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  • Formulir Audit HH

    Uploaded by

    Rsu Wijayakusuma Kebumen
    71 views1 page
    Formulir audit hand hygiene

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    Formulir Audit Hh

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    Formulir audit hand hygiene

    Copyright:

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

    Formulir Audit HH

    Uploaded by

    Rsu Wijayakusuma Kebumen
    Formulir audit hand hygiene

    Copyright:

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

    OBSERVASI KEPATUHAN HAND HYGIENE

    Rumah Sakit Ruang rawat

    Tgl Observasi
    Observer

    Profesi Profesi Profesi Profesi


    Kode Kode Kode Kode
    Waktu Waktu Waktu Waktu
    Opp Indication HH Action Opp Indication HH Action Opp Indication HH Action Opp Indication HH Action

    Bef.pat. Bef.pat. Bef.pat. Bef.pat.


    1 Bef-asept. HR 1 Bef-asept. HR 1 Bef-asept. HR 1 Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 2 Bef.pat. 2 Bef.pat. 2 Bef.pat.


    2 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 3 Bef.pat. 3 Bef.pat. 3 Bef.pat.


    3 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 4 Bef.pat. 4 Bef.pat. 4 Bef.pat.


    4 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 5 Bef.pat. 5 Bef.pat. 5 Bef.pat.


    5 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 5 Bef.pat. 5 Bef.pat. 5 Bef.pat.


    6 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 6 Bef.pat. 6 Bef.pat. 6 Bef.pat.


    7 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

    Bef.pat. 7 Bef.pat. 7 Bef.pat. 7 Bef.pat.


    8 Bef-asept. HR Bef-asept. HR Bef-asept. HR Bef-asept. HR
    HW HW HW HW
    Aft.b.f. Aft.b.f. Aft.b.f. Aft.b.f.
     missed  missed  missed  missed
    Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves Aft-pat.  gloves
    Aft.p.surr Aft.p.surr Aft.p.surr Aft.p.surr

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