Hand Hygiene

1. Before and after touching a patient, including and medical device attached to them.

2. Before and after a procedure

3. After actual or potential contact with body fluids If moving from a contaminated body site to a clean body site on the same patient.

4. After touching a patient’s environment even if you did not touch the patient-e.g bed clothes

5. Before and after glove use

6. As you enter and leave a patient care area

• - Rub hands palm to palm
• - Right palm over left dorsum (back of the hand) with fingers interlaced and vice versa
• - Palm to palm with fingers interlaced
• - Backs of fingers to opposing palms with fingers
• - Rotational rubbing of left thumb clasped in right palm and vice versa
• - Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa

15-20 seocnds and when hands are visibly clean.

When hands are viisibly soiled and 40-60 seocnds.