Use this hand hygiene audit checklist to assess hand hygiene practices based on WHO's Five Moments and automatically measure the overall compliance score of unlimited hand hygiene observations.
Scan this QR code to use this paper checklist on your smartphone or tablet or
visit
https://safetyculture.com/
Title Page
Facility
Location
Name of Auditor
Date of Audit
Hand Hygiene Audit
List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER.
Healthcare Worker
Name of Healthcare Worker (optional)
Select healthcare worker category.
Please specify.
Ward/ Unit/ Department
The Five Moments of Hand Hygiene
Before patient contact
Before an aseptic prodecure
After body fluid exposure
After patient contact
After contact with patient surroundings
Completion
Overall Recommendations
Full Name and Signature of Auditor
SafetyCulture Staff
Hand Hygiene Audit Checklist
Use this hand hygiene audit checklist to assess hand hygiene practices based on WHO's Five Moments and automatically measure the overall compliance score of unlimited hand hygiene observations.
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
