training, the decolorization takes place immediately and without delay. With the DesiCoach® method, weak points can be identified directly and visibly. This key mechanism supports you in directly improving your own disinfection technique.

This learning objective is about developing a self-responsible and individual routine that ensures that critical skin areas are particularly well disinfected (fingertips first!).

Scientific studies show that this method of individual routine better results than strictly imitating a prescribed procedure. ^[3]

The DesiCoach® training method supports you simply and efficiently in implementing the RKI recommendation for practical training.

Sources:

[1] Federal Health Gazette No. 59; Hand hygiene in healthcare facilities - Recommendation of the KRINKO at the RKI; Springer-Verlag Berlin; Heidelberg; 2016
[https://www.rki.de/DE/Content/Infekt/...]

[2] Kampf et al.; Less and less–influence of volume on hand coverage and bacterial efficacy in hand disinfection; BMC Infectious Diseases 2013; 13:472
[https://www.ncbi.nlm.nih.gov/pmc/articles/...]

[3] Sakmen et al.; Impact of the teaching method of the rub-in technique for learning hygienic hand disinfection in medical studies: a comparative effectiveness analysis of two techniques; GMS Hygiene and Infection Control 2019; 14; Doc17
[https://www.ncbi.nlm.nih.gov/pmc/articles/...]