ࡱ>  '` 0Ubjbj t`~~~84ܐ;xxxx%),+WYYYYYY$hHr},$%@,,}xx<999,xn8xW9,W99wb|86[gx c/~~-hd&+h,&0ܐeB2jL[g[gog,,9,,,,,}}P9d,,,ܐ,,,,:DC: Observation Form Facility: FORMTEXT       Period Number*: FORMTEXT      Session Number*: FORMTEXT      Service: FORMTEXT      Date: (dd/mm/yy) FORMTEXT    / FORMTEXT    /  FORMTEXT    FORMTEXT   Observer: (initials)Ward: FORMTEXT      Start/End time: (hh:mm) FORMTEXT    : FORMTEXT    /  FORMTEXT    : FORMTEXT   Page N:Department: FORMTEXT      Session duration: (mm) FORMTEXT      City**: FORMTEXT      Country**:  Prof.cat  FORMTEXT      Prof.cat  FORMTEXT      Prof.cat  FORMTEXT      Prof.cat  FORMTEXT      Code  FORMTEXT      Code  FORMTEXT      Code  FORMTEXT      Code  FORMTEXT      N  FORMTEXT      N  FORMTEXT       FORMTEXT      N  FORMTEXT      N  FORMTEXT      Opp.IndicationHH Action Opp.IndicationHH ActionOpp.IndicationHH ActionOpp.IndicationHH Action 1 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 1 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 1 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 1 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 2 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 2 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 2 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 2 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 3 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 3 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 3 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 3 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 4 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 4 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 4 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 4 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 5 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 5 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 5 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 5 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 6 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 6 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 6 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 6 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 7 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 7 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 7 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 7 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 8 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 8 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 8 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves 8 FORMCHECKBOX  bef-pat.  FORMCHECKBOX  bef-asept.  FORMCHECKBOX  aft-b.f.  FORMCHECKBOX  aft-pat.  FORMCHECKBOX  aft.p.surr. FORMCHECKBOX  HR  FORMCHECKBOX  HW ( missed ( gloves General Recommendations (refer to the Hand Hygiene Technical Reference Manual) In the context of open and direct observations, the observer introduces him/herself to the health-care worker and to the patient when appropriate, explains his/her task and proposes immediate informal feed back. The health-care worker, belonging to one of the main four following professional categories (see below), is observed during the delivery of health-care activities to patients. Detected and observed data should be recorded with a pencil in order to be immediately corrected if needed. The top of the form (header) is completed before starting data collection (excepted end time and session duration). The session should last no more than 20 minutes ( 10 minutes according to the observed activity); the end time and the session duration are to be completed at the end of the observation session. The observer may observe up to three health-care workers simultaneously, if the density of hand hygiene opportunities permits. Each column of the grid to record hand hygiene practices is intended to be dedicated to a specific professional category. Therefore numerous health-care workers may be sequentially included during one session in the column dedicated to their category. Alternatively each column may be dedicated to a single health-care worker only of whom the professional category should be indicated. As soon as you detect an indication for hand hygiene, count an opportunity in the appropriate column and cross the square corresponding to the indication(s) you detected. Then complete all the indications that apply and the related hand hygiene actions observed or missed. Each opportunity refers to one line in each column; each line is independent from one column to another. Cross items in squares (several may apply for one opportunity) or circles (only a single item may apply at one moment). When several indications fall in one opportunity, each one must be recorded by crossing the squares. Performed or missed