Proforma Hand Washing Knowledge, Attitude And Practices

COVID-19 TESTING REPORT

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Proforma

Project Hand Hygiene Awareness / Practice

(For respondents having direct patient contact (DPC)

Government Allopathic Medical College Banda,
Naraini road Banda, pin.210001. (U.P).

To be filled by Participant

Table-1- General characteristics of participants

Name Of Student :

Batch / HCW

Gender

Age Profile

Qualification

Resident

Table-2 Basic knowledge, practices level with regard to hand washing

Hand washing is necessary for prevention of transmission of infections?

Who told you about importance of hand washing?

Do you routinely use soap for hand washing?

Do you routinely use hand wash solution for hand washing?

Have you received any training in hand washing?

How many times you wash your hands?

Main reason for Skipping hand washing?

Table 3- Participants knowledge about hand washing

Cold water should be used for hand washing?

Luke warm water should be used for hand washing?

No need to remove watch and bracelets before hand washing?

Need to remove rings before hand washing?

Need to wash wrists also?

Hands need to be washed at least 20 seconds?

Need drying after washing the hands?

Table-4 Hand washing practices among medical students / HCW

I wash my hands before meals.

I wash my hands after meals.

I wash my hands after using bathroom.

I wash my hands when come home.

I wash my hands before going to bed.

I wash my hands after using public transportation.

I wash my hands after waking up in the morning.

I wash my hands after touching animals.

I wash my hands only if they are soiled.

I wash my hands after blowing the nose.

I wash my hands after touching garbage.

I wash my hands before touching sick people.

I wash my hands after touching sick people.

I wash my hands after cleaning my home.

Address :

Date :

THANK YOU FOR YOUR PARTICIPATION

INFORMED CONSENT

I hereby agree that to participate the research study "Hand hygiene practices of Health Care Workers" conducted by Government Allopathic Medical College Banda. I understand that the data given by me will be kept confidential and be used only for research purpose.