Healthcare Agencies Directive on Required Hand Hygiene Practices

Hand Hygiene is the single most important infection control measure!

All health care workers in direct patient contact areas, i.e., inpatient rooms, outpatient clinics, radiology, phlebotomy, and so forth must:

  1. Use an alcohol-based hand sanitizer OR antibacterial soap and water to routinely disinfect hands before and after having direct patient contact.
  2. If hands are NOT visibly dirty, use an alcohol-based hand sanitizer to routinely disinfect hands.
  3. When hands are visibly dirty do the following:
    • Wash hands with antibacterial soap and water OR
    • Wash hands with regular soap and water and then use an alcohol-based hand sanitizer.

Perform Hand Hygiene

  • Before patient contact
  • After patient contact
  • Before performing clean and aseptic procedures
  • After removal of gloves
  • Whenever hands are contaminated
  • Before donning sterile gloves
  • Before eating
  • After Toileting

Hand Hygiene Techniques


Use soap and water to wash hands. If you are using Antibacterial soap, hands are decontaminated. If using Regular soap, after drying, apply alcohol-based sanitizer to disinfect hand.

  • Rub all hand surfaces for 10-15 seconds.
  • Dry well with paper towels.
  • Use paper towel to turn off the faucet.

Hand Hygiene using alcohol-based sanitizer

  • Apply alcohol-based gel or foam to hands
  • Rub all hands surfaces together until dry

All health care workers who provide direct, hands-on care to patients may NOT wear artificial fingernails, nail wraps, or extenders; this includes non-supervisory and supervisory personnel who regularly or occasionally provide direct, hands-on care to patients.


Leave a Reply

Your email address will not be published. Required fields are marked *