actions must always be registered within the context of an opportunity. Glove use may be recorded only when the hand hygiene action is missed while the health-care worker is wearing gloves. Short description of items Facility:to complete according to the local nomenclatureService:to complete according to the local nomenclatureWard:to complete according to the local nomenclatureDepartment:to complete according to the following standardized nomenclature:medical, including dermatology, neurology, haematology, oncology, etc.surgery, including neurosurgery, urology, EENT, ophthalmology, etc.mixed (medical & surgical), including gynaecologyobstetrics, including related surgerypaediatrics, including related surgeryintensive care & resuscitationemergency unitlong term care & rehabilitationambulatory care, including related surgeryother (to specify)Period N:1) pre- / 2) post-intervention; and then according to the institutional counter.Date:day (dd) / month (mm) / year (yy)Start/end time:hour (hh) / minute (mm).Session duration:difference between start and end time, resulting in minutes of observation.Session N:attributed at the moment of data entry for analysis.Observer:observers initials (the observer is responsible for the data collection and for checking their accuracy before submitting the form for analysis.Page N:to write only when more than one form is used for one session.Prof.cat:according to the following classification:1. nurse / midwife1.1 nurse, 1.2 midwife, 1.3 student.2. auxiliary3. medical doctor3.1 in internal medicine, 3.2 surgeon, 3.3 anaesthetist / resuscitator / emergency physician, 3.4 paediatrician, 3.5 gynaecologist, 3.6 consultant, 3.7 medical student.4. other health-care worker4.1 therapist (physiotherapist, occupational therapist, audiologist, speech therapist), 4.2 technician (radiologist, cardiology technician, operating room technician, laboratory technician, etc), 4.3 other (dietician, dentist, social worker and any other health-related professional involved in patient care), 4.4 student.Number:number of observed health-care workers belonging to the same professional category (same code) as they enter the field of observation and you detect opportunities.Opp(ortunity):defined by one indication at leastIndication:reason(s) that motivate(s) hand hygiene action; all indications that apply at one moment must be recordedbef.pat: before touching a patientaft.b.f: after body fluid exposure riskbef.asept: before clean/aseptic procedureaft.pat: after touching a patientaft.p.surr: after touching patient surroundingsHH action:response to the hand hygiene indication(s); it can be either a positive action by performing handrub or handwash, or a negative action by missing handrub or handwashHR: hand hygiene action by handrubbing with an alcohol-based formula HW: hand hygiene action by handwashing with soap and waterMissed: no hand hygiene action performed Observation Form Basic Compliance Calculation Facility:Period:Setting:Prof.cat.  FORMTEXT      Prof.cat.  FORMTEXT      Prof.cat.  FORMTEXT      Prof.cat.  FORMTEXT       FORMTEXT       Total per sessionSession NOpp (n)HW (n)HR (n)Opp (n)HW (n)HR (n)Opp (n)HW (n)HR (n)Opp (n)HW (n)HR (n)Opp (n)HW (n)HR (n)1 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      2 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      3 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      4 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      5 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      6 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      7 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      8 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      9 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      10 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      11 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      12 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      13 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      14 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      15 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      16 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      17 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      18 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      19 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      20 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Total FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Calculation Act (n) = FORMTEXT       Opp (n) = FORMTEXT       Act (n) = FORMTEXT       Opp (n) = FORMTEXT       Act (n) = FORMTEXT       Opp (n) = FORMTEXT       Act (n) = FORMTEXT       Opp (n) = FORMTEXT       Act (n) = FORMTEXT       Opp (n) = FORMTEXT      Compliance FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        