Title Page

  • Date of audit

  • Name of auditor

Observations

  • Staff member name

  • Key moments for hand hygiene

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  • 'Key moments' was the opportunity taken to clean their hands at each moment?

  • Staff are 'bare below the elbows'?

  • Staff should be ‘Bare Below the Elbows’ (BBE) when delivering direct care to residents. BBE is being free from long- sleeved clothing, wrist and hand jewellery (other than one plain band ring). Long sleeves, if worn, should be rolled or pushed up to the elbows. Finger nails should be short and clean, no nail varnish, false or acrylic nails, nail extensions or nail jewellery.

  • Cuts and grazes are covered with a waterproof plaster?

  • Hand wash regime

  • The correct hand hygiene technique is used when cleaning hands?

  • Paper towels are disposed of without touching the waste bin lid?

Sign off

  • Signature of auditor

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.