Hand Hygiene Audit

Unit / department observed Critical

Date and time of observation Critical

Observer ID

Moment 1 (Before patient contact) compliance count Critical

Moment 2 (Before aseptic task) compliance count Critical

Moment 3 (After body fluid exposure) compliance count Critical

Moment 4 (After patient contact) compliance count Critical

Moment 5 (After patient surroundings contact) compliance count Critical

Hand-rub dispensers full and accessible Critical

Sinks have soap, paper, hot water