Your honest and valuable feedback will assist the NMAHS-MH Service to determine environment and staff training needs to facilitate adequate hand hygiene ractices! "nce comleted lease deosit in the enveloe titled# $Hand Hygiene Survey%& located in the Nurses Station! 'e would areciate you feedback by(((((((((((((( Please mark appropriate answer with a cross or tick Yes No 1. Is an Alcohol Based Hand Rub (ABHR) available in your work area? 2. o you use soap ! water as pre"erred method o" hand hy#iene? $hy?........................................................................................... %. oes usin# the ABHR save time when per"ormin# hand hy#iene? &. o you "eel ABHR ade'uately cleans your hands? (. I" your hands are visibly soiled do you cleanse your hands with ABHR? ). o you have alcohol*deter#ent impre#nated wipes in your area "or all non+critical shared e'uipment, e#. stethoscopes, keyboards, etc.? -. o you re#ularly use alcohol*deter#ent impre#nated wipes to wipe over your e'uipment? .. o you have access to a hospital+supplied moisturiser? /. Is the placement o" the moisturiser easily accessible? I" no, where would it best be placed? ........................................... 10. o you re#ularly use the hospital+supplied moisturiser? I" no, please #o to 'uestion 12 11. How o"ten do you use the hospital supplied moisturiser? 1nce per shi"t, % times a shi"t, ( times a shi"t, 2ore 12. I" not, why not? .................................................................................................... 1%. Have you attended an in+service on hand hy#iene in the last 12 months? Pa#e 1 o" 2 3es 4o 1&. Have you completed the on+line 5www.hha.or#.au6 learnin# packa#e in the last 12 months? 1(. o you per"orm Hand Hy#iene, on a re#ular bases "or the "ollowin# moments*situations7 a6 Be"ore donnin# #loves? b6 A"ter removin# #loves c6 Be"ore touchin# a patient e#. to assist with A8s 5washin#, "eedin#, dressin#, mobilisin#6, #ivin# physio, applyin# o9y#en masks, checkin# vital si#ns, administerin# oral meds, abdominal palpation. d6 A"ter touchin# a patient e6 Be"ore a procedure e#. instillin# eye drops, wound dressin#s, openin# sterile material, I2*:; medication administration. "6 A"ter a procedure or bodily "luid e9posure risk e#. a"ter instillin# eye drops, wound dressin#, I2 *:; medication pre+ administration,. #6 A"ter bodily "luid e9posure risk e#. a"ter contact with used urinal bottle, bed pan, catheter, used specimen <ars * patholo#y samples, a"ter cleanin# up bodily "luids h6 A"ter touchin# patient surroundin#s e#. chan#in# bed linen, mobility aids, cleanin# dinin# table * bedside table. 1). o you have any su##estions on how we can promote Hand Hy#iene? )HAN* Y"+ ,"- Y"+- .A/+A0/1 )2M1 2N 3"M4/1)2N5 )H2S S+-.1Y! ;ompiled by7 42AH:+2ental Health, :a"ety, =uality ! Per"ormance >nit, in collaboration with the ?raylands In"ection ;ontrol 4urse ;onsultant and ;asson $ard Pilot Hand Hy#iene sta"", with re"erence to the Hand Hy#iene Australia 5www.hha.or#.au6 tools. Issued7 2ay 2010, Revised7 :eptember @10 Pa#e 2 o" 2