Infection Prevention Manual

HANDWASHING COMPETENCY EVALUATION Employee Name: ____________________________________________ Title: _________ Items Yes No N/A Comments 1. Wets hands and wrists completely: points fingers downward 2. Applies soap over entire hand/wrist area; lathers well 3. Scrubs hands and wrists well, paying attention to fingernails and between fingers. 4. Rinses well, keeping fingers pointed Downward 5. Dries hands and wrists completely Using a paper towel or a clean hand towel 6. Turns off faucet with the paper towel or cloth towel 7. If no running water or Handwashing Facilities not available, uses a Packaged Handwashing product or Hand sanitizer Additional Comments: Signature/Title of Evaluator:__________________________________ Date:____________ Your Agency Name (PN System)

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