Hand Hygiene Audit Form USER MANUAL
Contents
1. Health Care Provider Codes Hygiene Gloves Hand Moment Hygit d 2 Compe the Opportunities Observations section of the form Ege fannartiunt lina ic far racarcina ana ahcanicttian far ana hey Auditor Data e Complete all fields in the Auditor Data section of the form e Location Facility and Unit 1 Click on the Facility drop down box Select and click the facility you are auditing Enter date here in dd mmm yyyy format or use control at the right 8 Page Ladysmith Hospital LADYSMITH Mental Health amp Addictions Service CI Community Care MHASCC CI Mental Health amp Addictions Services Acute Care MHASAC Nanaimo Regional General Hospital Acute Care NRGAC Nanaimo Regional General Hospital Mental Health NRGMH Port Alice Hospital PAH Port Hardy Hospital PHHAC Port McNeill District Hospital Acute Care PMHAC Rainbow Gardens RAINBOW Royal Jubilee Acute Care RJHAC Royal Jubilee Geriatric Psychiatry RJHGP Royal Jubilee Mental Health RJHMH Royal Jubilee Residential Care RIHRC Saanich Peninsula Acute Care SPHAC Saanich Peninsula Residential Care SPHRC Seniors Health CI Seniors ClI vin Clear pac 2 Click on the Unit drop down box Select and click the unit of that facility you are auditing Ensure that the Facility and Unit you have selected accurately correspond with the actual location where you are performing the aud2. 10KB XML Document 2121 2012 12 12 PM Back to Contents 17 Page 1 Submitting Audit Data There are 2 ways to submit your audit data Click the Submit this Audit for Reporting button on the top right corner of the form 1 Hand Hygiene Adherence Online Entry View a health thoeity 1 Please fill out all values in the form Red asterisks and boxed outlines indicate required data fields Clear page and Start New Audit Save Submit this Audit for Reporting a 2 Click on the Submit button in the menu bar Hand Hygiene Audit Microsoft Office InfoPath Tools Table Help File Edit View Insert Format uuaji hini aD A ezn Hand Hygiene Adherence Online Please fill out all values in the form Red Clear page and Start New Audit ee ol If there are no validation errors in the report i e all data fields are complete then a message indicating that the form was submitted successfully will appear Click OK Microsoft Office InfoPath my x P i The Form was submitted successfully What do if you are unable to submit your audit Note If there are any incomplete fields in the form an error message will appear stating that the form cannot be submitted due to validation errors Microsoft Office InfoPath g x InfoPath cannot submit the Form because it contains validation errors Errors are marked with either a red asterisk required Fields or a red dashed border finwalid value
3. 5 feed 172010 WAW Teeth state mn us Wash Your Hands nN languages Chinese Mandarin 26 Page
4. VANCOUVER ISLAND health authority We everyone s business Facility o l Auditor apaterson Date Enter date here in dd mmm yyyy format or use control at the right AUDITOR DATA Audit ID Data not yet submitted OPPORTUNITIES OBSERVATIONS Health Care Provider Codes Hygiene Gloves Hand Proper Watch Rings Moment Hygiene Techniquet Nails Sleeve Length Oooo in i teat H E BI CEVCIN LCIVICIN losal lonn Serr g Add an audit entry row by clicking here or on the thumb to the left of this text delete entries using the thumb to the left of the entire row and clicking Remove Audit Data Amy Paterson 5 July 2012 Contents GUIDELINES FOR HAND HYGIENE AUDIT OBSERVATIONS 3 LOGGING ON TO THE HAND HYGIENE AUDIT FORM 4 How to SAVE the Hand Hygiene Audit Tool Link to Your Computer Desktop 5 ON LINE vs OFF LINE 6 ON LINE vs OFF LINE 7 COMPLETING THE AUDIT FORM 8 Abbreviated instructions 8 Auditor Data 8 e Location Facility and Unit 8 e Name and Date 10 Opportunities Observations 10 e Health Care Provider 11 e Hygiene Moment 12 e Gloves 13 e Hand Hygiene Type 13 e Proper Technique 13 e Watches Rings Nails Sleeve Length 13 e Add Opportunity Observation Lines 14 CLEARING AUDIT DATA 14 SAVING AUDIT DATA 15 How to save to My Documents 16 How to save to C Drive System C 17 SUBMITTING AUDIT DATA 18 PRINTING THE AUDIT SUMMARY REPORT 19 APPENDIX A 23 e 4 Mom
