PERFORMANCE RATING SCALE

MEDICAL HANDWASHING

PERFORMANCE EVALUATION CRITERIA

Score Description Indicators

4 Very Good Student performs behaviors/tasks affecting the highest level of performance:
consistent, independent, effective.
3 Good Student performs behaviors/tasks reflecting mastery of performance with
minimal supervision.
2 Fair Student performs behaviors/tasks reflecting development and movement
toward mastery of performance: with help or direct supervision in some
aspects.
1 Needs Improvement Student performs behaviors/tasks reflecting beginning level of performance;
tasks not done properly majority of the time but demonstrate understanding of
concepts involved with tasks.

Procedure Rationale 4 3 2 1 Remarks

1. Prepares needed equipment. To avoid delays in order to
 Easy-to-reach sink with warm running water maximize the available
 Antimicrobial or regular soap time.
 Alcohol-based waterless antiseptic
 Paper towels or air dryer
 Clean orangewood stick (optional)
2. Inspect: Germs thrive in exposed
 Surface of hands for breaks or cuts in skin or skin areas which is why it is
cuticles. Report and cover lesions before critical to pay attention
providing client care. while hand washing for
 Hands for heavy soiling. proper hygiene, as our skin
 Nails for length and presence of artificial provides a protective barrier
acrylics. against the invasion of
 Assess client’s risk for or extent of infection microorganisms, as well as
(e.g., WBC count, extent of open wounds, one to avoid transmission.
known medical diagnosis) A nurse with open sores
may be required to change
work assignments or
To protect yourself, put on
gloves.
3. Roll sleeves above elbows. Avoid wearing rings. If Rings can be a mode of
worn, remove during procedure. transmission of bacteria
which is why it is important
to clean it and remove while
hand washing to thoroughly
wash your hands.
4. Stand in front of the sink. Do not allow your Clothes should not reach or
clothing to touch the sink during the hand washing touch the sink to prevent
procedure. contamination.
5. Turn on water. Turn faucet on or push knee Warm water removes less
pedals laterally or press pedals with foot to of the skin's protective oil
regulate flow and temperature. Avoid splashing and more of the dirt.
water against uniform. Regulate flow of water so It can effectively kill
that temperature is warm. microorganisms.

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6. Wet hands and wrist thoroughly under running Because running water
water. Keep hands and forearms lower than rinses organisms and dirt
elbows during washing. into the sink, it must be run
from the least contaminated
area to the most
contaminated area, and our
hands are more
contaminated than our
arms because they are
what we use to hold and
touch almost anything, so
they should be lower than
our elbows.
7. Apply a small amount (3 to 5ml) of soap into your Microorganisms can be
hands. Cover all areas of hands with soap found on the outside of the
product. If bar soap is used, lather thoroughly. liquid soap container.
Before using, the outer part
should be washed.
8. Wash hands using plenty of lather and friction for Firm rubbing and circular
at least 10 to 15 seconds with firm rubbing and in motions generate friction,
circular motion. Keep fingertips down to facilitate which aids in dirt removal.
removal of microorganisms. in addition to
a) Palm to palm microorganisms
b) Interdigits, left and right
c) Interlaced
d) Knuckle to palm, left and right
e) Thumb with twisting motion
f) Nail to palm, left and right
9. Areas under fingernails are often soiled. Clean Using of the clean
them with fingernails of other hand and additional orangewood stick can help
soap or clean orangewood stick. Rinse hands clean the areas underneath
thoroughly. the fingernails and avoid
any microbial growth.
10. Dry hands thoroughly from fingers to wrists and Contamination is avoided
forearms with paper towel, single-use cloth, or by drying from the least to
warm air dryer. the most. Chapping can be
avoided by thoroughly
drying the skin. Blotting
instead of rubbing, aids in
the prevention of skin
irritation.
11. If used, discard paper towel in proper To avoid contamination or
receptacle. the spread of infections,
dispose of any used paper
towels in a proper manner.
It's also for hygiene
reasons.
12. Turn off water with foot or knee pedals. To turn It is vital to use paper
off hand faucet, use clean, dry paper towel; towels to turn off the faucet
avoid touching handles with hands. or use your knee pedals to
avoid contamination in your
hands.
13. If hands are dry or chapped, a small amount of If your hands dry out after
lotion or barrier cream can be applied. washing them, you can
apply any lotion to keep

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 them moisturized.
14. Inspect: Checking the hands
 Surfaces of hands for obvious signs of soil or ensures that they are free
other contaminants. of germs and are totally
 Hands for dermatitis or cracked skin. clean.

* Recording and Reporting

- It is not necessary to record or report this
procedure.
- Report any dermatitis to employee health and/or
infection control per agency policy.

Range of score:

A 56 – 60 (92 – 100) Excellent

A– 51 – 55 (84 – 91.99) Very Good
B 46 – 50 (76 – 83.99) Good
B– 41 – 45 (68 – 75.99) Very Satisfactory
C 36 – 40 (60 – 67.99) Satisfactory
F 35 and below (below 60) Failed

Student’s signature: _______________

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