Cary Hauth

Hand Hygiene

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Use this Template

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Information

Employee Name
EID #
Facility
room number or location
Date
Observer

Hand Hygiene Observation

Hand Hygiene

HH on entry of room
Type of hand hygiene
HH between dirty and clean tasks
Proper glove changes
HH on exit of room
Type of hand hygiene

General Comments

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Cary Hauth

Hand Hygiene

Use this Template

Print as PDF

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.