Scribd Logo
Upload

Welcome to Scribd!

  • Pencegahan Dan Pengendalian Infeksi Formulir Observasi Kepatuhan Cuci Tangan Petugas (Hand Hygiene)

    Uploaded by

    Suga
    37 views1 page
    The document is an observation form to monitor staff compliance with hand hygiene practices in a healthcare setting. It tracks opportunities for hand hygiene and whether staff performed hand rubbing (HR) or hand washing (HW) before and after interactions with patients or the patient environment over the course of a shift. Observational data is collected for multiple staff and includes notes on any missed opportunities for hand hygiene or failures to use personal protective equipment like gloves.

    Original Description:

    ok

    Original Title

    10 Audit Hh Fixyes

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is an observation form to monitor staff compliance with hand hygiene practices in a healthcare setting. It tracks opportunities for hand hygiene and whether staff performed hand rubbing (HR) or hand washing (HW) before and after interactions with patients or the patient environment over the course of a shift. Observational data is collected for multiple staff and includes notes on any missed opportunities for hand hygiene or failures to use personal protective equipment like gloves.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    37 views1 page

    Pencegahan Dan Pengendalian Infeksi Formulir Observasi Kepatuhan Cuci Tangan Petugas (Hand Hygiene)

    Uploaded by

    Suga
    The document is an observation form to monitor staff compliance with hand hygiene practices in a healthcare setting. It tracks opportunities for hand hygiene and whether staff performed hand rubbing (HR) or hand washing (HW) before and after interactions with patients or the patient environment over the course of a shift. Observational data is collected for multiple staff and includes notes on any missed opportunities for hand hygiene or failures to use personal protective equipment like gloves.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PENCEGAHAN DAN PENGENDALIAN INFEKSI

    AUDIT :
    REVISI :
    Formulir Observasi Kepatuhan Cuci Tangan Petugas BERLAKU :

    (Hand Hygiene)
    UNIT : ................................................. PERIODE : ...................................................
    TANGGAL : ................................................. OBSERVER : ...................................................

    Profesi Profesi Profesi Profesi


    Kode Kode Kode Kode
    n n n n
    Opp. Indikasi HH Action Opp. Indikasi HH Action Opp. Indikasi HH Action Opp. Indikasi HH Action
    bef-pat. bef-pat. bef-pat. bef-pat.
    1 HR 1 HR 1 HR 1 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.
    bef-pat. bef-pat. bef-pat. bef-pat.
    2 HR 2 HR 2 HR 2 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.
    bef-pat. bef-pat. bef-pat. bef-pat.
    3 HR 3 HR 3 HR 3 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.
    bef-pat. bef-pat. bef-pat. bef-pat.
    4 HR 4 HR 4 HR 4 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.
    bef-pat. bef-pat. bef-pat. bef-pat.
    5 HR 5 HR 5 HR 5 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.
    bef-pat. bef-pat. bef-pat. bef-pat.
    6 HR 6 HR 6 HR 6 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.
    bef-pat. bef-pat. bef-pat. bef-pat.
    7 HR 7 HR 7 HR 7 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.

    bef-pat. bef-pat. bef-pat. bef-pat.


    8 HR 8 HR 8 HR 8 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.

    bef-pat. bef-pat. bef-pat. bef-pat.


    9 HR 9 HR 9 HR 9 HR
    bef-asept. bef-asept. bef-asept. bef-asept.
    HW HW HW HW
    aft-b.f. aft-b.f. aft-b.f. aft-b.f.
    aft-pat.  missed aft-pat.  missed aft-pat.  missed aft-pat.  missed
    gloves gloves gloves gloves
    aft.p.surr. aft.p.surr. aft.p.surr. aft.p.surr.

    Keterangan :
    Bef-pat : Sebelum kontak dengan pasien
    Bef-asept: Sebelum tindakan aseptik
    Aff-b.f : Setelah terkena cairan tubuh pasien
    Aff-pat : Setelah kontak dengan pasien
    Aff.p.suur : Setelah kontak dengan lingkungan pasien
    Opp : Opportunity/kesempatan melakukan Hand Hygiene
    Indikasi : Indikasi melakukan Hand Hygiene (5 moment)
    HR : Handrub
    HW : Handwash Manna, .......................
    Missed : Tidak Melakukan HR atau HW Auditor
    Gloves : Memakai Sarung Tangan
    HH : Hand Hygiene
    n : Jumlah sample ( .................................. )

    You might also like