Handwashing

Ensures they are completely bare below the elbows	0	1
Turns the taps on to preferred temperature	0	1
Wets hands	0	1
Applies Hibiscrub or other appropriate disinfectant to palm	0	1
Forms a soapy lather	0	1
Rubs palms and fingers	0	1
Interlocks fingers to rub between fingers	0	1
Rubs back of hands, then interlocks fingers	0	1
Grips both fingers and rubs fingers	0	1
Grips each thumb and rubs	0	1
Rubs finger tips on palms	0	1
Rubs wrists	0	1
Rinses with water	0	1
Dries each hand thoroughly	0	1
Switches off taps with elbow	0	1
Disposes of paper towels in clinical waste bin	0	1
Examiner global score: confidence, methodical and proficient	0	1	2

Examiner questions could be things like:

- When would you wash your hands?  

Before and after every clinical encounter and before and after you touch patients etc.

- When would you use soap over alcohol? 

When in contact with bacteria that cause diarrhoea (e.g. klebsiella/c difficile) or when hands are visibly soiled

- What is the appropriate bin for X?

Knowing when to use orange clinical waste bin, yellow sharps bin and black waste bin (domestic waste).

- What should you do when you receive a sharps injury?
Encourage it to bleed and wash it with water. If possible to find patient from which blood came from, ask them their consent to test their blood for blood borne viruses. If during hours, go immediately to Occupational Health. Otherwise, out of hours, go to A&E.

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