Hand Washing

Proper HAND WASHING technique is essential to maintain an 
infection control program.
1.  Hands must be washed after direct care of individual 
    patients, as an adjunct to the performance of normal 
    duties (after handling dressings or specimens, etc.), 
    after removal of gloves; either sterile or exam gloves, 
    after personal use of the restroom, after coughing or
    sneezing, before eating, and at the beginning and upon
    completion of duty.
2.  This organization follows the current  CDC guidelines 
hand washing and uses an alcohol-based hand rub.
    Alcohol based hand rubs are used by health care personnel 
    for patient care because they address some of the 
    obstacles that health care professionals face when taking 
    care of patients.  
    However, when health care personnel's hands are visibly 
    soiled, they should wash with soap and water.
    When utilizing Alcohol based hand washes, follow the 
    directions on the bottle.  
3.  When utilizing traditional methods of hand washing please 
    complete the following: 
    Wet hands and wrists thoroughly, holding them downward 
    over the sink so that the water runs toward the 
    Start with a generous portion of soap from the

    dispenser.  For routine procedures, mild liquid hand soap
    is adequate.  Self- contained disposable liquid soap 
    containers are recommended.  Continue washing vigorously 
    for 15 seconds.
4.  Wrists and hands should be dried thoroughly with paper
5.  Since the faucet handle is considered to be contaminated,
    be careful to turn off the water by using a dry paper 
    towel to cover the faucet handle or by using a hands-free
    system, such as foot pedals.
    Antimicrobial soap is recommended for use after 
    examination of a patient with antibiotic-resistant
    organisms and when performing invasive procedures.   
    Waterless alcohol-based antiseptic hand rubs for use 
    before invasive procedures are also available, but are a 
    different product and used differently than the alcohol 
    based product described above. 
    For all alcohol based pre procedure products, follow the 
    manufacturer's directions.
    When utilizing a traditional scrub for invasive 
    procedures, rub hands together vigorously, creating as 
    much friction as possible and/or utilize the scrub brush 
    provided with the product.
    Traditional antimicrobial scrub: Wet the hands and arms 
    thoroughly up to the elbows. Open product to be utilized, 
    clean under the finger nails with the stick provided. 

    Concentrate on the fingers, between the fingers, the back 
    and the palm of the hands. Continue up the arm to the 
    elbow.  Same procedure on the other arm.  Divide the 
    scrub time over the hands, wrists and upper arms by the 
    recommended length of time from the manufacturer.
    Rinse hands thoroughly, keeping the hands higher than the
    elbows so that water does not run down and contaminate 
    clean skin.  All soap should be carefully rinsed to avoid
    roughened skin.
Approved By Governing Board    
Control #117.5