Abstract: A hand hygiene compliance (HHC) system that, in addition to monitoring hand hygiene, provides messaging and asset tracking capabilities to improve workflow amongst employees working at a facility. In one embodiment, the HHC system includes a control unit associated with a hand hygiene dispenser and programmed to enable use of one or more icons each time the control unit detects use of the hand hygiene dispenser by an individual, wherein the icons allow the individual to, without limitation, enter or update a pain status indicator that is representative of a patient's response to a pain status inquiry event. More specifically, the icons are displayed on a feedback device associated with the control unit, and users select the icons by physically touching the feedback device. In alternative embodiments, the control unit includes a gesture sense system which allows users to select icons without touching the feedback device.