5. TIndicate whether the hand hygiene method and duration was correct all surface areas including wrists thumbs and tops of hands scrubbed with either hand rub or soap for 15 20 seconds If hands are visibly soiled then the correct method wash If hands are not visibly soiled then the correct method rub or wash 7 Page COMPLETING THE AUDIT FORM e Abbreviated instructions Abbreviated instructions are located along side the audit tool e To change the size of the Instructions box hold the cursor over the left border of the box click and drag to increase or decrease the size of the box Hand Hygiene Audit Microsoft Office InfoPath gt File Edit view Insert Format Tools Table Help Type a question for help Bist ELA PYTTELITEN aa son aee eu eee dAd e Clear page and Start New Audit Save oftion Prevention and Control And Hygiene Audit Form Instructions for use by Auditors For full instructions see either the print copy located with the tablet device or the online documentation at apaterson 19 Mar 2012 Using the form 1 Complete all fields in the Auditor Data section of the form a Select the Facility where you are auditing from the drop down box b Select the Unit where you are auditing from the drop down box c Your Auditor Id will be automatically filled in for you based on your Windows login name Insert today s date i e the date you are auditing
6. CEO aa Ctrl F2 Ctrl F Watch Rings Acrylic Gel Nails Nail Art Worn OR Sleeves Nail Length too long 20 Page 4 The following screen will display Check to ensure that the printer in the Name field accurately corresponds with the printer that you wish to print to the name of the printer can be found on the front of the printer Click on 4 of the Number of copies drop down box to print more than 1 copy of the report Click OK if this printer name does correspond with the printer that you wish to print to 2 x Printer Name AF Deskjet 6940 series a Properties Status pan RMHSLP2 sce EE Type PAN RMPGERILP1 TE here _ WPAN RMPSHLP WERE HP Deskjet 6940 series Comments Microsoft XPS Document Writer nn Send To OneNote 2007 Ai Print range MPI ie All Number of copies 1 g Pages From Ji Ta Multiple views Settings Preview ol FF Collate hp a CE Cancel Back to Contents 21 Page e How to add an additional printer If the printer in the Name field does not correspond with the printer that you wish to print to o Click on the Y at the end of the Name drop down box o Alist of printer options will display o Locate the printer that is in your clinical area that you wish to print your summary report to o If the name of the printer you would like to print to is not in this list please go to the IM IT Information Management Informa
7. Gloves Hand Proper Watch Rings Moment Hygiene Techniquet Nails Sleeve 3 Delete Opportunity Observation Lines e Delete lines by clicking on the V e Click on the Remove Audit Data option This will delete the opportunity line that you have selected Note This data cannot be restored once it has been deleted Health Care Provider Codes Hygiene Moment Insert Audit Data after Ctrlt Enter yen CENA ctrl E Ctrl Back to Contents CLEARING AUDIT DATA e To clear all the information that you have entered into the form and start your audit again click on the Clear page and Start New Audit button on the top left corner of the form e Note All Information will be lost and cannot be restored once you clear the page Hand Hygiene Adherence Online Entry View SBME et health thowity 1 Please fill out all values in the form Red asterisks and boxed outlines indicate required data fields Save Submit this Audit for Reporting Clear page and Start New Audit gt Back to Contents 14 Page SAVING AUDIT DATA e If at any point you would like to save all of the information that you have entered into the audit form Click on the Save button at the top middle of the form e Note Saving audit information does not submit the data to the database Hand Hygiene Adherence Online Entry View ree ith ewity 1 Please fill out all values in the fo
