Title Page

  • Date of Audit

  • Name of Auditor

Observations

  • Staff member name

  • The key moments for hand hygiene are: 1) Before resident contact; 2) Before a clean/aseptic procedure; 3) After body fluid exposure; 4) After resident contact; 5) After contact with residents' surroundings.

  • Ask the staff member if they know the key moments for hand hygiene

  • Bare below the elbow means: 1) Sleeves are rolled up; 2) No stoned rings; 3) No artificial nails or nail varnish; 4) No wrist jewellery or wrist watches

  • Staff are 'bare below the elbows'?

  • Cuts and grazes are covered with a waterproof plaster?

  • Hand hygiene technique for staff: 0) Wet hands under warm running water; 1) Apply enough liquid soap to cover all hand surfaces; 2) Rub hands palm to palm in a circular action; 3) Rub the back of each hand with the palm of other hand with fingers interlaced; 4) Rub palm to palm with fingers interlaced; 5) Rub backs of fingers to opposing palms with fingers interlocked; 6) Rub each thumb clasped in opposite hand using a rotational action; 7) Rub tips of fingers in the opposite palm in a circular action; 8) Rub each wrist with the opposite hand; 9) Rinse hands under warm running water; 10) Use elbow or paper towel to turn off tap; 11) Dry thoroughly with paper towels; 12) Your hands are now safe.

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

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

  • Signature

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