Annual Hand Hygiene Audit

Team member’s name: Audit date: Date of next audit: Auditor’s name: Signature:

Yes No Preparation A copy of Hand Hygiene Poster (M 257G) is prominently displayed at each wash basin Hands and wrists are free from watches and jewellery (non-stoned wedding rings are acceptable) Nails are short and without nail extensions and varnish Sleeves are short or rolled up during hand washing Cuts are covered with waterproof dressings Technique Hands are wetted under continuously running water Warm water is used to wash hands Dispensed liquid soap is used Liquid soap is applied to wet hands Hands are rubbed to create a lather The lather is rubbed over all surfaces of the hands for 10-15 seconds, including the thumbs, between the fingers, fingertips and the wrist Hand are rinsed thoroughly under running water The technique on the Hand Hygiene poster is followed Hand drying Taps are turned off using wrist/elbow levers or using a clean paper towel Hands are dried using paper towels Hand hygiene using alcohol based hand rubs Hands and wrists are free from watches and jewellery (non-stoned wedding rings are acceptable) Nails are short and without nail extensions and varnish Sleeves are short or rolled up during hand hygiene Cuts are covered with a waterproof dressing Hands are visibly clean Alcohol based hand rub is dispensed onto the hands Alcohol hand rub is rubbed onto the hands ensuring all surfaces are covered by the alcohol The technique on the Hand Hygiene poster is followed Hands are rubbed until the alcohol has evaporated

Terms of use: CODE information in templates, modules and iCOMPLY is written in general terms and is believed to be based on the relevant legislation, regulations and good practice guidance. This information is indicative only and is intended as a guide for you to review and take particular professional advice to suit your circumstances. CODE is a trading name of the Confederation of Dental Employers Ltd and it licenses information to CODEplan Ltd. CODE and CODEplan do not accept any liability for any loss or claim that may arise from reliance on information provided. The use of this document indicates acceptance of these terms. ©CODE 2014

M 257GA – Annual Hand Hygiene Audit, Version 1, Page 1 of 1, Folder 5