Policy Statement:
All employees will utilize current acceptable hand hygiene practices to prevent the spread of infection.

Minimize or eliminate the risk of disease transmission between patients and employees.

Procedure: Wash hands immediately:
  • At the beginning of the work day
  • After direct contact with a patient’s intact skin (i.e., taking vital signs)
  • After removing gloves or other protected equipment
  • After working on or around surfaces or items that may be contaminated
  • After using the restroom/toileting
  • After sneezing or coughing
  • Before and after meals
  • Before and after each patent task or contact
  • Before donning sterile gloves
  • After contact with bloody or other body fluids or non-intact skin
  • At the end of the work day

Alcohol-Based Hand Rub Procedure: When decontaminating with an alcohol-based hand rub:

  • Apply product to the palm of the hand
  • Rub hands together, covering all surfaces of hands and fingers, until hands are dry
  • Follow manufacturer’s recommendations regarding the volume of product to use

Hand Washing Procedure: Supplies needed:

  • Liquid soap (provided by agency)
  • Paper Towels (provided by agency)
  • Warm (not hot) running water
  • Wastepaper basket

When washing with soap and water:

  • Completely wet your hands and wrists under the running water.  Keep your fingertips pointed downward.  Do not
    use hot water as it may increase the risk of irritating the skin
  • on your hands.
  • Apply the amount of liquid soap recommended by the manufacturer.
  • Hold your hands lower than your elbows while washing.
  • Rub hands together vigorously.  Spread lather over the entire area of your hands and wrists.  Be sure to wash
    under your nails and between your fingers.
  • Continue friction for at least 15 seconds.
  • Rinse well.  Rinse from two inches above your wrists to the hands.  Hold your hands and fingertips down under
    the running water.
  • Dry thoroughly with paper towels.
  • Turn off the faucet using the paper towel.  Never touch the faucet with your hands after washing.
  • Discard the paper towel in the wastepaper basket.  Do not touch the basket.

If hand hygiene practice is causing any irritation, this should be reported to the supervisor immediately to resolve the

Adherence to these hand hygiene practices will be part of the employee’s annual performance evaluation.

Artificial fingernails and/or extenders are discouraged.


    Revised 12/5/2016
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