Format Hh Baru.docx

FORMAT OBSERVASI HAND HYGIENE (KEBERSIHAN TANGAN) Unit/Instalasi Ruang/Lantai Observer Periode Observasi Kes Kd:

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Indikasi  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling

: : : :

Tanggal : Waktu (mulai-selesai) : ( Lama Observasi (menit) : Tind. HH  HW  HR  THH

 HW  HR  THH

 HW  HR  THH  HW  HR  THH

 HW  HR  THH

 HW  HR  THH

 HW  HR  THH

Kes Kd:

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7

Indikasi  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling

KETERANGAN :  sbl ktk psn sbl aspk sth ktk crntb sth ktk psn sth ktk ling HW HR THH

: diisi dengan √ sesuai indikasi momen : sebelum kontak dengan pasien : sebelum melakukan tindakan aseptik : setelah kontak dengan cairan tubuh pasien : setelah kontak dengan pasien : setelah kontak dengan lingkungan pasien : Hand Wash : Hand Rub : Tidak Hand Hygiene

Tind. HH  HW  HR  THH

 HW  HR  THH

 HW  HR  THH  HW  HR  THH

 HW  HR  THH

 HW  HR  THH

 HW  HR  THH

Kes Kd:

1

2

3

4

5

6

7

:

/

Indikasi  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling  sbl ktk psn  sbl aspk  sth ktk crntb  sth ktk psn  sth ktk ling

:

)

Tind. HH  HW  HR  THH

 HW  HR  THH

 HW  HR  THH  HW  HR  THH

 HW  HR  THH

 HW  HR  THH

 HW  HR  THH