Proper Handwashing Technique: 7-Step Clinical Guide

Clinical Hand Hygiene: WHO/CDC Compliant Technique

Effective handwashing removes pathogens and prevents healthcare-associated infections.

7-Step Procedure

1. Wet: Hands and wrists with warm (not hot) running water
2. Apply soap: Sufficient to cover all surfaces (liquid preferred)
3. Lather & Scrub (≥20 seconds): Cover all surfaces:
   • Palm to palm
   • Right palm over left dorsum, interlaced fingers (vice versa)
   • Palm to palm, fingers interlaced
   • Backs of fingers to opposing palms
   • Rotational rubbing of thumbs
   • Rotational rubbing of fingertips in palm
4. Rinse: Thoroughly under running water, fingertips down
5. Dry: Single-use towel or air dryer; use towel to turn off faucet
6. Moisturize: Apply facility-approved lotion to prevent dermatitis

Critical Moments (WHO 5 Moments)

1. Before patient contact
2. Before aseptic task
3. After body fluid exposure risk
4. After patient contact
5. After contact with patient surroundings

Alcohol-Based Hand Rub (ABHR)

Preferred for routine decontamination when hands not visibly soiled: Apply palmful, rub all surfaces until dry (≥20 sec).

Compliance saves lives. Consistent technique is the single most effective infection prevention measure.