This document discusses hand hygiene for healthcare workers. It defines hand hygiene as any activity associated with hand cleaning. Proper hand hygiene is important in healthcare to reduce bacterial transmission from hands. Hand hygiene should be performed in 5 key moments: before touching a patient, before clean procedures, after body fluid exposure, after touching a patient, and after touching surfaces near the patient. The document outlines the 7 step handwashing technique using soap and provides cautions about water temperature and hand jewelry. It compares hand hygiene practices between an ideal standard and actual practices at one hospital, finding many healthcare workers do not follow all 5 moments of hand hygiene.