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HAND HYGIENE MONITORING SHEET (Revised)

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MONITORING SHEET ON HOSPITAL STAFF’S COMPLIANCE

ON PROPER HAND HYGIENE TECHNIQUE


MONTH OF APRIL 2019
SPECIFIC
NAME HOSPITAL DEPARTMENT HAND
MOMENTS OF HAND ASEPTIC MONITORED
DATE TIME OF STAFF BEING HAND HYGIENE ACTION HYGIENE REMARKS
HYGIENE TASK, IF BY
STAFF CODE OBSERVED TECHNIQUE
ANY
PROPER
HR IMPROPER
BEF. PT. CONTACT
(HAND RUB)
BEF. ASEPTIC TASK
HW
AFT. BODY FLUID
(HAND WASHING)
AFT. PT. CONTACT
MISSED ACTION
AFT. PT.
PLS SPECIFY:
SURROUNDINGS
_______________________
PROPER
HR IMPROPER
BEF. PT. CONTACT
(HAND RUB)
BEF. ASEPTIC TASK
HW
AFT. BODY FLUID
(HAND WASHING)
AFT. PT. CONTACT
MISSED ACTION
AFT. PT.
PLS SPECIFY:
SURROUNDINGS
_______________________
CODES FOR HOSPITAL STAFF:
* C: CONSULTANT * H: HOSPITALIST * N: NURSE * R: RADIOLOGIST * L: LABORATORY STAFF * A: AMBULANCE STAFF
* HS: HOUSEKEEPING * IW: INSITUTIONAL WORKER * S: SECURITY * D: DIETICIAN * PT: PHYSICAL THERAPIST
* SW: SOCIAL WORKER * DS: DIAGNOSTICS STAFF * WC: WARD CLERK * L: LINEN DEPT. STAFF * E: ENGINEERING STAFF
SPECIFIC
NAME HOSPITAL DEPARTMENT HAND
MOMENTS OF HAND ASEPTIC MONITORED
DATE TIME OF STAFF BEING HAND HYGIENE ACTION HYGIENE REMARKS
HYGIENE TASK, IF BY
STAFF CODE OBSERVED TECHNIQUE
ANY
PROPER
HR IMPROPER
BEF. PT. CONTACT
(HAND RUB)
BEF. ASEPTIC TASK
HW
AFT. BODY FLUID
(HAND WASHING)
AFT. PT. CONTACT
MISSED ACTION
AFT. PT.
PLS SPECIFY:
SURROUNDINGS
_______________________
PROPER
HR IMPROPER
BEF. PT. CONTACT
(HAND RUB)
BEF. ASEPTIC TASK
HW
AFT. BODY FLUID
(HAND WASHING)
AFT. PT. CONTACT
MISSED ACTION
AFT. PT.
PLS SPECIFY:
SURROUNDINGS
_______________________
PROPER
HR IMPROPER
BEF. PT. CONTACT
(HAND RUB)
BEF. ASEPTIC TASK
HW
AFT. BODY FLUID
(HAND WASHING)
AFT. PT. CONTACT
MISSED ACTION
AFT. PT.
PLS SPECIFY:
SURROUNDINGS
_______________________
CODES FOR HOSPITAL STAFF:
* C: CONSULTANT * H: HOSPITALIST * N: NURSE * R: RADIOLOGIST * L: LABORATORY DEPT. STAFF * A: AMBULANCE STAFF
* HS: HOUSEKEEPING * IW: INSITUTIONAL WORKER * S: SECURITY * D: DIETICIAN * PT: PHYSICAL THERAPIST
* SW: SOCIAL WORKER * DS: DIAGNOSTICS STAFF * WC: WARD CLERK * L: LINEN DEPT. STAFF * E: ENGINEERING DEPT. STAFF

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