The Toronto Hospital Policy & Procedure Manual
INFECTION CONTROL
SECTION: BODY SUBSTANCE PRECAUTIONS
SUBJECT TITLE: HANDWASHING
POLICY #: 20.02
ISSUED BY: INFECTION CONTROL
DATE: 09.90 (O)
APPROVED BY: INFECTION CONTROL COMMITTEE
REVIEW DATE: 07.97
GUIDELINES
Handwashing is the single most important procedure for the prevention of nosocomial infections. Handwashing is indicated:
- Before and after any patient contact for example performing invasive procedures or touching wounds or drainage, and/or contact with mucous membranes, blood ,body fluids, secretions or excretions..
- After touching inanimate sources that are likely to be contaminated with body substances e.g. urine measuring devices, bedpans, soiled linen or waste.
- After removing gloves.
- Before and after using the toilet.
- Before and after eating.
- Before and after smoking.
PROCEDURE
- Remove jewellery.
- Wet hands under running water(cool to luke warm).
- Keep hands lower than elbows; apply soap or antiseptic(one squirt of soap is enough).
- Use friction to vigorously clean between fingers, palms, nailbeds, back of hands and wrists. Do this for a minimum of ten seconds.
- Rinse hands under running water(continue to use friction).
- Dry hands well with paper towels(pat rather than rub with paper towel).
- Use paper towels to turn off faucet if faucet is not foot or elbow operated.
Note: Some units have installed waterless handwashing units e.g. cida rinse. These are not a replacement for a good soap and water handwash, but are to be used when soap and water is not available.
Related Sites
A picture show of handwashing
A more informative site on handwashing