8. Save in je Desktop gt 3 X Gi Ed a My Recent My Documents aJ Documents 4 My Computer My Network Places My Documents My Computer medical imaging Microsoft Office Outlook 2007 a My Network Places File name HandHygiene Prod xsn Save as type fall Files aS Ts h Cancel FA a Back to Contents 5 Page ON LINE vs You should use the Online Entry View of the Hand Hygiene Audit form when they are connected to the VIHA network Being connected to the network will allow you to submit your audit data automatically to the database for reporting e To check if you are on line m Click on ee e You are connected to the network when the VIHA Intranet homepage is displayed e You are not connected to the network when you will receive an error message This page cannot be displayed Transferring audit data gt ON LINE You can complete an audit off line and then go with your mobile computer to an area where you will be connected to the internet Find location where you can receive a wireless Internet connection or connect your computer to a hard drive Click View top left of audit tool Click 1 Online Entry View LSI Hand Hygiene Audit Microsoft Office InfoPath Table Help Tools 2 Offline Entry view qi E 3 Printable Audit Summary Task Pane Ctri F 1 Toolbars Back to Contents 6 Page ON LINE v
9. drop down box Click on the category of HCP you are observing Diagnostic Services Support Services Clinical Support Services Other Click on the specific discipline listed in the second drop down box of the HCP e Select Any if there is no specific discipline listed for that HCP i e Nursing and Physicians Health Care Provider Codes Radiology ECG Lab Nursing Any RN RPN LPN Nursing Student ESN Care Aide Physicians Any MD Resident Med Student Support Services Housekeeping Porter Security Food Services Unit Clerk Clinical Support Services Dietician Occupational Therapist Physiotherapist Social Worker Pharmacist Pastoral Care Respiratory Therapist Soeech Therapist Psychologist Child Life Worker Diagnostic Services Radiology ECG Laboratory l Other Volunteer Midwife Paid Companion or Other type of HCP not listed above 11 Page oF e Hygiene Moment Click on the Hygiene Moment drop down box Click on the hygiene moment that applies to the particular situation you are observing i Hygiene Moment Before Patient or Pt environ After Patient or Pt environ Before Aseptic procedure After Body Fluid risk exp Before Patient or Pt environ the health care provider e touches the patient s environment and then touches the patient e goes directly to touch the patient after having touched the hospital environment any other
10. ents Summary Error Bookmark not defined APPENDIX B 24 e Hand Hygiene Technique 24 APPENDIX C 26 e Wash Your Hands in 24 Languages 26 2 Page GUIDELINES FOR HAND HYGIENE AUDIT OBSERVATIONS 1 Introduce yourself to the charge person of the clinical area and explain your role e Ensure that you are wearing your VIHA identification badge or name tag 2 Determine how to best identify the types of health care providers HCP you may be observing 3 Find a convenient place to observe without disturbing care activities or infringing on patient privacy e You may move to follow the HCP but never interfere with their work 4 Record only what you observe e Do not assume and record that hand hygiene was performed unless you observe it e Do not record when a HCP tells you they have performed hand hygiene unless you observe it 5 Take care if you are observing more than one HCP at one time e You may miss observations which will affect the accuracy of the audit e Be vigilant to observe all aspects of hand hygiene of those staff you are monitoring 6 The HCP may interact with more than one patient during the time you are observing e Create a new opportunity line for each hand hygiene moment e Ifthe HCP moves between patients and has performed hand hygiene after interacting with the first patient and before working with the next patient that will be considered 2 opportunities e These 2 opportunities would be recorded as after pat
