CHECKLIST ON HANDWASHING
Name: ___________________________________
Year and Block: ____________________________
PROCEDURE
MEDICAL TECHNIQUE:
ASSESSMENT
1. Inspect hands for visible soiling, breaks or cuts in the
skin and cuticles.
PLANNING
2. Assemble all the equipment.
IMPLEMENTATION
3. Roll your sleeves above your elbows, and remove your
watch and all other wrist jewelry. Do not touch the
sink.
4. Turn on the water, adjust to appropriate temperature
and leave it running during the procedure.
5. Wet your hands and forearms well under the
running water and maintain the level of your
hands lower than elbows. Avoid splashing.
6. Lather your hands, wrists, and forearms with liquid or
bar soap.
7. Wash hands, wrists, and forearms thoroughly using
firm circular motion and friction on back of the hands,
palms, and wrists. Wash each finger individually paying
special attention to areas between fingers and
knuckles by interlacing fingers and thumbs moving
hands back and forth. Re lather if necessary.
8. Clean fingernails carefully using a nail file or other
nail-cleaning utensil.
9. Rinse thoroughly your hands, wrists, and forearms
starting from one elbow moving down to the hand,
then repeat it to the other arm.
10. Dry your hands thoroughly starting from
fingertips, hand, wrist and forearm using clean
dry hand towel or paper towel.
11. Use another clean towel or paper towel to turn
off the faucet.
12. Use hand lotion if desired.
EVALUATION
13. Evaluate the condition of your hands whether
you have disinfected all surfaces.
SURGICAL TECHNIQUE:
1. Inspect hands for cuts in the skin and cuticles.
Do not scrub if there are open wound such as
lesions or breaks in the skin.
Date: ____________________
RLE Group: ________________
Able to
Perform
Able to
Perform
with
Assistance
Unable
to
Perform
2. Remove rings, chipped nail polish, and watch
then roll the sleeves above the elbow.
3. Put on cap or hood, shoe cover and a mask
4. Use a deep sink with side foot pedal.
5. Turn on water using foot or knee control and
adjust temperature to be comfortably warm.
6. Wet hands starting from the tip of fingers to
forearms keeping hands higher than elbows.
7. Apply soap to a scrub brush or open a prepackaged scrub brush if available.
8. With brush on your dominant hand, using a
circular motion, scrub nails and all skin areas of
non-dominant hand and arm (ten strokes to
each of the areas).
9. With brush on your dominant hand, using a
circular motion, scrub nails and all skin areas of
non-dominant hand and arm (ten strokes to
each of the areas).
10. Take second scrub brush and repeat actions in
no. 8 on your dominant hand and arm.
11. Keep the hands and forearms above elbow
level, place the fingertips under running water
and thoroughly rinse the fingers, hands the
forearms.
12. Keep arms flexed and proceed to operating
room
13. Secure a sterile towel by grasping it on one
edge, opening it full length, making sure it does
not touch your uniform.
14. Dry each hand separately, and extend one side
of the towel around fingers and hands and dry
in a rotating motion up to the elbow.
15. Reverse towel and repeat same action on the
other hand and arm, thoroughly drying the skin.
Discard towel into linen hamper.
Final
Grade:
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________
Rating Scale:
Excellent:
Very Satisfactory:
Very Good:
96-100%
90-95%
85-89%
______________________________
Clinical Instructor
Good:
Fair:
Poor:
80-84%
75-79%
74% and below
______________________________
Student’s Signature