For The Assessment
For The Assessment
We are going to inspect our hands for any breaks or cuts in the skin or cuticles. Report and cover the
affected part if possible. If there is an open wound, we have a chance of getting microorganisms
which can lead to infection and also transmitting those microorganisms to our patients.
Inspect hands for heavy soiling or dirt and the nails for its length. Long nails may scratch a patient,
puncture a glove and has a high risk of harbouring microorganisms.
We need to prepare the equipment beforehand to preserve our energy and also to have a proficient
and smooth performance of the handwashing procedure
Rolls uniform sleeves above elbow. Wristwatch and rings should be removed prior to handwashing
to facilitate thorough cleaning of hands and arms
Stands in front of sink, keeping hands and uniform away from sink surface so that we can prevent
our uniform from being wet
Turn the water by turning faucet on or using knee/foot control to regulate water flow and
temperature. Water is needed to begin the handwashing.
Be careful not to splash water into uniform. We need to prevent the uniform from being soiled
Wet your hands and elbow thoroughly under the running water. Wetting the hands first will help us
create a rich lather.
Our hands and forearms should be lowered during handwashing. This is to ensure that the water will
flow from the least contaminated area which is the elbow to the most contaminated area which is
our hands.
Apply a small amount of antiseptic in this case I am going to use a liquid hand soap. Lather it
thoroughly. Antiseptics in the form of a soap, kills microorganisms during handwashing. Apply 4-5 ml
of liquid soap and if using a soap bar, apply it firmly to create a lather.
Builds lather and uses plenty of friction for minimum of 10-15 secs. Interlace fingers. Rubs palms and
dorsum back of hands using circular motion at least 5x for each hand. The circular action creates
friction that helps remove microorganisms mechanically. Interlacing the fingers and thumbs cleans
the interdigital spaces.
Keep fingertips down to clean fingertips by rubbing it against the palm of the opposite hand.
Use both hands to clean fingernails using additional soap and orange stick. So that we can remove
the dirt hidden in the finger nails.
Rinses hands and wrist thoroughly, keeping elbows up and hands down. To ensure that there are no
microorganisms left.
Makes a lather starting from the elbow, applies soap in rotating motion. The elbow needs to be
cleaned because it is one of the most exposed parts of the body.
Rinses thoroughly, keeping hands lower than elbows. To ensure that the water flow is correct and
rinsing out the microorganisms from the least to most contaminated area
Uses paper towel, single use towel or warm dryer to dry hands. Dries hands thoroughly from fingers
to wrists and forearms. Moist skin is prone to chapping and lesions
Discards soiled paper towel properly. To ensure the cleanliness of the work area and to limit the
spread of infection.
Turns off water flow using foot or knee pedals. Avoid touching it with bare hand to preserve and
avoid getting any microorganisms once again.
Applies a small amount of lotion or barrier cream if hands are dry or chapped. It is for proper hand
care purposes and to avoid lesions
After care of equipment/environment. To maintain the cleanliness of the workplace and courtesy to
next person who will undergo the handwashing procedure.