CHECKLIST FOR Proper Hand Washing

Name: Kristine Angie Ramos Date: _______________________

Grade/Section: BSN 1 – A Score: ______________________
Teacher: ____________________________________________________________________
Rubrics:
5 – The skill was performed very comprehensively 4 –
The skill was performed comprehensively. 3 – The skill
was performed with minor errors.
2 – The skill was performed with major errors.
1 – The skill was performed with none of the required features at all.
RATINGS
STEPS
5 4 3 2 1
1. Silently recite a prayer for the success of the procedure.

2. inspect hands for breaks or cuts or cuticles.

3. Remove wristwatch, rings and fold the sleeves above the wrists.

4. Stand in front of the sink, keeping hands and uniform away from the
sink surface.
5. Turn on water with a foot pedal (if no foot pedal, use dry paper towel).

6. Avoid splashing water against the uniform.

7. Regulate flow of water.

8. Wet hands and wrists thoroughly under running water. Keep hands and
forearms lower than elbows during washing.
9. Apply a small amount of soap lathering thoroughly.

10. Wash hands for at least one minute as follows:

a. Rub hands palm to palm
b. Rub hands palm to palm, with fingers interlaced with palm of
other hand
c. Rub hands palm to palm with fingers interlaced
d. Rub back of fingers to opposing palms with fingers interlocked
e. Sweep hand from fingers to thumb
f. Rub tips of fingers in opposite palms-circular motion
g. Rub each wrist with opposite hand
11. Hold arms down elbow straight and rinse.

12. Dry thoroughly from the fingers to wrist to forearm with a paper towel
or face towel.
13. Discard paper towel or face towel.
 14. Turn of faucet with foot pedal. (If there is no foot pedal, use paper
towel to turn off faucet.)
28. Evaluate the need for frequency of hand washing during client care.

CHECKLIST FOR OPEN GLOVING

Name: Kristine Angie Ramos Date: _______________________

Grade/Section: BSN 1 – A Score: ______________________
Teacher: ____________________________________________________________________
Rubrics:
5 – The skill was performed very comprehensively 4 –
The skill was performed comprehensively. 3 – The skill
was performed with minor errors.
2 – The skill was performed with major errors.
1 – The skill was performed with none of the required features at all.
RATINGS
STEPS
5 4 3 2 1
1. Silently recite a prayer for the success of the procedure.

2. Perform thorough handwashing.

3. Peel apart sides of outer package of glove wrapper.

4. Lay inner package on clean, flat surface just above waist level.

5. Open package keeping gloves on inside wrapper.

6. Identify right and left gloves.

7. Start by applying glove on dominant hand. With thumb and first two
fingers of non-dominant hand, grasp edge of cuff of the glove of dominant
hand, touching only inside surface.
8. Carefully pull glove over dominant hand, ensuring cuff does not roll up
wrist.
9. With glove dominant hand, slip fingers underneath second glove’s cuff to
pick it up.
10. Carefully pull second glove over non-dominant hand, and do not allow
gloved hand to touch any part of the exposed nondominant hand.

11. When both gloves are on, interlock fingers of both hands to secure
gloves in position, being careful to touch only sterile sides.

12. Dispose of gloves:

a. Without touching the wrist, grasp outside of one cuff with another
gloved hand.
b. Pull glove off, turning it inside out. Grasp glove securely with the
 hand holding it.
c. Tuck fingers of bare hand inside remaining glove cuff. Peel glove
off, inside out. Discard in receptacle
13. Wash hands.

Rationalization of the Nursing Procedure

Proper Hand Washing

Name: Kristine Angie Ramos Date: _______________________

Grade/Section : BSN 1 – A Score: ______________________
Teacher: ____________________________________________________________________
STEPS RATIONALIZATION
1. Silently recite a prayer for the success of the procedure. To ask for a guide from God for a
successful procedure.

2. inspect hands for breaks or cuts or cuticles. Skin cracks, or cuts can trap bacteria and
may place patients at an increased risk.

3. Remove wristwatch, rings and fold the sleeves above the wrists. Rings and bracelets increase microbial
count on hands. Rings also increase the
risk of torn or pierced gloves.

