Infection Prevention Manual

Hand Hygiene Guidelines: The Foundation for Measurement Appendix 1-1. (continued) D. After using restroom E. Before handling medication or food F. Concomitant or sequential use of alcohol rub with soap and water A. Alcohol hand hygiene rub B. Handwashing with soap and water. Wet hands first, wash thoroughly, rinse, dry with disposable towel, and use towel to turn off faucet C. Avoid use of very hot water to decrease risk of dermatitis D. Dry hands thoroughly after hand hygiene E. Avoid using multiuse (cloth) hand towels F. Use of antimicrobial- impregnated wipes as hand hygiene alternative D. (IB) Non-antimicrobial or antimicrobial soap and water E. (IB) Non-antimicrobial or antimicrobial soap and water (before handling food) F. No comment in non-surgical setting. In surgical (operating room) setting, recommend pre-washing hands with soap and water before alcohol rub (see III.G.2 below) A. (IB) Apply palmful, rub thoroughly until dry. Follow manufacturer’s recommendation regarding volume of product to use B. (IB) Wash for 15 seconds C. (IB) Recommend D. Recommend (see II.A and II.B above) E. (II) Recommend F. (IB) May use as alternative to non-antimicrobial soap and water. Do not use as alternative to antimicrobial soap and water or to alcohol hand rub D. (II) Soap and water E. (IB)Alcohol rub or soap and water (before handling both medication and food) F. (II) Not recommended in either nonsurgical or surgical setting A. (IB) Apply palmful, rub thoroughly until dry. See instructional diagram B. (IB) Wash using vigorous rotational handrubbing technique. No time requirement. See instructional diagram C. (IB) Recommend D. Recommend; separate emphasis E. (IB) Recommend F. No comment Recommends alcohol rub and expands recommendation to include medication Prewashing hands is not recommended Emphasizes hand hygiene technique rather than product volume and refers to diagram Emphasizes hand hygiene technique rather than time requirement and refers to diagram Emphasizes CDC recommenda- tion regarding non-reuse of cloth towels by individuals Recommendation CDC Guideline* WHO Guideline* Key Points of WHO Guideline II. Hand hygiene technique (non-surgical) Your Agency Name (PN System)