Page 21 - MALAYSIAN PATIENT SAFETY GOALS
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2. Observation And Implementation By Matron/ Ward Sister/
Link Nurse/ Infection Control Nurse
- Ensure hand rubs at strategic area eg: cardiac table, rounds
trolley, procedure trolley, medication trolley etc.
- Ensure 5 moments of hand hygiene were practiced by doctor and
nurses during rounds and procedures.
- Ensure the nurses and doctors remind each other
regarding 5 moments hand hygiene.
3. Audit- By Infection Control Nurse and Ward
Link Nurse using Annex 34 Form
4. Report - By Infection Control Nurse
Monthy - Hospital Director
- Head of Department
- Head Matron / Area Matron
3 Monthly – State Health Office Ministry Of Health
5. Dissemination of Information / Report
Audit report is discussed during the Nursing Technical Meetings.
Discipline or wards which did not meet the target need to think of
suitable strategies for improvement.
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