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    Format HH Baru

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    salwiyana
    This document appears to be an observation form for monitoring hand hygiene in a healthcare setting. The form includes spaces to record the date, time, observer name, and duration of observation. It also includes several rows to record observations of healthcare workers and indicate whether they performed proper hand hygiene before and after various patient contact moments or procedures. The observations are to be marked with checks in the appropriate boxes to indicate compliance or non-compliance with hand hygiene guidelines.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Format HH Baru

    Uploaded by

    salwiyana
    78 views1 page
    This document appears to be an observation form for monitoring hand hygiene in a healthcare setting. The form includes spaces to record the date, time, observer name, and duration of observation. It also includes several rows to record observations of healthcare workers and indicate whether they performed proper hand hygiene before and after various patient contact moments or procedures. The observations are to be marked with checks in the appropriate boxes to indicate compliance or non-compliance with hand hygiene guidelines.

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    This document appears to be an observation form for monitoring hand hygiene in a healthcare setting. The form includes spaces to record the date, time, observer name, and duration of observation. It also includes several rows to record observations of healthcare workers and indicate whether they performed proper hand hygiene before and after various patient contact moments or procedures. The observations are to be marked with checks in the appropriate boxes to indicate compliance or non-compliance with hand hygiene guidelines.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    78 views1 page

    Format HH Baru

    Uploaded by

    salwiyana
    This document appears to be an observation form for monitoring hand hygiene in a healthcare setting. The form includes spaces to record the date, time, observer name, and duration of observation. It also includes several rows to record observations of healthcare workers and indicate whether they performed proper hand hygiene before and after various patient contact moments or procedures. The observations are to be marked with checks in the appropriate boxes to indicate compliance or non-compliance with hand hygiene guidelines.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    FORMAT OBSERVASI

    HAND HYGIENE
    (KEBERSIHAN TANGAN)
    Unit/Instalasi : Tanggal :
    Ruang/Lantai : Waktu (mulai-selesai) : ( : / : )
    Observer : Lama Observasi (menit) :
    Periode Observasi :
    Kes Indikasi Tind. Kes Indikasi Tind. Kes
    Kd:
    Indikasi Tind.
    Kd: Kd:
    HH HH HH
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
    1  sth ktk crntb  THH 1  sth ktk crntb  THH 1  sth ktk crntb  THH
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
    2  sth ktk crntb  THH 2  sth ktk crntb  THH 2  sth ktk crntb  THH
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
    3  sth ktk crntb  THH 3  sth ktk crntb  THH 3  sth ktk crntb  THH
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
    4  sth ktk crntb  THH 4  sth ktk crntb  THH 4  sth ktk crntb  THH
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
    5  sth ktk crntb  THH 5  sth ktk crntb  THH 5  sth ktk crntb  THH
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
    6  sth ktk crntb  THH 6  sth ktk crntb  THH 6  sth ktk crntb  THH
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling
     sbl ktk psn  HW  sbl ktk psn  HW  sbl ktk psn  HW
     sbl aspk  HR  sbl aspk  HR  sbl aspk  HR
     sth ktk crntb  THH 7  sth ktk crntb  THH  sth ktk crntb  THH
    7 7
     sth ktk psn  sth ktk psn  sth ktk psn
     sth ktk ling  sth ktk ling  sth ktk ling

    KETERANGAN :

     : diisi dengan √ sesuai indikasi momen


    sbl ktk psn : sebelum kontak dengan pasien
    sbl aspk : sebelum melakukan tindakan aseptik
    sth ktk crntb : setelah kontak dengan cairan tubuh pasien
    sth ktk psn : setelah kontak dengan pasien
    sth ktk ling : setelah kontak dengan lingkungan pasien
    HW : Hand Wash
    HR : Hand Rub
    THH : Tidak Hand Hygiene

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