HAND WASHING CHECKLIST
Student’s Name: Section: Score:
Clinical Instructor: Date:
GRADING CRITERIA:
Performance of Task: Legend:
1. Perform task correctly and accurately 5 – Excellent
2. Perform task systemically 4 – Very Satisfactory 3 – Satisfactory
3. Finishes procedure on time 2 – Needs Improvement 1 – Incorrectly perform
4. Perform task with ease and confidence
5. States correct rationales/terms
CHECKLIST:
5 4
1. Push long uniform sleeves above wrists. Remove rings, wrist-watch, and bracelets. Artifi
prohibited.
2. Stand in front of sink, keeping hands and uniform away from sink surface. (If hands to
3. Turn on water.
3.2 Turn faucet on or push knee pedals laterally or press pedals with foot to regulate flow
(Skip for sensor sink faucet)
4. Apply enough soap to cover all hand surfaces.
5. Rub hands palm to palm to obtain enough quantity of foam or enough lather.
6. Right palm over left dorsum with interlaced fingers and
vice versa.
7. Palm to palm with finger interlaced.
8. Backs of fingers to opposing palms with fingers
interlocked and vice versa.
ectly performed
3 2 1