11. id Companions Physicians e g DR Resident Med Student Support Services e g Housekeeping Porter Security Food Services Unit Clerk Watch Rings Gloves Worn AND Acrylic Gel SUMMARY OF FAILED Hand Hygiene Hand Hygiene Ham ii ays Nails Nail Art Not Done Worn OR OBSERVATIONS Not Done OR Not Done Properly Not Done Properly Provider Group Sleeves Nail Length too long Clinical Support Services Diagnostic Services oy Provider Group 19 Page 3 e Atthe bottom of the Hand Hygiene Summary Report is a section for Comments e More specific information about the audit e g specific steps missed during the hand hygiene procedure or type of hand jewelry worn i e ring or bracelet can either be typed in this Comments section or written by hand once the Summary Report is printed e This information does not enter the database but may be helpful in follow up Gloves Worn AND Hand Hygiene Not Done OR Not Done Properly SUMMARY OF FAILED lt lt Click File Click Print to print this report summary Hand Hygiene Audit Microsoft Office InfoPath Fill Gut a Form Design a Form Template Merge Forms CHG RE Import Form Data Export To Page Setup L Print Preview d E Permission Send to Mail Recipient DJ Submit Work Offline Hand Hygiene Not Done CT Fie bit wiew Insert Format Tools Table Help Ctrl g
12. ient or patient environment and before patient or patient environment e The same hand hygiene practice would be recorded for each of the 2 opportunities 7 Do not document more than 5 observations for each HCP 8 Complete 15 or 30 observations for each accounting period The total number of observations depends on the number of beds or interactions in the clinical unit area lt 24 beds interactions 15 observations gt 24 beds interactions 30 observations 9 The total number of observations can be collected over the duration of an accounting period 10 Provide on the spot feedback to the HCP if you are comfortable to do so and the situation is appropriate e Some HCPs may ask for this feedback 11 Print 2 copies of the Audit Summary Working Report e Give one copy to your manager leader and another copy to your Infection Control Practitioner e You may wish to print a 3 copy for your own files or you could save an electronic copy of the Summary Report Back to Contents 3I Page LOGGING ON TO THE HAND HYGIENE AUDIT FORM 1 Log onto your computer 2 Locate the Hand Hygiene Form icon on the desktop re Hand Hygiene Form 3 Double click on this icon 4 Ifthe following security notice appears click on the Open button Microsoft Office InfoPath Security Notice S a x e amp Microsoft Office has identified a potential security concern Ww Warning This publisher has not been authe
13. it Enter date here in dd mmm yyyy format or use control at the right NRG Floor 6E Surgical 6E N NRG Floor 6W Medical 6W N Amniocentesis Clinic AMNI N 4 Anaesthetic Clinic ANAE N Cast Clinic CAST N Chemo Clinic CHEM N NRG Colposcopy Clinic COLP N Cardiac Rehab Program CRP N C Section Preop Visit CSPV N Diabetes Education Clinic DEC N Ambulatory Dialysis Services Nanaimo DIALYSIS N Electrodiagnostic Services EDS NRG NRG Endoscopy ENDO N ENT Clinic ENT N NRG Emergency ER NRG Fluorescein Clinic FLUOR N Home Dialysis PD Nanaimo HDPD N NRG Intensive Care Unit ICU N NRG Inpatient SDC Unit IPOCB N Joint Replacement Clinic JRC N NRG Lab Outpatient Lab NRG 9 Page e Name and Date 3 Auditor Name is your Windows login name and is automatically entered on the audit form 4 Insert Date by Clicking on calendar Select the Today button or the date that audit was done q March 2012 SMTWTFS 25 2728279 12 3 45 6 7 8 910 11 12 13 14 15 16 17 18 19120 21 22 23 24 25 26 27 28 29 30 31 1 234557 Today Back to Contents Opportunities Observations e Complete all fields in the Opportunities Observations section of the form Each opportunity line is for recording one observation for one hand hygiene opportunity e Each field or section must have an entry selected 10 Page e Health Care Provider Click on the Health Care Provider HCP
14. ng clean your hands after touching Yo a patent any equipment furniture or surface in ther bed space Why To protect yourself and the health care environment from After courtesy and comfort gestures touching or holding a patents hand After directly assisting with personal hygiene ambulation or repositioning transfering to or from a siretch After clinical assessment examining limbs or dressing sites adjusting bed cloths and patent garments fo assess si After contact with a bed rail changing bed linen touching or moving patient care equipment fumiture sitting in the bedspace Agsphed Team WHO rour 5 Moments for Hered Hype 2008 Your 4 Moments for Hand Hygiene A COMPONENT OF ROUTINE PRACTICES ae c ms iz Cpst7icep pt ipea PI y karega re a Kara Reference Capital Health Nova Scotia 23 Page APPENDIX B e Hand Hygiene Techniques 7 STEPS TO EFFECTIVE HAND WASHING Wet hands under running water and apply soap 2 Right palm over left dorsum and left palm over nght dorsum A Backs of fingers to 5 Rotational nubbing of opposing palms with nght thumb clasped in left fingers interlocked palm and vice versa nght hand in left palm and vice versa Finse hands under running water and dry with disposable towel turn off taps with towel and discard into garbage bin Health Care Workers should be aware that hand decontamination is not as effective if rings wrist watches nail polish or false nail
