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Infection Control Checklist (Hand Hygiene)
Infection Control Inspection of Hand Hygiene. Delailed checklist which helps to control everyday situation and prevent spreading of any infections in medical and nonmedical centers
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Title page
Conducted on
Date
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Name of department
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Prepared by
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Location
Location
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Employee Hand Hygiene Compliance
Employees Monitored
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Hand Hygiene
1. Sinks for hand hygiene are well stocked
Yes
No
N/A
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2. Alcohol hand rubs are well stocked
Yes
No
N/A
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3. Sinks are available in all areas as needed
Yes
No
N/A
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4. Alcohol hand rubs are available in patient's rooms
Yes
No
N/A
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5. Placement of alcohol hand rubs is compliant with safety
Yes
No
N/A
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6. Hand washing / hand hygiene is performed between patients
Yes
No
N/A
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7. Hand Hygiene reminder posters present
Yes
No
N/A
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8. Hand soap is available in all hand washing stations / bathrooms
Yes
No
N/A
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Sign-Off
Closing comments
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Signature (Auditor)
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Signature (Department Manager)
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Infection Control Checklist (Hand Hygiene)
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