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To start the SureWash system, plug it in to a power supply and press the on/off button located on the right-hand side of the system. The SureWash system will boot up automatically.

 

 

 

To turn off the system, press the the on/off button and the system will shut down.  When the system has completely shut down (this takes approximately 30 seconds) the system may be unplugged from the mains power.  SureWash should not be unplugged from the mains power before being shut down.

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 quizzes, which can be sent directly to your machine if it is online; or downloaded to your SureWash USB stick for manual installation.
  • Download existing micro-learning quizzes 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.

 

It is important to note that SureWash.Net requires your SureWash machine(s) to be connected to a WiFi network at your facility. In order to keep your dashboard up-to-date with the latest hand hygiene training data from your SureWash machine(s), it must be powered on and connected to WiFi.  

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.com/docs/surewashnet, or you can email us your queries at support@surewash.com.

User Login

User Login

The below 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

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 General Department with 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 General Department with 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 in. 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 pg19.

 

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. This can be changed through admin settings.

Roles and departments can be pre-loaded by SureWash Support Team or amended via SureWash.NET. The drop-down list will be alphabetical.

A user will only need to 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. 

 

When logged in, a staff member will see their personal dashboard (image below).

 

Dashboard readings, left to right:

  • Hand hygiene training sessions: the number of times the user has done a hand hygiene training session.
  • Hand hygiene training sessions passed: the number of times the user has completed a hand hygiene training session successfully (i.e., achieved 100%).
  • Your hand hygiene rank in “department” (only appears if profile is completed with department): rank is based on the number of times a user has passed a hand hygiene training session relative to other users in the department.
  • Quiz sessions: the number of times a quiz has been completed.
  • Quiz passed: the number of quiz sessions passed.

Hand Hygiene training

There are difficulty levels in SureWash but all users can start with the Tutorial. This allows the user to get used to positioning their hands correctly & understand the poses that they will be performing. In hand hygiene training, a user has to perform all six/seven 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 identifies 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, the user will be presented with a score, a comment on their proficiency and a reminder of the poses if any proved difficult for users (shown on next page).

The system can be set to ensure that users pass each level a certain amount of times before unlocking the next level.

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 customized for roles and departments so they are only visible as an option to the specified staff

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

Below: sample question with correct answer selected by user

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 lessons 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

 

Cleaning

SureWash recommends the following cleaning guidelines:

For health and safety reasons, the SureWash machine should be turned off using the power switch (on the right – hand side of the table) and unplugged before cleaning.

The SureWash machine (cart, table top, camera head and extrusion – excluding screen) should be cleaned and disinfected with a hospital grade disinfectant/cleaner. Allow the required contact time to be achieved before wiping away any excess. The screen edges can be cleaned with a cloth lightly moistened with a mild detergent solvent and then wiped with a soft dry cloth. The display can be cleaned with a soft dry cloth.

Do not use tissue paper etc. as this will damage the display.

Logging in as an 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 (this will appear as a gear/settings icon on some systems).

  • Enter username as advised by the SureWash support team. 
  • (Ensure that the username is entered in lowercase; press the CAPS button on the on-screen keyboard if necessary).
  • You will be prompted to enter your password as advised by the surewash support team. If this is the first time that the administrator screen has been accessed, you should enter the default password.
  • When logged in as an administrator, the following screen appears:

The administrator dashboard information, left to right, all refer to just the previous 30 days:

  • SureWash uses: the number of times the system has been used by staff, visitors and patients.
  • Hand hygiene sessions: the number of times a hand hygiene session has been attempted and/or completed. (This figure does not include the times a user has exited or walked away during a session.)
  • Users passed hand hygiene training: the number of unique registered users who have completed and passed at least one hand hygiene training session. Note: patients are registered as one unique user, as are visitors.
  • Quiz sessions: the number of times any quiz (including active & inactive quizzes) has been attempted and passed. (This figure does not include the times a user has exited or walked away during a session).
  • Users passed a quiz: the number of unique registered users who have passed at least one quiz session. Note: patients are registered as one unique user, as are visitors.

These figures only appear on this screen; they do not appear in any report.

