Title Page

  • Date of audit

  • Name of auditor

DOCUMENTATION

  • how to wash hands.jpg
  • KEY MOMENTS FOR HAND HYGIENE

    hang hygiene image.jpg

Observations - please observe a minimum of 5 members of staff

    Observations
  • Staff member initials

  • Staff member job role

  • Is there evidence of hand hygiene performed in accordance with one of the 5 key moments?

  • Can the staff member describe the 5 moments for hand hygiene?

  • 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.

  • Is the staff member 'bare below the elbows' are per the above guidance?

  • Cuts and grazes are covered with a waterproof plaster?

  • Hands are free of nail varnish and false nails?

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

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

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.