Ambulatory Hand Hygiene Monitoring
*
1.
Please enter your Employee ID Number.
(Required.)
*
2.
Area observed for hand hygiene:
(Required.)
Adult Emergency Dept. (DT)
Bariatric Surgery - (CC)
Breast Care Centers (All Locations)
Cancer Center Adult/ Cancer Center Oswego
Cancer Center Peds
Cardiology - UHCC
Connect Care
CRU
Dental Clinic - UHCC
Dialysis - (DT)
Emergency Dept. (CC)
Family Medicine/CIH -Nappi
Family Medicine (CC)
Adult Medicine/University Internists-
Nappi
Geriatrics-Nappi
Inclusive Health Services-Nappi
Joslin Center-Nappi
Lab Services (All Locations)
Medical Subspecialties - UHCC
Neurology - (CC,IHP,UHCC)
One Day Surgery/AP 1 - (DT)
Ophthalmology - 550 Harrison
Otolaryngology - 550 Harrison
Outpt Rehab
Outpt Surgery Center - 550 Harrison
3N Pre/Post-DT
PACU/Surgery Center - CC
5E Pre/Post-DT
Pediatrics- POB 725 Irving Ave
Pediatrics- Baldwinsville
Peds Emergency Dept. (DT)
Perinatal - UHCC
Radiation Oncology
Radiology (CC)
Radiology (DT)
Radiology (550, UHCC, Nappi)
Surgical Specialties (LL, 4835)
TU3
UPAC-Nappi
Urology - CC
Urology - 550 Harrison
Vascular Clinic (CC)
Women's Health Services - UHCC
Other (please specify)
3.
Anes/CRNA
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
4.
Environmental Services (EVS)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
5.
Health Care Technician (HCT/UST/MOA)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
6.
Lab Technician
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
7.
Licensed Practical Nurse (LPN)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
8.
Medical Student
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
9.
Nurse Practitioner
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
10.
Nursing Student
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
11.
Physical /Occupational/ Recreational / Speech Therapist
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
12.
Physician
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
13.
Physician's Assistant (PA)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
14.
Radiology Tech (RT)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
15.
Registered Nurse (RN)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
16.
Respiratory Therapist (RRT)
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
17.
Social Worker
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5
18.
Transporter/Peri-Op
1
2
3
4
5
Hand Hygiene- YES
1
2
3
4
5
Hand Hygiene- NO
(Did Not Intervene)
1
2
3
4
5
Hand Hygiene- NO (Intervened)
1
2
3
4
5