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Run: Hand Hygiene Audit

A hand hygiene audit template for observing WHO 5 Moments compliance at the point of care. Use it to document technique, access barriers, and missed opportun...

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Observation Setup

Record the unit, department, or care area where the observation occurred.
Confirm the observer is trained to perform direct observation using the WHO 5 Moments method.
Confirm the audit was performed without coaching, prompting, or alerting staff before the moment of observation.
Select the role of the staff member observed.
Alcohol-based hand rub or sink access is available within the care area where the observation occurred.
Dispensers, sinks, and supplies are unobstructed and accessible at the point of care.

WHO 5 Moments Compliance

Hand hygiene performed immediately before any direct contact with the patient.
Hand hygiene performed immediately before a clean or aseptic task, including device handling or invasive care.
Hand hygiene performed after exposure or potential exposure to blood, body fluids, secretions, or excretions.
Hand hygiene performed immediately after direct contact with the patient.
Hand hygiene performed after contact with the patient's immediate environment, even if the patient was not touched.

Technique and Compliance Details

Select the method used for the observed hand hygiene event.
If hand hygiene was performed, confirm all hand surfaces were adequately covered and rubbed or washed.
Record observed duration of hand hygiene in seconds.
If gloves were worn, confirm they were removed at the appropriate time and hand hygiene was performed after removal when required.
Soap and water was used when hands were visibly soiled or contamination required washing rather than alcohol-based hand rub.

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