Instructions for use Define the setting outlining the scope for analysis and report related data according to the chosen setting. Check data in the observation form. Hand hygiene actions not related to an indication should not be taken into account and vice versa. Report the session number and the related observation data in the same line. This attribution of session number validates the fact that data has been taken into count for compliance calculation. Results per professional category and per session (vertical): 4.1 Sum up recorded opportunities (opp) in the case report form per professional category: report the sum in the corresponding cell in the calculation form. 4.2 Sum up the positive hand hygiene actions related to the total of opportunities above, making difference between handwash (HW) and handrub (HR): report the sum in the corresponding cell in the calculation form. 4.3 Proceed in the same way for each session (data record form). 4.4 Add up all sums per each professional category and put the calculation to calculate the compliance rate (given in percent) The addition of results of each line permits to get the global compliance at the end of the last right column. Observation form Optional Calculation Form (Indication-related compliance with hand hygiene) Facility: FORMTEXT      Period:  FORMTEXT      Setting:  FORMTEXT      Before touching a patientBefore clean/ aseptic procedureAfter body fluid exposure riskAfter touching a patientAfter touching patient surroundingsSession NIndic (n)HW (n)HR (n)Indic (n)HW (n)HR (n)Indic (n)HW (n)HR (n)Indic (n)HW (n)HR (n)Indic (n)HW (n)HR (n)1 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      2 FORMTEXT       FORMTEXT       FORMT"2468LNPZ\^`pz|ñˡÖwˡlZˡl#jh[ohN UmH sH h5>0hN mH sH #jth[ohN UmH sH h&Xh&X5mH sH h5>0h!mH sH jhN UmHnHsH u#jhvhN UmH sH hN mH sH jhN UmH sH hN 5mH sH h[ohN 5mH sH %h`hN B*CJ$aJ$mH phsH ""6^` !$IfgdN 5gdN L,LZPUkd\$$IfFֈS] !)SG <)4FaFp<ytb=    * , . 8 : < D F H J L V ^ ` b v ɽ|sscVcG<hEhN mH sH jhEhN UmH sH hN 5CJaJmH sH hvhN 5CJaJmH sH hN 5mH sH hrhN mH sH jhN UmHnHsH u#jh BhN UmH sH hN mH sH jhN UmH sH hvhN 5mH sH h hN CJ^JaJ"h hN 5CJ\aJmH sH h hN CJaJh5>0hN aJmH sH  $IfgdN * & F$IfgdN    < `  F===== !$IfgdN kd$$IfFֈS] !z)SGp)12DaFp<ytb=v x z ~    ǵޥǓޥǁj^P^h-hN 5CJmH sH h-hN 5mH sH ,jhEhN OJQJUmHnHsH u#jhEhN UmH sH #j hEhN UmH sH jhN OJQJUmH sH #jhEhN UmH sH hEhN mH sH jhN UmH sH jhEhN UmH sH #j@hEhN UmH sH    !$IfgdN    * , 8 : N P R \ ^ ` | ~ ɼznenWnEz#jh-hN UmH sH hvhN 5CJmH sH hN 5mH sH hvhN 5mH sH jhN UmHnHsH u#jzh BhN UmH sH hN mH sH jhN UmH sH h-hN 5mH sH h hN CJ^JaJ"h hN 5CJ\aJmH sH h hN CJaJhrhN CJ aJmH sH hrhN mH sH   kd $$IfFֈS] !)SG <)4FaFp<ytb= " $ & ( * $IfgdN * & F$IfgdN * , 8 ` & 8 F===== !$IfgdN kdj$$IfFֈS] !z)SGp)12DaFp<ytb=       " $ & 6 : < > H J ڿڿucVh hN CJ^JaJ"h hN 5CJ\aJmH sH h hN CJaJhrhN CJ aJmH sH h-hz5mH sH #jR h-hN UmH sH #j h-hN UmH sH hrhN mH sH jhN UmHnHsH ujhN UmH sH #jf h-hN UmH sH hN mH sH 8 : < kd $$IfFֈS] !)SG <)4FaFp<ytb= !$IfgdN < > @ B D F H $IfgdN * 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CJUaJmH sH +jwh%hN CJUaJmH sH +j$wh%hN CJUaJmH sH +jvh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH " ",.02FHJTVXZ^`tvxֲֲֿֿ֣~n֣Xֲֿ֣B+jh%hN CJUaJmH sH +j<h%hN CJUaJmH sH h8whN 5CJaJmH sH hcrhN CJaJmH sH +jxh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jxh%hN CJUaJmH sH ĔƔȔҔԔ֔ؔ"$&(<>@JLNPdֺֺֺxֺbֺ+jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +j(h%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH %jh%hN CJUaJmH sH ,jh%hN CJUaJmHnHsH u!dfhrtvx•ĕƕȕܕޕֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+j؄h%hN CJUaJmH sH +jbh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jvh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH ,.0:<>@TVXbdfh|~칣칍wa+jh%hN CJUaJmH sH +j:h%hN CJUaJmH sH +jąh%hN CJUaJmH sH +jNh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH   4\ԗ$LtĘBjFfV$ $Ifa$gdN Ff !$IfgdN ҖԖ֖  "$&0246JLοΒ΅οoΒ΅οYΒ΅οC+jRh%hN CJUaJmH sH +j܎h%hN CJUaJmH sH +jfh%hN CJUaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u+jh%hN CJUaJmH sH h%hN CJaJmH sH %jh%hN CJUaJmH sH h8whN 5CJaJmH sH hcrhN CJaJmH sH LNXZ\^rtv—ėƗЗҗԗ֗칣칍wa+j*h%hN CJUaJmH sH +jh%hN CJUaJmH sH +j>h%hN CJUaJmH sH +jȏh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH " "$&:<>HJLNbdfprtvֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jxh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH ˜ĘƘژܘޘ024>@BDX칣칍~nX+jh%hN CJUaJmH sH h8whN 5CJaJmH sH hcrhN CJaJmH sH +jdh%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH XZ\fhjlЙҙԙޙֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jh%hN CJUaJmH sH +j|h%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH    "$.024HJLVXZ\prt~칣칍wa+jʟh%hN CJUaJmH sH +jTh%hN CJUaJmH sH +jޞh%hN CJUaJmH sH +jhh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH " 2ZҚ"Jrtxț@h0X$ $Ifa$gdN Ff  !