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  • Form Observasi rEVISI

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    Muzda Lifah
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    This document appears to be an observation form used to monitor hand hygiene practices at a health clinic. The form includes fields to record the observer's name and date, as well as details of opportunities for hand hygiene, including indications like before/after patient contact or before/after aseptic procedures, and the actions taken like whether hand rubbing or washing was performed. Multiple opportunities can be recorded on a single form to monitor compliance over a period of time.

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    Form observasi

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    This document appears to be an observation form used to monitor hand hygiene practices at a health clinic. The form includes fields to record the observer's name and date, as well as details of opportunities for hand hygiene, including indications like before/after patient contact or before/after aseptic procedures, and the actions taken like whether hand rubbing or washing was performed. Multiple opportunities can be recorded on a single form to monitor compliance over a period of time.

    Copyright:

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

    Form Observasi rEVISI

    Uploaded by

    Muzda Lifah
    This document appears to be an observation form used to monitor hand hygiene practices at a health clinic. The form includes fields to record the observer's name and date, as well as details of opportunities for hand hygiene, including indications like before/after patient contact or before/after aseptic procedures, and the actions taken like whether hand rubbing or washing was performed. Multiple opportunities can be recorded on a single form to monitor compliance over a period of time.

    Copyright:

    © All Rights Reserved
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    of 1

    FORM OBSERVASI HAND HYGIENE

    PUSKESMAS TUALANG
    OBSERVER OBSERVER
    TGL OBSERVASI TGL OBSERVASI
    NAMA NAMA
    UNIT / INST UNIT / INST
    TINDAKAN TINDAKAN
    WAKTU MULAI JAM S/D WAKTU MULAI JAM S/D
    PROFESI PROFESI
    Opp Indication HH Action Opp Indication HH Action
    1. Bef-pat. HR 1. Bef-pat. HR
    Bef-asept HW Bef-asept HW
    Aft-b.f. missed Aft-b.f. missed
    Aft-pat gloves Aft-pat gloves
    Aft.p.surr. Aft.p.surr.

    Opp Indication HH Action Opp Indication HH Action


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

    Opp Indication HH Action Opp Indication HH Action


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

    Opp Indication HH Action Opp Indication HH Action


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

    Opp Indication HH Action Opp Indication HH Action


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

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