手卫生专项调查表

手卫生专项调查表科室：检查人员签字：检查日期:年月日人员类型医生人员类型护士数量数量姓名指征手卫生行为姓名指征手卫生行为姓名指征手卫生行为姓名指征手卫生行为□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确□病人前□操作前□体液后□病人后□环境后□手消□洗手液□无□戴手套□正确