$IfgdN šĚΚКҚԚ "$8:<FHJL`bֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +j,h%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +j@h%hN CJUaJmH sH bdnprtxzěƛțʛޛȹ욄nX+jDh%hN CJUaJmH sH +jΩh%hN CJUaJmH sH +jXh%hN CJUaJmH sH h%hN CJaJmH sH h8whN 5CJaJmH sH hcrhN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH  .02<>@BVXZdfhj~ֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +j0h%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH ΜМҜܜޜ  ",.02FHJTVXZn칣칍wa+jjh%hN CJUaJmH sH +jh%hN CJUaJmH sH +j~h%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH "npr|~̝ΝНҝ֝؝ֲֲֿֿ֣֣wֲֿhX֣B+j h%hN CJUaJmH sH h8whN 5CJaJmH sH hcrhN CJaJmH sH +j̯h%hN CJUaJmH sH +jVh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH Нҝ֝&Nvƞ>fޟ.04\ԠFfr$ $Ifa$gdN Ff !$IfgdN 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CJUaJmH sH +jph%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH *,.8:<>RTV`bdfz|~칣칍whXh8whN 5CJaJmH sH hcrhN CJaJmH sH +j4h%hN CJUaJmH sH +jh%hN CJUaJmH sH +jHh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH ҢԢ֢  "$&0246JLֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jLh%hN CJUaJmH sH +jh%hN CJUaJmH sH +j`h%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jth%hN CJUaJmH sH LNXZ\^rtv£ģƣУңԣ֣칣칍wa+j$h%hN CJUaJmH sH +jh%hN CJUaJmH sH +j8h%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH " "$&:<>HJLNbdfprtvֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jrh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH ¤ĤƤڤܤޤ  246@BDFZ칣ȔnX+jh%hN CJUaJmH sH +j(h%hN CJUaJmH sH h8whN 5CJaJmH sH hcrhN CJaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH ĤDl 4\Ԧ$LNT|̧Ff$ $Ifa$gdN Ff !$IfgdN Z\^hjlnҥԥֲֲֿֿ֥֣֣wֲֿ֣aֲֿ֣K+jh%hN CJUaJmH sH +jvh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH   "$&0246JLNXZ\^rtv¦칣칍wa+jh%hN CJUaJmH sH +jNh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jbh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH "¦ĦƦЦҦԦ֦ "$&:<>HJLNֲֲֿֿ֣֣wֲֿ֣aֲֿRhcrhN CJaJmH sH +jh%hN CJUaJmH sH +j&h%hN CJUaJmH sH +jh%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +j:h%hN CJUaJmH sH NTVjlnxz|~ȧʧ̧Χ ͷܠܓ}ܠܓgܠܓQܠܓ+j>h%hN CJUaJmH sH +jh%hN CJUaJmH sH +jRh%hN CJUaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u+jh%hN CJUaJmH sH h%hN CJaJmH sH %jh%hN CJUaJmH sH h8whN 5CJaJmH sH   246@BDFZ\^hjlnֲֲֿֿ֣֣wֲֿ֣aֲֿ֣K+jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +jh%hN CJUaJmH sH +j*h%hN CJUaJmH sH h%hN CJaJmH sH hcrhN CJmH sH ,jh%hN CJUaJmHnHsH u%jh%hN CJUaJmH sH +jh%hN CJUaJmH sH Dl 4\ܩ,T|̪Dl$ $Ifa$gdN FfB !$IfgdN ҨԨ֨  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FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Total FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Calculation Act (n) = FORMTEXT       Indic1 (n) = FORMTEXT       Act (n) = FORMTEXT       Indic2 (n) = FORMTEXT       Act (n) = FORMTEXT       Indic3 (n) = FORMTEXT       Act (n) = FORMTEXT       Indic4 (n) = FORMTEXT       Act (n) = FORMTEXT       Indic5 (n) = FORMTEXT      Ratio act / indic( FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Instructions for use Define the setting outlining the scope for analysis and report related data according to the chosen setting. Check data in the observation form. Hand hygiene actions not related to an indication should not be taken into account and vice versa. If several indications occur within the same opportunity, each one should be considered separately as well as the related action. Report the session number and the related observation data in the same line. This attribution of session number validates the fact that data has been taken into count for compliance calculation. Results per indication (indic) and per session (vertical): 4.1 Sum up indications per indication in the observation form: report the sum in the corresponding cell in the calculation form. 4.2 Sum up positive hand hygiene actions related to the total of indications above, making the difference between handwash (HW) and handrub (HR): report the sum in the corresponding cell in the calculation form. 4.3 Proceed in the same way for each session (observation form). 4.4 Add up all sums per each indication and put the calculation to calculate the ratio (given in percent)        (Note: This calculation is not exactly a compliance result, as the denominator of the calculation is an indication instead of an opportunity. Action is artificially overestimated according to each indication. However, the result gives an overall idea of health-care worker s behaviour towards each type of indication. Compliance (%) = Actions x 100 Opportunities * To be completed by the data manager. ** Optional, to be used if appropriate, according to the local needs and regulations. Revised August 2009 All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. 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