15. nticated and therefore could be imitated Do not trust these credentials endeavor IPCFormss PROD HandHygiene Prod xsn This fle may not be safe if it contains code that was intended to harm your computer Do you want to open this file Show Signature Details isher Ope Cancel Trust all documents from this publ 5 Ifthere is NO ICON on your desktop then locate the email that was sent to you that listed the Live Link site for the hand hygiene audit tool The Live Link site is endeavor IPCFormsS PROD HandHygiene Prod xsn e You will only be able to enter hand hygiene audit data on this site if you have been registered with Infopath e Save the Live Link to your Desktop by following the instructions on the next page e The Desktop is specific to each computer e If you use different computers you will need to save the Hand Hygiene audit tool to each computer s Desktop Back to Contents 4 Page 2 How to SAVE the Hand Hygiene Audit Tool Link to Your Computer Desktop Click on the link Click Save Double click on Desktop Click Save Do not rename audit link before saving Opening Mail Attachment x You should only open attachments From a trustworthy source Attachment HandHygiene Prod xsn From endeavor WPCForms PROD Would you like to open the file or save it to your computer O onen C D cancel M Always ask before opening this type of File TI Zi
16. oves were worn at any time during that hygiene moment e N No if gloves were not worn e Hand Hygiene Type Hand Hygiene Type Click on the drop down box for Hand Hygiene and select the type of hand hygiene used e None indicates that hand hygiene was not performed e Wash indicates the use of soap and water e Rub indicates the use of alcohol based hand rub e Proper Technique Indicate if Proper Technique was performed during hand hygiene Click e Y Yes if proper technique was used e N No if proper technique was not used See Appendix B for description of proper technique e Watches Rings Nails Sleeve Length 7 For Watch Rings Nails Sleeve Length click e Y Yes if the HCP e is wearing a wrist watch or ring other than a solid band ring or e has long nails or is wearing nail extensions artificial nails or nail art or e has sleeves that are not above the elbows e N No if the HCP e is not wearing a wrist watch or ring other than a solid band ring and e has short nails or is not wearing nail extensions artificial nails or nail art and e has sleeves above the elbows All of these criteria must be satisfied in order to indicate No Gloves Hand Proper Technique HOTYICIN 2 PTT Watch Rings Nails Sleeve Length 133 Page Add Opportunity Observation Lines e Add lines by clicking on the text below your last opportunity line Health Care Provider Codes Hygiene
17. rm Red asterisks and boxed outlines indicate required data fields Clear page and Start New Audit Submit this Audit for Reporting e lf all fields in the form were complete at the time you clicked Save the following window will appear e You can save this form to My Documents or the CA drive Save 2 x Save in a Desktop v 3 XK Gi Ed My Documents ra My Recent Documents 4 My Computer My Network Places ae ALPHA A LA HP Photosmart Essential ocumen s BHP Solution Center is le Microsoft Office Outlook 2007 Computer x LA QuickTime Player aa My Network fe be Places Ah Who Am I 5 HandHygiene Dev 5 HandHygiene Prod IL MSetup kw Microsoft Office Word 2007 fe Windows Media Player File name HandHygiene Prod xsn M Save as type Al Files v If there are any incomplete fields in the form the following message will appear Validation Errors 7 x A There are errors on the Form are you sure you wish to save it D e The errors on the form are due to incomplete fields and will be identified by a red asterisk or are outlined in a red dashed box on the audit form Back to Contents ISI Page How to save to My Documents e Click on My Documents either in the main white window or the icon pane to left of this window e For ease of finding your audit information at another time create a folder in My Documents that is titled Hand Hygiene A
