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Комплаенс медицинских учреждений Пунктов: 14

Hand Hygiene Direct Observation Audit

Этот чек-лист на английском языке.

Direct-observation tool for auditing hand hygiene compliance across the WHO Five Moments, including technique, product use, and glove practices.

WHO Five Moments for Hand HygieneCDC Hand Hygiene GuidelineTJC NPSG.07.01.01

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WHO Five Moments

  • Was hand hygiene performed BEFORE touching a patient? *
  • Was hand hygiene performed BEFORE a clean/aseptic procedure? *
  • Was hand hygiene performed AFTER body fluid exposure risk? *
  • Was hand hygiene performed AFTER touching a patient? *
  • Was hand hygiene performed AFTER touching patient surroundings? *

Technique & Product

  • Was alcohol-based hand rub used for at least the manufacturer-specified contact time and full coverage? *
  • Was soap and water used when hands were visibly soiled or after C. difficile/norovirus contact? *
  • Were fingernails kept short and artificial nails avoided by staff with direct patient contact? *

Glove Use & Program

  • Were gloves removed and hand hygiene performed between patients (gloves not a substitute for hand hygiene)? *
  • Are trained observers using a standardized, non-punitive observation tool? *
  • Is compliance data aggregated and fed back to units with improvement goals? *

Access & Infrastructure

  • Are alcohol-based hand rub dispensers accessible at the point of care and at room entrances? *
  • Are dispensers monitored for function and refilled promptly when empty? *
  • Is a skin-care program available to reduce dermatitis that discourages hand hygiene?

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