Free Hand Hygiene Compliance Checklist Template

Hand Hygiene Compliance Checklist

I. Overview

The Hand and Facility Hygiene Compliance Checklist ensures that [YOUR COMPANY NAME] maintains high standards of hygiene to prevent the spread of infections. This checklist covers personal hygiene practices for individuals and facility hygiene measures to promote a clean and safe environment.

II. Daily Compliance Checklist

Staff Responsibilities

  • All staff members understand and follow the hand hygiene policy outlined by [YOUR COMPANY NAME].

  • Staff members wash their hands with soap and water or use hand sanitizer:

  • Before and after patient contact.

  • Before and after performing invasive procedures.

  • Before handling medications or preparing food.

  • After using the restroom.

  • After touching any potentially contaminated surfaces.

Facility Maintenance

  • Ensure that all handwashing sinks are equipped with soap, running water, and disposable towels.

  • Regularly inspect hand sanitizer dispensers to ensure they are functioning correctly and are adequately stocked.

  • Clean and disinfect high-touch surfaces, such as doorknobs and light switches, regularly.

Compliance Monitoring

  • Conduct regular audits of hand hygiene compliance using [YOUR DEPARTMENT] standardized checklist.

  • Provide feedback and education to staff members based on audit findings.

  • Document all instances of non-compliance and implement corrective actions as necessary.

III. Personal Hygiene

  • Hands are washed for at least 20 seconds

  • Hands are dried with disposable towel

  • Use hand sanitizer when hand washing is not possible

  • Avoid touching face, particularly eyes, nose, and mouth

IV. Facility Hygiene

  • Sufficient handwashing stations are available

  • Handwashing stations are equipped with soap and disposable towels

  • Hand sanitizer dispensers are located at key points around the facility

V. Training and Awareness

  • All employees have received training on proper hand hygiene

  • Hand hygiene posters are displayed in prominent areas

  • Regular reminders about hand hygiene are sent to all employees

VI. Compliance Monitoring

  • Regular audits are conducted to monitor hand hygiene compliance

  • Feedback is provided to employees on their hand hygiene practices

  • Non-compliance is addressed promptly and appropriately

VII. Monitoring and Auditing

  • Implement regular monitoring processes to assess hand hygiene compliance levels.

  • Conduct audits periodically to identify areas for improvement.

  • Analyze audit data to identify trends, patterns, and areas of non-compliance.

VIII. Non-Compliance Response Plan

  • Develop a structured plan to address instances of non-compliance.

  • Determine corrective actions such as additional training, coaching, or disciplinary measures if necessary.

  • Use instances of non-compliance as learning opportunities to improve hand hygiene policies and procedures.

IX. Signature

  • I, [Your Name], acknowledge that I have reviewed and understand the Monitoring and Auditing processes, Non-Compliance Response Plan, and agree to uphold the outlined measures for hand hygiene compliance.

[YOUR NAME]

Compliance Officer

Date:                               

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