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    Handwashing - Gloving Evaluation Checklist

    Uploaded by

    Faith A. Dorado
    The document provides checklists for competency in performing hand hygiene and applying and removing sterile gloves. It lists the essential elements of each procedure and allows marking whether the student demonstrated each competency with yes or no. The final section provides space to record the student's final grade.

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

    Handwashing - Gloving Evaluation Checklist

    Uploaded by

    Faith A. Dorado
    3 views3 pages
    The document provides checklists for competency in performing hand hygiene and applying and removing sterile gloves. It lists the essential elements of each procedure and allows marking whether the student demonstrated each competency with yes or no. The final section provides space to record the student's final grade.

    Original Description:

    Handwashing

    Original Title

    HANDWASHING_GLOVING-EVALUATION-CHECKLIST

    Copyright

    © © All Rights Reserved

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    The document provides checklists for competency in performing hand hygiene and applying and removing sterile gloves. It lists the essential elements of each procedure and allows marking whether the student demonstrated each competency with yes or no. The final section provides space to record the student's final grade.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3 views3 pages

    Handwashing - Gloving Evaluation Checklist

    Uploaded by

    Faith A. Dorado
    The document provides checklists for competency in performing hand hygiene and applying and removing sterile gloves. It lists the essential elements of each procedure and allows marking whether the student demonstrated each competency with yes or no. The final section provides space to record the student's final grade.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Competency Performance Checklist

    Performing Hand Hygiene


    Name of Student ___________________________________ Group No.____ Date __________
    Clinical Instructor: __________________________________

    Essential/ Element Competency


    critical Demonstrated?
    element? Yes No
    1 0

    1. If appropriate, introduced self and verified client’s identity.


    2. Explained procedure to client.
    3. Turned on water and adjusted the flow so the water was warm.
    4. Wet hands thoroughly and applied soap to hands.
    a. Held the hands lower than the elbows.
    5. Thoroughly washed and rinsed hands.
    a. Used firm, rubbing, and circular movements to wash the palm and
    fingers of each hand.
    b. Rinsed the hands.
    6. Thoroughly patted dry the hands and arms.
    7. Turned off the water without touching the faucet.
    8. Used effective body mechanics throughout procedure
    9. Communicated appropriately with the client.

    Final Grade =
    Applying and Removing Sterile Gloves (Open Method)

    Name of Student: _____________________________ Group No.:_____ Date____________________

    Clinical Instructor:_____________________________
    Essential/ Element Competency
    critical Demonstrated?
    element? Yes No
    1 0

    1. Introduced self and verified client’s identity.


    2. Explained procedure to client and discussed how results will be used.
    3. Gathered appropriate equipment.
    4. Performed hand hygiene and observed other appropriate infection
    prevention procedures.
    5. Provided for client privacy if appropriate.
    6. Opened the package of sterile gloves.
    7. Put the first glove on the dominant hand.
    a. Grasped the glove for the dominant hand by the folded cuff edge with
    the thumb and first finger of the non-dominant hand.
    b. Inserted the dominant hand keeping the thumb of the inserted hand
    against the palm.
    8. Put the second glove on the non-dominant hand.
    a. Picked up the second glove with the sterile gloved hand,
    inserting the gloved fingers under the cuff and holding the gloved thumb
    close to the gloved palm.
    b. Pulled on the second glove holding the thumb of the first gloved hand
    as far as possible from the palm.
    c. Adjusted the gloves, pulling up by sliding fingers under the cuffs.
    9. Removed soiled gloves inside out.
    Performed hand hygiene

    10. Used effective body mechanics throughout procedure

    11. Communicated appropriately with the client

    Final Grade:

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