This document provides information on hand washing and hygiene. It discusses who should practice hand hygiene, what hand hygiene is, where it should take place, why it is important, when it should be performed, and how to properly perform hand washing using various steps. The objectives are to identify who should practice hand hygiene, describe what hand hygiene is, identify where it takes place, explain why it is important, describe when it should be performed, and describe how to perform it using proper steps.

1. WELCOME

2. Topic
Hand WasHing

3. Presented by
Md. Ashik Iqbal
BSN (RU), RN (BNC)
Nursing College Rajshahi

4. Objectives
By the end of this lesson /topic you will be able to:
 Identify who should practice hand hygiene?
 Describe what hand hygiene is?
 Identify where hand hygiene practice should
take place?
 Explain why hand hygiene is important?
 Describe when hand hygiene is to be performed?
 Describe how to perform hand hygiene using
various steps?

5. Introduction
Hand washing is the single most effective way to
prevent the spread of germs/micro-organism
which prevent communicable diseases.It’s easy
to learn how to wash your hands and how to stop
the spread of infection by washing the germs
away. Good hand washing can prevent diseases
such as: Shigellosis,E. Coli, Streptococcal
Disease, Influenza and the Common Cold.
We can pick-up germs from doorknobs, stair railings
or anything that has been touched by others who
aren’t good hand washers

6.
Definition of hand washing
 Hand washing or hand hygiene is the act of
cleaning one's hands with or without the use of
water or another liquid, or with the use of soap
for the purpose of removing soil, dirt, and/or
micro organisms.

7. Hand hygiene practicing is not important only for
health care Providers, everyone needs to
practicing appropriate & effective hand hygiene
to prevent spread of micro organisms.
Who should practice hand hygiene

8. Where should you perform hand hygiene
1. Busy health care providers need access to hand
hygiene products where patient or patient
environment contact is taking place.
2. Hand hygiene is important in all work settings,
including Acute Care, Long Term Care Facilities,
Community and Corporate sites.
3. Providing alcohol-based hand rub at the point
of care (within arm’s reach) is an important
system support to improve hand hygiene

9. Why do we need to learn about Hand
Hygiene
1. Hand hygiene is the most important way to
prevent the spread of germs.
2. Hand hygiene helps keep you healthy by
reducing the number of germs on your hands
and helps reduce the spread of germs to your
family, friends, co-workers, patients, residents
or clients.
3. Using appropriate hand hygiene prevents
contamination of the patient’s, client’s, or
resident’s environment.

10. When do you perform hand hygiene
1. Before initial patient or patient environment contact
2. Before aseptic or clean procedures
3. After body fluid exposure
4. After contact with patient or patient environment.

11. How to perform hand hygiene
 Proper technique is important when it comes to
effective hand hygiene. Without proper hand
hygiene technique, we can still spread many
micro-organisms with our hands. This section
will cover the proper techniques for the
following procedures
1. Wet hands under running water
2. Apply soap and distribute over hands
3. Rub hands together vigorously for 15 seconds
to create a good lather: Palm to palm
4. Rub fingertips of each hand in opposite palm

12. Continue
5. Between and around fingers
6. Rub each thumb clasped in opposite hand
7. Rub back of each hand with opposite palm
8. Rinse hands thoroughly under running water.