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6. The next screen is the “Observation” form for you to complete.
• You will select whether the observation is “Before Entry” or “Upon Exit”
• You will then select either “Hand Hygiene Performed” or “Hand
Hygiene NOT Performed.”
o If “Hand Hygiene NOT Performed” is selected, it will allow you to
add “Counseling Performed”. You would select this if you
performed a “cup of coffee” conversation regarding the non-
compliant observation.
• There is also an option for “Contact Precautions” if the patient room is
a contact precautions room.
o If this selection is checked, there are selections for “Gown Worn”
and “Gloves Worn.”
• Once you fill out the form, click the submit button.