Volunteer Training Module
Open Door Clinic
2. Why Hand Hygiene?
• Infections are a serious problem in healthcare
• Every year, an estimated 2 million patients get a
• 90,000 die from their infection.
• Many infections are transmitted on the hands of
• Hand hygiene is part of Standard Precautions. It can
reduce the transmission of healthcare-associated
infections – to your patients and to you.
3. When to Practice Hand
• Immediately before touching a patient, performing
an invasive procedure, or manipulating an invasive
• Immediately after touching a patient, contaminated
items or surfaces, or removing gloves
• After removing gloves
• After touching items or surfaces in the immediate
patient care environment, even if you didn't touch
the patient while you were there
4. Why Practice Hand Hygiene
• Bacteria can survive for DAYS on patient care
equipment and other surfaces.
• Surfaces in the patient care environment –
including bed rails, IV pumps, and even computer
keyboards – are often contaminated with bacteria.
• It’s important to practice hand hygiene after you
leave the room, even if you only touched patient
care equipment or other surfaces.
5. Alcohol-based Hand Rubs
Regular SoapGood Antimicrobial
An alcohol-based hand rub is the preferred method
for hand hygiene in all situations, except for when
your hands are visibly dirty or contaminated.
6. Correct Hand Hygiene Practice
Alcohol-based Hand Rub
1. Apply to palm of one hand (the amount used
depends on specific hand rub product).
2. Rub hands together, covering all
surfaces, focusing in particular on the fingertips
and fingernails, until dry. Use enough rub to
require at least 15 seconds to dry.
7. Correct Hand Hygiene Practice
1. Wet hands with water.
2. Apply soap.
3. Rub hands together for at least 15
seconds, covering all surfaces, focusing on
fingertips and fingernails.
4. Rinse under running water and dry with
5. Use the towel to turn off the faucet.
8. Hand Lotions
Hand lotions are important to prevent skin dryness
and irritation. You should use only hospital-
approved hand lotions. Other lotions may:
• Keep your natural
to about ¼ inch.
• Do not wear
direct contact with
(e.g., ICU, OR).
10. Quick Check Summary
When should you
practice hand hygiene?
Which method kills
How long should you
wash or sanitize?