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HAND HYGIENE MONITORING SHEET (Revised)

The document is a monitoring sheet tracking hospital staff's compliance with proper hand hygiene techniques in April 2019. It records staff name, department, moments hand hygiene should be performed, the action taken, and technique used. Hand hygiene includes hand rubbing with alcohol or hand washing with soap and water after various contacts with patients or surfaces. Staff are observed and their compliance at different times is noted for monitoring purposes.

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lance tabinas
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805 views3 pages

HAND HYGIENE MONITORING SHEET (Revised)

The document is a monitoring sheet tracking hospital staff's compliance with proper hand hygiene techniques in April 2019. It records staff name, department, moments hand hygiene should be performed, the action taken, and technique used. Hand hygiene includes hand rubbing with alcohol or hand washing with soap and water after various contacts with patients or surfaces. Staff are observed and their compliance at different times is noted for monitoring purposes.

Uploaded by

lance tabinas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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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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