Hand Hygiene — Monthly Report Template
One page to the medical board: compliance by ward and profession, hand-rub consumption, infrastructure gaps, actions
What it is
The monthly one-page report that turns observation data into decisions: compliance by ward and by profession, consumption per patient-day, the infrastructure gaps found, and the three actions for next month.
Where to use it
Infection-control lead to the medical board, monthly; posted by ward. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement. Evidence for: Universal Floor — hand hygiene; Governance — reporting and improvement.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Hand Hygiene Observation Form
Ward Infrastructure Survey — Hand Hygiene
Hand Hygiene Self-Assessment — Facility Level
Alcohol-Based Hand Rub — Local Production Card
Print to share.
