Get Hand Hygiene And Glove Use Form

Completing the Hand Hygiene And Glove Use Form online is essential for maintaining cleanliness and safety in healthcare settings. This guide provides step-by-step instructions to help you accurately fill out this important form.

Follow the steps to easily complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by filling in the ‘Unit/Dept.’ section with the relevant department's name. Indicate the day of the week, date, and time of the observation, ensuring accuracy for record-keeping.
3. Identify the type of healthcare worker involved in the encounter by selecting the appropriate option from the given codes (e.g., D for attending physician, N for nurse). This categorization is important for analyzing adherence rates.
4. Select the type of contact by circling either ‘Patient’ or ‘Environment’ based on who or what was involved during the encounter. This classification affects the adherence calculations.
5. For each specific encounter, indicate if hand hygiene was performed before and after contact, selecting either 'Y' for yes or 'N' for no. If applicable, note the method used (Alc for alcohol-based hand rub, HW for handwashing).
6. Determine if gloves were required and if they were used. Mark 'Y' for yes if gloves were required and used, 'N' if gloves were required but not used, and 'NA' if gloves were not required.
7. In the adherence section, record if hand hygiene and glove use were adhered to by marking 'Y' or 'N' following the specified criteria for each category. Calculate the overall adherence based on your observations.
8. At the bottom of the form, count the number of 'Y' recorded in the adherence sections and summarize the totals for hand hygiene, glove use, and overall adherence.
9. Finally, calculate the percentage of adherence for hand hygiene, glove use, and overall adherence using the provided formulas and record these percentages in the designated areas of the form.
10. Once all fields are completed and reviewed, you can save your changes, download, print, or share the form as needed for your records.

Complete your Hand Hygiene And Glove Use Form online today to ensure compliance with healthcare standards.