Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND
Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED
COLLEGE OF NURSING
Clinical Learning Skills Laboratory
FUNDAMENTALS OF NURSING
(NCM 103):
HAND HYGIENE
Name: ______________________________________________________________ Score:
Block: ________________________ Date:____________________________
PROCEDURE
Performed Comments
YES NO
ASSESSMENT
1. Determine the client’s
Presence of factors increasing susceptibility to infection
and possibility of undiagnosed infection (e.g., HIV)
Use of immunosuppressive medications
Recent diagnostic procedures or treatments that
penetrated the skin or a body cavity
Current nutritional status
Signs and symptoms indicating the presence of an
infection:
Localized signs—swelling, redness, pain or
tenderness
with palpation or movement, palpable heat at site, loss
of function of affected body part, presence of exudate
Systemic indications—fever, increased pulse
and
respiratory rates, lack of energy, anorexia, enlarged
lymph nodes
PLANNING
Determine the location of running water and soap or
soap
substitutes.
Prepare the equipment:
1.
Soap
Sink
Warm running water
Paper or cloth towels
IMPLEMENTATION
Preparation
Assess the hands:
Nails should be kept short. Most agencies do not permit
health care workers in direct contact with clients to have
any form of artificial nails.
Removal of all jewelry is recommended.
Check hands for breaks in the skin, such as hangnails or
cuts.
Performance
If you are washing your hands where the client can
1. observe you, introduce yourself and explain to the client
what you are going to do and why it is necessary.
Transforming Communities through Science and Technology Contact No. (044) 463-0825
Email: neustmain@[Link]
[Link]
Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND
Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED
COLLEGE OF NURSING
Turn on the water and adjust the flow.
There are five common types of faucet controls:
a. Hand-operated handles.
b. Knee levers. Move these with the knee to regulate
flow and temperature.
c. Foot pedals. Press these with the foot to regulate
2.
flow and temperature.
d. Elbow controls. Move these with the elbows
instead of the hands.
e. Infrared control. Motion in front of the sensor
causes water to start and stop flowing automatically.
Adjust the flow so that the water is warm.
Wet the hands thoroughly by holding them under the
running water and apply soap to the hands.
Hold the hands lower than the elbows so that the
3. water flows from the arms to the fingertips.
If the soap is liquid, apply 4 to 5 mL (1 tsp). If it is bar
soap, granules, or sheets, rub them firmly between
the hands.
Thoroughly wash and rinse the hands.
Use firm, rubbing, and circular movements to wash
the palm, back, and wrist of each hand. Be sure to include
4. the heel of the hand. Interlace the fingers and thumbs,
and move the hands back and forth. Continue this motion
for at least 20 seconds.
Rub the fingertips against the palm of the opposite hand.
Thoroughly pat dry the hands and arms.
Dry hands and arms thoroughly with a paper towel
without scrubbing. Discard the paper towel in the
5. appropriate container.
After washing and rinsing, use a towel to dry one hand
thoroughly in a rotating motion from the fingers to the
elbow. Use a new towel to dry the other hand and arm.
Turn off the water.
6. Use a new paper towel to grasp a hand-operated
control.
EVALUATION
1. The handwashing was adequate to control topical flora and
infectious agents on the hands
The hands were not recontaminated during or shortly after the
handwashing
TOTAL
Remarks:
____________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Rating Scale:
Excellent : 96 – 100%
Very Satisfactory : 90 – 95%
Very Good : 85 – 89%
Good : 80 – 84%
Fair : 75 – 79%
Poor : 74 and below
__________________________________________________
Student’s Printed Name and Signature
______________________________________
Transforming Communities through Science and Technology Contact No. (044) 463-0825
Email: neustmain@[Link]
[Link]
Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND
Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED
Skills Laboratory Instructor COLLEGE OF NURSING
Printed Name and Signature
Transforming Communities through Science and Technology Contact No. (044) 463-0825
Email: neustmain@[Link]
[Link]
