Wesley Boswell General Hospital / 7 Feb 2019 / Rachel Davidson
Inspection score
78.95%
Failed items
4
Created actions
2
Facility
Wesley Boswell General Hospital
Location
3572 Bleacher Avenue, Lenox, Alabama 36454
Name of Auditor
Rachel Davidson
Date of Audit
7th Feb, 2019
3:33 PM CST
Failed items
4
Inspection / Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 1 / The Five Moments of Hand Hygiene
After contact with patient surroundings
No
Notes
The nurse did not perform hand hygiene after touching a patient's IV stand. Here's a photo of the said nurse who did not clean her hands, but already made contact with another patient.
Photos
Actions
To do
Remember to clean your hands with at le...
Inspection / Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 5 / The Five Moments of Hand Hygiene
Before patient contact
No
Notes
The occupational therapist forgot to clean her hands after opening the door. She immediately approached the patient and began the session. She also did not wash her hands when she came back to the main occupational therapy room.
Photos
Actions
To do
The senior occupational therapist must ...
Inspection / Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 5 / The Five Moments of Hand Hygiene
After patient contact
No
Inspection / Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 5 / The Five Moments of Hand Hygiene
After contact with patient surroundings
No
Actions
2
Shine Colcol created a High priority action
To do
9th Feb, 2019 3:35 PM CST
Remember to clean your hands with at le...
Remember to clean your hands with at least any alcohol-based formulation after leaving a patient's surroundings. Make sure your hands are clean before delivering routine care to another patient.
After contact with patient surroundings
Inspection / Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 1 / The Five Moments of Hand Hygiene
Shine Colcol created a High priority action
To do
9th Feb, 2019 3:45 PM CST
The senior occupational therapist must ...
The senior occupational therapist must coach her and probably, train her again about the five moments of hand hygiene.
Before patient contact
Inspection / Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 5 / The Five Moments of Hand Hygiene
Inspection
4
2
78.95%
Hand Hygiene Audit
78.95%
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER.
78.95%
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 1
80%
Name of Healthcare Worker (optional)
Unanswered
Select healthcare worker category.
Nurse/ Midwife
Ward/ Unit/ Department
Ward 1/ Golden Heart Unit
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 1 / The Five Moments of Hand Hygiene
1
1
80%
Before patient contact
Yes
Before an aseptic prodecure
Yes
After body fluid exposure
Yes
After patient contact
Yes
After contact with patient surroundings
No
Notes
The nurse did not perform hand hygiene after touching a patient's IV stand. Here's a photo of the said nurse who did not clean her hands, but already made contact with another patient.
Photos
Actions
To do
Remember to clean your hands with at le...
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 2
100%
Name of Healthcare Worker (optional)
Unanswered
Select healthcare worker category.
Nurse/ Midwife
Ward/ Unit/ Department
Ward 1/ Golden Heart Unit
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 2 / The Five Moments of Hand Hygiene
100%
Before patient contact
Yes
Before an aseptic prodecure
Yes
After body fluid exposure
Yes
After patient contact
Yes
After contact with patient surroundings
Yes
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 3
100%
Name of Healthcare Worker (optional)
Unanswered
Select healthcare worker category.
Medical Doctor
Ward/ Unit/ Department
Cardiologist/ Internal Medicine
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 3 / The Five Moments of Hand Hygiene
100%
Before patient contact
Yes
Before an aseptic prodecure
N/A
After body fluid exposure
N/A
After patient contact
Yes
After contact with patient surroundings
Yes
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 4
100%
Name of Healthcare Worker (optional)
Unanswered
Select healthcare worker category.
Other Healthcare Worker
Please specify.
Therapist
Ward/ Unit/ Department
Occupational Therapy
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 4 / The Five Moments of Hand Hygiene
100%
Before patient contact
Yes
Before an aseptic prodecure
N/A
After body fluid exposure
N/A
After patient contact
Yes
After contact with patient surroundings
Yes
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 5
0%
Name of Healthcare Worker (optional)
Unanswered
Select healthcare worker category.
Other Healthcare Worker
Please specify.
Therapist
Ward/ Unit/ Department
Occupational Therapy
Hand Hygiene Audit / List the healthcare workers to be observed by tapping ADD HEALTHCARE WORKER. / Healthcare Worker 5 / The Five Moments of Hand Hygiene
3
1
0%
Before patient contact
No
Notes
The occupational therapist forgot to clean her hands after opening the door. She immediately approached the patient and began the session. She also did not wash her hands when she came back to the main occupational therapy room.
Photos
Actions
To do
The senior occupational therapist must ...
Before an aseptic prodecure
N/A
After body fluid exposure
N/A
After patient contact
No
After contact with patient surroundings
No
Hand Hygiene Audit / Completion
Overall Recommendations
Improve hand hygiene of nurses after contact with patient surroundings and make sure that all occupational therapists know and practice the five moments of hand hygiene (when applicable). Follow-up audit next month.