Selecting Administrator settings brings up the following screen:

The different administrator features are presented on the left-hand side of the screen:

  • Users
  • Administrators
  • Attract Loop
  • Reports
  • Hand Hygiene Training
  • Quizzes
  • Lessons
  • General

Users

Login Types

Users can log into SureWash three ways:

 

  

Touchscreen login: a user will be prompted to login in using their user ID/staff number at the Keyboard login prompt. This is also the prompt that the administrator uses to access the administration function. If this is disabled, a cog/settings icon will appear in the right hand corner for administrator login only.

Swipe card login: a user will be prompted to login using their swipe card.

All three can be enabled with images for both swipe card & fingerprint login, rotating with keyboard option.

SureWash recommend using staff identifying information, e.g. user ID/staff number or swipe card as the quality of reports generated will be more beneficial.

 

User Types

The administrator can select which type of users can access SureWash – staff, visitor, patient, student, athlete or resident (for long term care facilities).

 

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 being enabled) will bring up a list of all registered users and allow a user choose their profile.

‘Allow only pre-loaded users to log-in’ does not allow new users register on SureWash. 

‘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.

 

Edit users

Allows the administrator select & edit a user’s information, e.g. change their role or department and to disable the user if they are no longer in the facility. The disabled user training records remain in the historical reports but will not be included in future reports.

 

Import users

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:

To make an uploadable user list:

You must create a CSV file in which each user entry is formatted correctly to match the template. (Only the ID field is required, all others are optional)

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. 

  • With the USB inserted, login as admin.
  • Navigate to the ‘Users’ tab and click ‘Import users’.
  • You may enable to field ‘show a list of all users during login’ (shown below) in order to facilitate easier username lookups during login.

 

 

Upon pressing the ‘Import users’ button, your CSV file should appear, and when selected, the list of users should be visible too. From here, click ‘Import’, and the process should be complete.

To verify that your user upload worked, log out as an admin and go back to the Staff Member login screen. Select ‘Keyboard login’ in the upper right corner.

If your upload was successful, and ‘Show a list of all users during login’ was enabled in the admin screen, a list of the users which you have uploaded should now be visible.

Roles and Departments

To begin with, if you have already imported users from SureWash.NET or used the ‘Import Users’ function to import user profiles from a CSV file, a list of roles and departments will be automatically populated to your machine based on the roles/departments associated with the users you have added. Mass imports of Roles and departments can also be done through surewash.NET which we recommend.

Do not delete old roles or departments which have users associated with them as it will skew your reports.

To add a new role/department, click ‘Edit roles’ or ‘Edit departments’ and then click the ‘Add new’ button. You will be prompted to type in the new role/department name.

 

Once this is complete, it will be enabled by default, and it will appear alphabetically in the list of other roles/departments.

 

There are some generic roles & departments already on your system which are disabled by default. They can be enabled by clicking ‘Edit roles’ or ‘Edit departments’ and clicking ‘Enable’ on the desired entry.

Administrators

This allows you to change the current administrator’s password and to register an administrator user. Select ‘Administrators’ and the following screen will appear.

 

 

Administrators can use their ID cards to register or they can log in using the keyboard.

Security

Update your password allows the administrator to change the password to something that they can easily remember. If the SureWash support team need to provide remote support the administrator may be asked to provide their password.

Attract Loop

When SureWash is not in use, an attract loop rotates on the screen telling everyone to practice their hand hygiene.

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.

There is no limit on the number of custom slides, speak to SureWash to add yours. Different slides last for different lengths if animated

 

Leaderboards

There are three leaderboards – department, role or user

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!

They can be enabled as required by the administrator.

Reports

Reports can be generated on SureWash.NET which is what we recommend. 

However in the event they need to be generated manually you can follow these steps:

The SureWash Training System allows detailed reports to be created that shows each user’s performance during a hand hygiene assessment. The reports are broken down by department and can be limited to a specific time period.

First, select ‘Reports’ from the left-hand side of the administrator interface. Connect the SureWash USB key. The following screen will appear.

 

Pressing the ‘Generate report’ button brings up the following screen.

 

 

Choosing the default settings and pressing ‘Generate report’ will create a single report that covers the previous six months of the system’s use.