18. s If this message appears click OK and complete all fields that have a red asterisks beside them or are outlined in a red dashed box and then try to resubmit 18 Page PRINTING THE AUDIT SUMMARY REPORT Once you have submitted your audit data print copies of the audit summary report for your manager leader and Infection Control Practitioner 1 Click View from the menu bar at the top of the screen 2 Click 3 Printable Audit Summary Hand Hygiene Audit Microsoft Office InfoPath File Edit Format Tools Table He e The data within this view will show a summary of the audit that you have just completed and submitted HAND HYGIENE OBSERVATIONS 4 Do NOT 1 Working Report e DISTRIBUTE or POST F VANE OUYLE ISLAND hes authority The following working report represents a brief summary of the current observations and is intended to assist the auditor in reporting their findings to the leaders managers NOTE The following results only indicate what was observed on this date generalities should not be made based on these findings Summary reports by accounting period are available via IDEAS SUMMARY OF ALL of Compliant Non Compliant Compliant Observations as OBSERVATIONS GREE Vets See ae oaar valine of Total Pastoral Care Respiratory Therapist Speech Therapist Psychologist Child Life Worker e g RN RPN LPN Student ESN Care Aide Other e g Volunteers Pa
19. s including gel acrylic nails are worn 3 YANCOUVER ISLAND and therefore these are NOT PERMITTED within the clinical area ealtlithority 24 Page 7 STEPS TO APPLY ALCOHOL HAND RUB 2 Right palm over left dorsum 3 Palm to palm and left palm over right dorsum f fingers interlaced 4 Backs of fingers to 5 Rotational rubbing of 6 Rotational rubbing 7 Rotational rubbing of left wrist opposing palms with right thumb clasped in left backwards and forwards with right palm and vice versa fingers interlocked palm and vice versa with clasped fingers of right hand in left palm and vice versa Health Care Workers should be aware that hand decontamination is not as effective ea if rings wrist watches nail polish or false nails including gel acrylic nails are worn health AN ea and therefore these are NOT PERMITTED within the clinical area authority 25 Page APPENDIX C e Wash Your Hands in 24 Languages ALP LBA Amharic Ntxuav koj txhais tes L vese las manos Hmong Ep Spanish T TA NS Arabie COOIGS 69030h Nawa Mikono p in Swahili Bitte H nde waschen Hugasan ang yong iii kamay German i f ji Momonte Bawn PyKn inninga asi passan Khm E Bry N ere s aleji Your i A O ALA O Re a wam Hands li iani 1oy 5 English i ama Lavez vous les mains gi zii bii gi nin jiin a French Ojibwe Hebrew cin rua ta TS OT etre ad ane li ALDIA nT 625 MN Robert Sheet St Paul MN 55155
20. s OFF LINE e The on line form is blue You are connected to the VIHA network Hand Hygiene Adherence Online Entry View ves NA Yg Yi health ost 1 Please fill out all values in the form Red asterisks and boxed outlines indicate required data fields Tindicate whether the hand hygiene method and duration was correct all surface areas including wrists thumbs and tops of hands scrubbed with either hand rub or soap for 15 20 seconds If hands are visibly soiled then the correct method wash If hands are not visibly soiled then the correct method rub or wash If nail length correct sleeves are above elbows and NO nail extensions anrtificial nails nail art rings other than solid bands or watches worn then select N e The off line form is gray and you are not connected to the VIHA network e You will not be able to submit your results immediately if you are working off line Hand Hygiene Adherence Offline Entry View ous ie yg ry ay Please fill out all values in the form Red asterisks and boxed outlines indicate required data fields After each audit is complete save it as a file to the C drive Audits folder When you connect to the network open each of the saved forms and submit them to the database then delete them from the C drive Audits folder WNE Enter date here in dd mmm yyyy format or use control at the right Gloves Hand Proper Watch Rings Hygiene Techniquet Nails Sleeve Length
