The constant monitoring of hand care is carried out by management observation of individual washing procedures and or by employing closed circuit television.
Hand swabbing of operatives is a form of verification alongside CCTV and visual checks will identify personnel skipping or incorrectly washing their hands.
Monitoring should also include the quality of hand soap, hand disinfectant, paper towels, cleaning and disinfection of facilities and the quality and temperature of water. Recording the usage of hand soaps, hand sanitisers and paper towels will also indicate if hand washing is taking place as routinely as it should be.