hand hygiene

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

COMPETENCY 1

• Hand Hygiene

DEMONSTRATES

• The ability to effectively reduce the risk of infection by handwashing/performing hand hygiene

PERFORMANCE CRITERIA

• 1. Identifies Indication (2.5,4.2,9.5)

  Yes

  No

  N/A

• 2. Prepares and assesses hands (2.5,3.2,9.5)

  Yes

  No

  N/A

• 3. Gathers equipment<br>- warm,running water<br>- soap<br>- paper towels<br>- or alcohol - based hand rub

  Yes

  No

  N/A

• 4. Turns on and adjusts water flow (2.5,3.2,9.5)

  Yes

  No

  N/A

• 5. Wet hands, applies soap (2.5,3.2,9.5)

  Yes

  No

  N/A

• 6. Cleans under the fingernails (2.5,3.2,9.5)

  Yes

  No

  N/A

• 7. Thoroughly washes hands (2.5,3.2,9.5)

  Yes

  No

  N/A

• 8. Rinses hands (2.5,3.2,9.5)

  Yes

  No

  N/A

• 9. Dries hands (2.5,3.2,9.5)

  Yes

  No

  N/A

• 10. Turns off the water (2.5,3.2,9.5)

  Yes

  No

  N/A

• 11. Demonstrates ability to link theory to practice (3.2,4.1,4.2)

  Yes

  No

  N/A

STUDENT

EDUCATOR

DATE