3. Hand Hygiene means cleaning your hands by using either handwashing (washing hands with soap and
water), antiseptic hand wash, antiseptic hand rub (i.e. alcohol-based hand sanitizer including foam or
gel), or surgical hand antisepsis
Type purpose Example
Social /Clean
hand wash
is performed to render the hands physically clean and to remove transient micro-
organisms. washing hands with soap and water
handling and eating food
antiseptic hand
wash
To remove or destroy transient micro-organisms and to substantially reduce
resident micro-organisms during times when surgical procedures are performed.
When hands are visibly soiled
An approved antiseptic detergent (eg 4% Chlorhexidine gluconate or 7.5%
Povidone iodine).
Before all aseptic procedures
on the ward. After known or
suspected exposure to
spores (e.g. B. anthracis, C
difficile outbreaks)
Antiseptic hand
rub
Alcohol-Based Hand Sanitizer
Before performing an aseptic task (e.g., placing an indwelling device) or handling
invasive medical devices. Before moving from work on a soiled body site to a clean
body site on the same patient. After touching a patient or the patient’s immediate
environment. Immediately after glove removal.
surgical hand
antisepsis
To remove or destroy transient micro-organisms and to substantially reduce
resident micro-organisms during times when surgical procedures are performed.
Before Surgery procedure