1. Sani Help
  2. Improvement work

The Sani Nudge checklist

Help boost your customers’ hand hygiene.

Do you have a customer who needs help to improve their hand hygiene compliance? There can be several factors that hinder the desired outcome. We have created a checklist you can work from. It’s based on the factors and barriers from the scientific literature that we know impact an organization's hand hygiene level. 


Go through the checklist with your customer to identify and overcome the barriers:

  • Pre-onboarding and onboarding:

Timing is everything. The leaders, Hygiene Mentors, and healthcare workers must understand how Sani Nudge works and how it helps them to keep their patients, themselves, and colleagues safe. Online and in-person training is needed. Only hand out Sani IDs after proper training has taken place. 

  • Sharing insights: 

Have the local Hygiene Mentors shared data from Sani Analytics at least bi-weekly with their colleagues via, e.g., report, handout, e-mail, etc.? 

  • Action plans:

Are unit-level hand hygiene compliance results used for creating action plans with appropriate goals?

  • Intelligent Nudging: 

Has the customer tried Intelligent Nudging to boost compliance?

  • Individualized data:

Have the healthcare workers signed up for Individual Motivation reports?

  • Leadership:

Have senior leadership (CEO, CMO, CNO) demonstrated support to hand hygiene improvement in the last year, e.g., a written or verbal commitment delivered to healthcare workers? Is regular (at least every 6 months) feedback on compliance data given to senior leadership, physician and nursing leadership, the board, and the medical executive committee? 

  • System service:

Have you checked Sani Nudge Backoffice? A service visit or involvement of the maintenance department may be needed for, e.g., replacing batteries. 

  • Patients and visitors:

Are patients and visitors invited to remind healthcare workers to perform hand hygiene? 

  • Dispensers are in inconvenient locations: 

Are they located at places that fit into the workflow of the healthcare workers? 

  • Enough dispensers: 

There should, on average, be 2.5-3 dispensers per patient room and within 15 feet of the patient's bed that is easily accessible. 

  • Dispensers are broken: 

Is there a clear process and delegated responsibility for identifying and changing broken dispensers?

  • Dispensers are empty: 

Dispensers will run out before refills are planned. Who has the responsibility for on-time refilling? If everyone is responsible, no one is responsible. 

  • Lack of time: 

Healthcare workers are busy and may feel they don't have time to clean hands as often as they should. This factor can be difficult for you to help with, but you can make them aware and help them identify patterns in Sani Analytics where compliance is low (e.g., during weekends). 

  • Lack of awareness and training: 

Some healthcare workers may not be fully aware of the importance of hand hygiene, may not understand proper hand hygiene techniques and guidelines, or what their workplace stands to gain from improving hand hygiene. Ongoing education sessions may be needed. Example: How hand hygiene should be performed when gloves are used or use a glitterbox (UV light) to demonstrate the quality of handrub.