skinner class notes

Performing Hand Hygiene Using Soap and Water (Handwashing)

Implementation Steps

  1. Gather Necessary Supplies

    • Stand in front of the sink.

    • Ensure that clothing does not touch the sink during the washing procedure.

  2. Remove Jewelry

    • Prior to patient contact, if possible, remove all jewelry and secure it in a safe place.

    • Note: A plain band may remain in place based on facility policy.

  3. Turn On Water

    • Adjust the force of the water and regulate the temperature until it is warm.

  4. Wet Hands and Wrist

    • Wet both hands and wrist area thoroughly.

    • Keep hands lower than elbows to allow water to flow toward fingertips.

  5. Apply Soap

    • Use about 1 teaspoon of liquid soap from the dispenser or rinse the bar of soap and lather thoroughly.

    • Use a firm circular motion to lather.

    • Alternatively, use the amount of soap product recommended by the manufacturer.

    • Ensure to cover all areas of the hands with the soap product.

    • If using bar soap, rinse it again and place it back on the soap rack without touching the rack.

  6. Wash Hands

    • Continue using firm rubbing and circular motions.

    • Wash the following areas thoroughly:

      • Palms and backs of the hands

      • Each finger

      • Areas between the fingers

      • Knuckles, wrists, and forearms

    • Ensure to wash at least 1 inch above the area of contamination.

    • If hands are not visibly soiled, wash to 1 inch above the wrists.

  7. Friction Motion Duration

    • Continue this friction motion for at least 15–20 seconds.

  8. Clean Under Fingernails

    • Use the fingernails of the opposite hand to clean under the fingernails.

  9. Rinse Hands

    • Rinse hands thoroughly under running water with water flowing toward fingertips.

  10. Dry Hands

    • Pat hands dry with a paper towel, starting from the fingers moving upward toward the forearms.

    • Discard the towel immediately after use.

    • Use another clean towel to turn off the faucet, and then discard that towel immediately without touching other clean hands.

  11. Moisturize (Optional)

    • Use a moisturizing hand lotion or cream, as approved by facility policy.

Legend

  • S: Satisfactory

  • U: Unsatisfactory

  • NP: Not Performed