After creating a report, it may be exported onto the attached SureWash USB key in PDF format, with an optional Excel file (CSV format) containing a record for each user of the system.

 

SureWash encourages the use of an eight-character alpha-numeric password, e.g., Abc12345, which will be required to open the report on another computer. The information in the report is encrypted when this option is used, so it cannot be read by unauthorised persons.

 

PDF Reports

The PDF reports generated by SureWash begin with general information about all of the sessions in the reporting period.

 

 

The first page shows the dates which the report covers (the previous six months by default but can be customised), the usage of the system and summary by role, time used and the overall hospital/department pass rate.

 

Ensure that the hospital name is set correctly. 

 

User Reports

Users are listed by their ID and the report shows if they have passed (achieved 100% in the assessment in the time period of the report), failed (attempted the assessment but not achieved 100% during the time period of the report) or not assessed (not attempted the assessment in the time period of the report).

 

Hand hygiene training Settings

Selecting ‘Hand hygiene training’ allows you to change the number of times a staff user must complete a particular level before they unlock the next difficulty level. The parameters can be adjusted for each level individually using the ‘+’ and ‘-’ buttons. New levels will be added up to difficulty level 5. ‘Unlock all levels for all users’ will allow staff to access any level without completing any previous levels. SureWash recommends that users should not be able to access higher levels without completing all the lower levels more than once first.

 

 

 

Advanced

The capturing of an image of the hands at the beginning of the hand hygiene training session can be disabled on this screen by deselecting “Enable snapshot of hands”. Note – leaving this enabled can lead to very long reports as the images are stored regardless of whether they are printed.

Some regions treat pose 4 as a one handed pose & some do not require wrists being included in their recommended technique – this is where the administrator can adjust these settings.

At the end of a hand hygiene training session there is a time element displayed to give the user feedback. The administrator can select which option is preferred here.

 

Difficulty Levels

SureWash difficulty levels add game dynamics to the process of hand hygiene training. The levels are of increasing complexity and are intended to motivate staff, patients and visitors to incrementally develop the skill of hand hygiene to the point where they don’t have to consciously think about the process anymore.

 

  • Level 1: Individual Pose Technique

The user is shown their achieved score for each pose, and will be given a short countdown before the next pose begins. If the user is having difficulty with a pose, the static image showing hands in the pose is replaced with a video demonstrating how to perform the pose.

 

  • Level 2: Hand Hygiene Flow

This level aims to build smooth flow from one pose to the next. The ‘next pose’ prompt and countdown are no longer shown so that each pose flows into the next.

 

  • Level 3: Improve speed

The user builds the speed at which they can pass an assessment. The user will be given less time to pass each pose. Instead of showing a video of the pose when in difficulty, the pose will now time out.

 

  • Level 4: Muscle memory

The user must pass each pose from memory, without being shown an image of the pose being performed. Only the order of the poses is displayed.

 

  • Level 5: Blind assessment

The final step will test the user’s recall of all steps by removing all prompts for how to do each pose and the order in which they should be done. The user must complete the sequence with no user guidance.

Quizzes

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. 

Each quiz can be made available to some or all users as required. Press ‘Edit’ to select different options including by role, by department, by time period or outbreak mode.

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 and will not delete it from the USB thumb drive
  • Unchecking all users boxes will leave a quiz on SureWash but not visible

Connecting to Wifi

In order to get your SureWash machine connected to a WiFi network in your facility, follow these steps:

  1. Firstly, log into SureWash as an administrator and click on ‘Administrator settings’.
  2. From here, navigate to the ‘General’ tab. Scroll down until you see the Wi-Fi settings section (shown).
  3. Click ‘Connect’ on your desired network and enter your network security key.
  4. If your connection was successful, a new window should open with a web browser which loads google.com.
  5. If the webpage has not loaded correctly, the web browser may prompt you with an additional network credentials page, depending on the configuration of your facility’s WiFi network.
  6.  If you have tried this and are still having trouble connecting, please contact support@surewash.com     for technical support.

 

 

When connecting your SureWash system to your network, it is recommended to follow your IT guidelines on maintaining Windows updates and patches. SureWash is not in a position to provide this service and we recommend your IT department take ownership of the machine.

