Practical Hand Hygiene Competency Audit

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This tool has been developed to assess health care worker competency in performing hand hygiene as per the World Health Organisation recommendations for using alcohol-based hand rub and washing with soap or water. To be deemed competent, the health care worker must be assessed as meeting all performance criteria. If a health care worker is assessed not to have met any of the performance criteria, comments should be recorded and followed up with the health care worker.

• Employee ID

• Conducted on

  Date

• Prepared by

• Location
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• To be deemed competent, the health care worker must be assessed as meeting all performance criteria. If a health care worker is assessed not to have met any of the performance criteria, comments should be recorded and followed up with the health care worker

• Assessment Criteria

  Yes

  No

  N/A

General Requirements

• No excess jewellery in-situ

  Yes

  No

  N/A

• No acrylic/artificial nails

  Yes

  No

  N/A

• Nails are short, clean & free of polish or artificial covering

  Yes

  No

  N/A

• Skin on hands intact

  Yes

  No

  N/A

Part A: Performing hand hygiene using alcohol-based hand rub (ABHR) ****Performing hand hygiene using ABHR should take approximately 20-30 seconds

• 1. Palmful of ABHR product is applied into a cupped hand & ABHR distributed across both hands to cover all surfaces

  Yes

  No

  N/A

• 2. Hands are rubbed together palm to palm

  Yes

  No

  N/A

• 3a. Hands rubbed with right palm over left dorsum with interlaced fingers

  Yes

  No

  N/A

• 3b. Hands rubbed with left palm over right dorsum with interlaced fingers

  Yes

  No

  N/A

• 4. Hands are rubbed with palm to palm and fingers interlaced

  Yes

  No

  N/A

• 5. Hands are joined with fingers interlocked and back of fingers rubbed against opposing palm

  Yes

  No

  N/A

• 6a. Rotational rubbing of left thumb by clasped right hand is performed

  Yes

  No

  N/A

• 6b. Rotational rubbing of right thumb by clasped left hand is performed

  Yes

  No

  N/A

• 7a. Left palm is rotationally rubbed with clasped fingers of right hand

  Yes

  No

  N/A

• 7b. Right palm is rotationally rubbed with clasped fingers of left hand

  Yes

  No

  N/A

Part B: Performing hand hygiene using soap and water ****Performing hand hygiene using soap and water should take approximately 40 - 60 seconds

• 1. Hands are wet with water and an adequate volume of soap product to cover all hand surfaces is dispensed into a cupped hand

  Yes

  No

  N/A

• 2. Hands are rubbed together palm to palm

  Yes

  No

  N/A

• 3a. Hands rubbed with right palm over left dorsum with interlaced fingers

  Yes

  No

  N/A

• 3b. Hands rubbed with left palm over right dorsum with interlaced fingers

  Yes

  No

  N/A

• 4. Hands are rubbed with palm to palm and fingers interlaced

  Yes

  No

  N/A

• 5. Hands are joined with fingers interlocked and back of fingers rubbed against opposing palm

  Yes

  No

  N/A

• 6a. Rotational rubbing of left thumb by clasped right hand is performed

  Yes

  No

  N/A

• 6b. Rotational rubbing of right thumb by clasped left hand is performed

  Yes

  No

  N/A

• 7a. Left palm is rotationally rubbed with clasped fingers of right hand

  Yes

  No

  N/A

• 7b. Right palm is rotationally rubbed with clasped fingers of left hand

  Yes

  No

  N/A

• 8. Hands are rinsed with water and soap removed

  Yes

  No

  N/A

• 9. Hands are thoroughly dried with a single use towel

  Yes

  No

  N/A

• 10. Towel is used to turn off faucet where required

  Yes

  No

  N/A

Assessed as Competent (Please Indicate): Yes/Not Yet

• Additional comments as required:

• Assessor’s signature:

  Sign

• Assessee's signature:

  Sign

• Review date :

  Date

• World Health Organization (2009). WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care is Safer Care. World Alliance for Patient Safety. Geneva, World Health Organization Press

• Yes

  No

  N/A