iScrub Lite 1.5.1

Documentation Updated 3-25-2011

About

iScrub 1.5 Lite is a free hand hygiene application for the Apple iPhone/iPod Touch. You may download the app directly from the iTunes app store via your device or by clicking here and installing throught iTunes.

Navigation

This is the home menu for iScrub; a user has 6 navigation options:

iScrub Main Menu
Record Observations

Use this to input your hand hygiene compliance data.

Email Observations

Email data files to yourself via this panel.

Change Settings

Configure email address and hand hygiene observation modes here.

Leave Feedback

Provide the iScrub development team with feedback.

View Help

View iScrub documentation for tutorials and troubleshooting.

About

directs the user to a panel containing application credits and version number.

Recording Observations

In iScrub, each hand-hygiene observation is associated with a location (e.g., Intensive Care Unit) and a job role (e.g., Nurse). Location information is entered when an observer begins making observations, and job role is entered each time an observation is made.

Selecting Locations & job roles

Category and Locations screens

These default lists may be edited to add and remove items (see Editing Lists).

Selecting Opportunities

"Opportunities" (see Hand-Hygiene Opportunities) define common events during patient care that are recognized as being important moments for observing safe hand-hygiene practices. Depending on which observation mode you have specified in your iScrub settings, this screen will contain a list of either 2 or 5 different hand-hygiene opportunities (see figure below). Regardless of the mode, user input is handled identically in both.

In Room/Out of Room vs. 5 Moments

Specifying Compliance

Each hand-hygiene observation must be set as No, Wash, or Rub. No indicates a failure to comply to safe standards while Wash or Rub indicate a successful hand-hygiene event.

Wash or Rub?

  • Handwash (soap and water): Wet hands and apply enough soap to cover all surfaces of hands. Rinse and dry with a single-use towel.
  • Handrub (alcohol-based rub): Apply enough handrub to cover all surfaces of hands. Rub until dry.

Specifying Protective Gear

You may optionally record information regarding any required isolation precautions.

PPE Selection Screen

Adding Observation Notes

With each observation you have the option of attaching a note containing additional compliance information not otherwise captured by iScrub.

Tap the icon to add a note to your observation

Add custom note screen

These default lists may be edited to add and remove items (see Editing Lists).

Editing Lists

iScrub provides default lists for job roles, locations, and observation notes. The items in these lists can be edited or removed and new items can be added to suit your institution's needs.

You may enter edit mode for any list by by tapping the button in the upper right hand corner.

List Editing Controls

  • Modify Item Tap any item to edit its name.
  • Delete Item Pressing this icon will remove that entry from the list.
  • Add Item Pressing this icon allows you to add a new entry to the list.
  • Reorder Item Tap and hold this reorder icon briefly to enter re-order mode, and then drag the item to its new position in the list.
Edit job roles screen

Hand Hygiene Opportunities

iScrub supports two modes for recording hand-hygiene observations:

1. In Room / Out of Room

  • In Room

    Before touching a patient

  • Out of Room

    After touching a patient

2. The Five Moments of Hand Hygiene

The World Health Organization (WHO) Guidelines on Hand Hygiene in Health Care recommend following the Five Moments of Hand Hygiene model. In this model, there are five opportunities during a patient-caregiver interaction for following safe practices:

  • Before Contact

    Before touching a patient

  • Before Procedure

    Before clean/aseptic procedures

  • After Exposure

    After body fluid exposure/risk

  • After Contact

    After touching a patient

  • After Environment

    After touching patient surroundings

A detailed description of this model is available on the WHO website.

Settings

iScrub 1.5 Lite allows users to email observation observation files to the iScrub study and to themselves. These files are sent to the email address specified in the settings panel.

Configuring Email Address

In order to use iScrub 1.5 Lite, a user must provide the email address for the iScrub study as the recipient. Users can also enter multiple email addresses in the CC section of the email.

Hand Hygiene Mode

A user must also specify which hand-hygiene model they wish to use.

Emailing Observations

All observations in iScrub 1.5 Lite are emailed directly to the user in a CSV file format. This is an operating system and application independent file format that can be opened by most spreadsheet applications (e.g., Microsoft Excel®, OpenOffice.org Calc).

Sending Observation Data

iScrub 1.5 Lite requires that a user manually initiate the process of emailing out observation files. To do so, tap the "Email Observations" button, which will launch the Apple Mail application. iScrub automatically generates an email containing all the appropriate content and file attachments, all you need to do is tap the "send" button located in the upper right-hand corner.

Clearing Observation Data

If you wish to discard all off your unsent (i.e., not emailed) observations, then tap the clear button. This will not effect previously emailed observations or those observations in your history log.

Warning: Once deleted, unsent observations cannot be recovered! Be careful!

Resending Observation Data

iScrub maintains a history log of the last 5 sets of emailed observations, allowing users to resend any of those observation files at any time.To do so, simply tap the list item you wish to resend.

Improve iScrub

Feedback

We are always interested in hearing your feedback on ways to improve iScrub. Tap the feedback panel to submit suggestions, questions, or other feedback to the iScrub development team.

Troubleshooting

  • My observation data is contained in the body of my iScrub emails rather than an attachment.

    iScrub data files are emailed out in a plain text file format (.csv). Some email clients identify this as normal text and append the file attachment directly to the body of your email rather than properly recognizing it as an attachment. If this occurs we suggest checking your email client's options or preferences to see how it chooses to handle text-based file attachments.