General

This screen contains system information – the facility name, location, system serial number, the current software version, license, back-up & diagnostics and device settings 

Hospital name

  • Enter the hospital name here as it should 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 weeks and will need the system to be put on the WIFI network for updating.

Languages currently available – English, French, Dutch, Portuguese, Japanese and German.

 

Training Unit ID

  • This is the unique system identification number and starts with 40xxxx or 10xxxx. 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 software will be made available to you. Software can be upgraded via SureWash.NET once the system is connected to WIFI or 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.

 

License

  • The initial license is valid for 12 months and will be updated following the annual fee being paid. SureWash will update this when connected over WIFI. 

 

System backup and diagnostics

Some options are only visible to you if the SureWash USB key is connected.

 

  • The ‘Back up all data’ feature allows an administrator to copy the user data from the SureWash Training System to the USB key. This procedure should be carried out on a regular basis to protect against data loss.
  • Connect the SureWash USB key to the system and press the ‘Back up all data’ button. 
  • The ‘Collect system diagnostics’ feature gathers diagnostic information about SureWash Training System and can prove useful for troubleshooting. 
  • Connect the SureWash USB key to the system and press the ‘Collect system diagnostics’ button.
  • A file containing diagnostic information called ‘SureWashDiagnostics_xxxxxx.zip’ will be copied to the USB key. Please email this file to the SureWash Support Team (support@surewash.com) with a description of the problem you are encountering.
  • Occasionally, it may be desirable to delete all user data from the system. Pressing the ‘Delete user data’ button will remove all user data from the system, except for administrator login details. (seen on next page )This will also delete any custom roles and departments and disable all roles and departments. SureWash recommends backing up all data to a USB key before deleting from system.  

 

LDAP 

  • If your facility has LDAP please consult with your IT department for connection. 

 

Device settings

The camera frequency must be set according to the electricity supply frequency of the country in which the SureWash system is being used:

  • Europe, Ireland, UK: 25Hz
  • North America: 30Hz
  • Saudi Arabia: 30Hz
  • United Arab Emirates: 25Hz
  • Qatar: 25Hz
  • Bahrain: 25Hz

It is necessary to restart the system if you change the camera frequency.

The SureWash technical team will advise if this setting is to be altered from the standard ‘Auto’

 

Wi-Fi settings

  • This allows the SureWash system to connect to a Wi-Fi network in order to facilitate up to date information and reporting on SureWash.NET, updates to the software and troubleshooting. Pressing the button brings up a Wi-Fi connections screen from where it is possible to connect to any available Wi-Fi network. (A password may be required. Please contact your IT department in such cases.)

Please ensure that you do not accidentally close any other programs when working with the Wi-Fi connections screen.

 

Other:

Display settings 

It is possible to connect a second screen or a projector to the SureWash system (for group demonstrations, etc.). A VGA connector is available on the back of the system. Connect the screen by VGA first then turn on the SureWash system. Once the screen has been connected, you may have to press display settings and configure the screens:

  • Under “Multiple displays” choose “Duplicate these displays”
  • Ensure the external display resolution is set to 1920 x 1080, otherwise it may not display correctly
  • Press “Apply” and check that the same image appears on both screens

Please ensure that you do not accidentally close any other programs when working with the display settings screen. This settings change must be made every time the SureWash system is restarted.

Time Settings

SureWash will automatically update the time and date settings when connected to WIFI

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 top right corner.

You may need to restart your system

The SureWash Training System is reliable. However, if the system becomes unresponsive, the following troubleshooting steps should be tried:

  • Power down the system by pressing and holding the ON/OFF button. Once the system has been shut down for 10 seconds, restart the system by pressing the ON/OFF button.  The system should restart successfully.

  •  If the screen is dark/blank please ensure that the screen has not been powered off via the screen power button by mistake. The screen’s power button is located under the screen

  •  If these steps fail please follow the instructions in section 7 and send an email tosupport@surewash.com with a description of the problem, the time of day it occurred and what version of the software the system is running. Please also provide the serial number of the unit. Both the version of software running on the system and the serial number, are located in the General screen in the Administrator screen. The serial number is also found on the silver sticker near the system’s power button. We will be in contact with you within one working day.