21. surface not in the patient s environment or another patient s environment e enters the patient s environment from the hospital environment and touches only the patient s environment does not touch patient and then leaves the patient s environment After Patient Pt environ the health care provider e leaves the patient and their environment and goes on to work in the hospital environment or with another patient e leaves the patient area after touching objects in the patient environment without touching the patient and goes on to work in the hospital environment or with another patient Before aseptic procedure the health care provider e performs any of the following after having touched any other surface including the patient and their environment e touch manipulate a body site that should be protected against any colonization e g wound care e manipulate an invasive device that could result in colonization of a body area that should be protected against colonization e g procedures involving an IV e any procedure that is deemed to require an aseptic procedure After body fluid exposure risk the health care provider e has engaged in a care activity involving a risk of body fluid exposure and before touching any other surface including the patient their environment See Appendix A for examples of each of the hand hygiene moments 12 Page e Gloves Indicate if Gloves were worn Click e Y Yes if gl
22. tion Technology link on the VIHA website Click On Line Help Click Printing Back to Contents 22 Page APPENDIX A 4 Moments Summary When any equipment furniture or surface in ther bed space Why To protect the patient against harmful germs carried on your hands Before courtesy comfort gestures greeting a patient by shaking fhe hand or comforting them by touching fhe arm or shoulder Before direct patient assistance with dressing of undressing personal hygiene skin care fransier to or from a chair or commode Before clinical examinator taking a patient s pulse or blood pressure chest auscultation abdominal palpation Why To protect the patient against harmful germs including the patients own germs entering his or her boxy Before contact with medical devices catheter insertion one access system or drainage system Clean your hands immediately after an exposure risk to body Why To protect yourself and the health care environment from Examples After contact with mucous membranes and with non intact skin as detailed above in 2 BEFORE AN ASEPTIC TASK e devices or m and manipulating any fuid sample opening a drainage racheal tube insertion and removal After cleaning up of urine faeces vomit or other body fluids After handling waste bandages sanitary napkins i de cleaning ar equipment commodes bedpa Se aan ise aa sed teed cis asennad as lanes ES When When leavi
23. udits Save As il 2 x 2x 5 4 Save in NaI My Documents J erap Fe Bluetooth Exchange Folder J O Business Card Reader My Recent O My Meetings Documents ZA My Music My Pictures My Videos Desktop D OneNote Notebooks af aan My Documents l Cr ea E My Computer va aa My Network File name v Places Save as type Forms xml v Cancel YA Hand Hygiene Audits File Edit View Favorites Tools Help Oo Back Address K 2c iMy Bocuments Hand Hygiene Audit gt A gag 1 7 Folders Ss X 19 Date Modified Hand Hygiene Audit NAGAC 10 KB ML Document 2121 2012 12 12 PM Back to Contents 16 Page How to save to C Drive System C o Click on My Computer icon in the navigation pane on the left o Click on System C o For ease of finding your audit information at another time create a folder in System C titled Hand Hygiene Audits Save As 2 x Save in NS System C m D 76103bFc5c552725e50c3ec8e0be7s My Recent Documents Desktop My Documents aa II WINDOWS m My Computer e RIE File name Hand Hygiene Audit NRGAC_DIALYSIS N_JA gt Save as type Forms xml v Cancel Places hand hygiene audits File Edit View Favorites Tools Help Q ext FA _ Search gt Folders Es E Xx ie H Address Cithand hygiene audts Mamea Sie Type Date Modified 35 Hand Hygiene Audit WRGAC
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