4. Stand in front of the sink, keeping hands and uniform away from the Avoiding reaching into the sink surface
sink surface. and touching the edges prevent
contamination.

5. Turn on water with a foot pedal (if no foot pedal, use dry paper towel). To make sure that your skin should not
touch the surface to avoid contamination.

6. Avoid splashing water against the uniform. Splashing water to the uniform may result
contamination.

7. Regulate flow of water. To avoid splashing around the surface and

to the uniform.

8. Wet hands and wrists thoroughly under running water. Keep hands and Running water rinses organisms and dirt
forearms lower than elbows during washing. from your hands into the sink.

9. Apply a small amount of soap lathering thoroughly. Soap reduces microorganisms.

10. Wash hands for at least one minute as follows: Many microorganisms on the hands come
a. Rub hands palm to palm from the beneath the fingernails.
b. Rub hands palm to palm, with fingers interlaced with palm of
other hand
c. Rub hands palm to palm with fingers interlaced
d. Rub back of fingers to opposing palms with fingers interlocked
e. Sweep hand from fingers to thumb
f. Rub tips of fingers in opposite palms-circular motion
g. Rub each wrist with opposite hand
11. Hold arms down elbow straight and rinse. To prevent microbes from being rinse off
from the most contaminated part to the
least.

12. Dry thoroughly from the fingers to wrist to forearm with a paper towel Drying the skin well prevents chapping.
or face towel. forearm rather than rubbing helps
prevent skin irritation.

13. Discard paper towel or face towel. To prevent transfer of microorganism.

14. Turn of faucet with foot pedal. (If there is no foot pedal, use paper To prevent transfer of microbes from
towel to turn off faucet.) faucet to your hand.

28. Evaluate the need for frequency of hand washing during client care. Removing microorganisms through hand
washing therefore helps prevent
infections.

OPEN GLOVING

Name: Kristine Angie Ramos Date: _______________________

Grade/Section: BSN 1 – A Score: ______________________
Teacher: ____________________________________________________________________
STEPS RATIONALIZATION
1. Silently recite a prayer for the success of the procedure. To ask for a guide from God for a
successful procedure.

2. Perform thorough handwashing. To reduce microorganisms on the

surface of the hand.

3. Peel apart sides of outer package of glove wrapper. Prevents inner glove package from
accidentally opening and touching
contaminated objects.

4. Lay inner package on clean, flat surface just above waist level. Sterile objects (inner layer package)
held below the waist is considered
contaminated.

5. Open package keeping gloves on inside wrapper. To limit contact and the transfer of
 microorganisms to the gloves.

6. Identify right and left gloves. Proper identification of gloves

prevents contamination by improper
fit.

7. Start by applying glove on dominant hand. With thumb and first two Inner edge of cuff will lie against your
fingers of non-dominant hand, grasp edge of cuff of the glove of dominant skin that’s not considered sterile
hand, touching only inside surface.
8. Carefully pull glove over dominant hand, ensuring cuff does not roll up If gloves outer surface touches the
wrist. hand or wrist, it is contaminated.

9. With glove dominant hand, slip fingers underneath second glove’s cuff To ease the process of inserting your
to pick it up. non-gloved fingers.

10. Carefully pull second glove over non-dominant hand, and do not allow To limit the transfer of
gloved hand to touch any part of the exposed nondominant hand. microorganisms.

11. When both gloves are on, interlock fingers of both hands to secure This step prevents the accidental
gloves in position, being careful to touch only sterile sides. touching of non-sterile object

12. Dispose of gloves: It prevents the contamination of the

a. Without touching the wrist, grasp outside of one cuff with hand when removing glove and
another gloved hand. prevents contamination of gloved
b. Pull glove off, turning it inside out. Grasp glove securely with the hand touching ungloved hand.
hand holding it.
c. Tuck fingers of bare hand inside remaining glove cuff. Peel gloves
off, inside out. Discard in receptacle
13. Wash hands. To remove powder from the gloves,
which can irritate the skin.

SCORE: _________