Xavier University – Ateneo De Cagayan
College of Nursing
PERFORMANCE RATING SCALE
NAME: BEA YSABELLE O. RUBIATO
BLOCK: NA
PERFORMANCE EVALUATION CRITERIA
Score Description
4 Very Good
3 Good
2 Fair
1 Needs Improvement
Procedure
1. Prepares needed equipment.
• Easy-to-reach sink with warm running water
• Antimicrobial or regular soap
• Alcohol-based waterless antiseptic
• Paper towels or air dryer
• Clean orangewood stick (optional)
2. Inspect:
• Surface of hands for breaks or cuts in skin or
cuticles. Report and cover lesions before
providing client care.
• Hands for heavy soiling.
• Nails for length and presence of artificial
acrylics.
• Assess client’s risk for or extent of infection
(e.g., WBC count, extent of open wounds,
known medical diagnosis)
3. Roll sleeves above elbows. Avoid wearing rings.
If worn, remove during procedure.
4. Stand in front of the sink. Do not allow your
clothing to touch the sink during the
handwashing procedure.
Fundamentals of Nursing
MEDICAL HANDWASHING
DATE: JANUARY 26, 2024
SCORE: ________________
Indicators
Student performs behaviors/tasks affecting the highest level of performance:
consistent, independent, effective.
Student performs behaviors/tasks reflecting mastery of performance with
minimal supervision.
Student performs behaviors/tasks reflecting development and movement
toward mastery of performance: with help or direct supervision in some aspects.
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.
Rationale 4 3 2 1 Remarks
To ensure that equipment is
easily available in use and to
avoid delays by minimizing the
waste of time.
Poor personal hygiene and
open skins on the skin can
provide an entrance for
microorganisms to grow and
flourish, which provides an
opportunity for infections to
occur. Breaks or cuts that are
found on the skin should be
given extra attention in
handwashing to get rid of
bacteria that may accumulate.
Sleeves must be rolled to avoid
contact with the sink since
bacteria may flourish and add
to uniform infection.
Additionally, microorganisms
may accumulate in jewelries.
The removal of jewelries
facilitates in a thorough
cleaning of the hands and
arms.
The sink is contaminated with
microorganisms that may soil
your uniform once in contact.
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 5. Turn on water. Turn faucet on or push knee Too much force on water may
pedals laterally or press pedals with foot to cause splashing and the
regulate flow and temperature. Avoid splashing spread of microorganisms,
water against uniform. Regulate flow of water so contaminating the uniform’s
that temperature is warm. surface.

Warm water is recommended

6. Wet hands and wrist thoroughly under running
water. Keep hands and forearms lower than
elbows during washing.
7. Apply a small amount (3 to 5ml) of soap into
your hands. Cover all areas of hands with soap
product. If bar soap is used, lather thoroughly.
8. Wash hands using plenty of lather and friction
for at least 10 to 15 seconds with firm rubbing
and in circular motion. Keep fingertips down to
facilitate removal of microorganisms.
a) Palm to palm
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
them with fingernails of other hand and
additional soap or clean orangewood stick.
Rinse hands thoroughly.
10. Dry hands thoroughly from fingers to wrists
and forearms with paper towel, single-use
cloth, or warm air dryer.
11. If used, discard paper towel in proper
receptacle.
12. Turn off water with foot or knee pedals. To
turn off hand faucet, use clean, dry paper
towel; avoid touching handles with hands.
13. If hands are dry or chapped, a small amount
of lotion or barrier cream can be applied.
since it removes fewer oils from
the skin than hot water and
removes microorganisms more
effectively than cold water.
Keeping the hands and
forearms lower than the elbows
in handwashing enables water
to flow from the least to the
most contaminated areas,
rinsing microorganisms into the
sink.
Soap lather aids in cleaning by
emulsifying skin oils and fats,
lowering surface tension.
Rubbing of hands increases
friction, mechanically loosening
and removing dirt and bacteria.
Interlacing fingers and thumbs
ensures thorough cleansing of
all surfaces.
Dirt under the fingernails is
often missed during
handwashing, which becomes
an area prone to bacteria
growth. Cleaning the
fingernails with additional soap
or an orangewood stick, if
available, helps prevent the
spreading of germs and nail
infections.
This prevents chapping of skin.
Blotting rather than rubbing
prevents skin irritation.
To prevent transfer of
microorganisms.
Using a towel prevents your
hands from being
contaminated of the
microorganisms present on the
hand faucet handle.
Lotion helps in minimizing skin
dryness, especially since
frequent handwashing may
cause dry and cracked skin to
some individuals.
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Fundamentals of Nursing
 14. Inspect: To ensure cleanliness of hands
• Surfaces of hands for obvious signs of soil and nails since its condition
or other contaminants. influences the effectiveness of
• Hands for dermatitis or cracked skin. hand hygiene.

* 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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Fundamentals of Nursing