m International Medical University

Lesson Plan
Subject Title

: Hand Hygiene

Teacher

: Norzie binti Ibrahim

Level of audience

: 2 New Qualified Staff Nurses

Mode of teaching

: Classroom teaching

Duration

: 30 minutes

Subject description:
Hand hygiene is the single most important factor for healthcare workers to
practice in reduces the incidence of healthcare associated infections. The reason
need good hand hygiene to prevent infections that patients acquire in the hospital.
Prerequisites

A & P of skin

Microbiology - Mode of Transmission Infection

Infection Prevention and Control

Objective
: Expected Knowledge, Attitudes and skills
The student should be able to:
1. Discuss purpose of hand hygiene to inculcate and appreciate the importance of
hand hygiene in preventing infection in clinical area.
2. Identify, analyze and apply the principles of hands hygiene in relation to
management patients in the clinical area.
3. Perform hand washing according to the needs; 5 moments of hand hygiene.
4. Select and demonstrate appropriate type of hand hygiene to use on visible
dirty or soiled.

Date/
Time

Objective

Contents

11/10/2010

Introduction:

0900-0902

appropriate set induction Good morning, Looi Pike Ling and Koay Shi

Set induction:

Rou. I am Norzie your senior staff nurse in this

2 minutes

Teachers
activities

Learner
activities

Greet student

Greet teacher

Give hand to

Respond by

shake each

give their hand

student but pull

to shake

back and ask

teacher hand

simple question.

and answer the

AVA
Slide no.1

ward.
1. Have you washed your hand?
Expected answer: Ermm... with smile.
2. When did you last wash your hands?
Expected answer: After take breakfast.
question.

0902-0905

appropriate link to

Im glad to be with both of you in this lovely

Distribute

Received

Printed

3 minutes

ensure smooth transition

morning. My focus today is hand washing.

Printed

printed

PowerPoint

PowerPoint

PowerPoint

slides notes

slides notes.

slides notes

of topic

Welcome into Surgical Ward teams, hope we

have same objective to prevent and reduce the

given.

incidence of healthcare associated infections.

Let start with answer quick quiz. (10 MCQ)

Question and

Answer the

Slide no.

During the teaching you are welcome to ask

discussion

question.

2-12

question. Please do not hesitate to interrupt me

Date/

Objective

to clarify any of your doubts.

Contents
2

Teachers

Learner

AVA

Time

activities

0905-0908

On completion of this

Now let us look at the learning objective that

Go through the

3 minutes

session the learner

you need to achieve after this class.

learning

should be able to know

Expected Knowledge, Attitudes and skills.

objectives.

and achieve;

1. Discuss purpose of hand hygiene to

activities
Listen
Q&A

PowerPoint
slides
presentation
Slide no. 13

inculcate and appreciate the importance of

hand hygiene in preventing infection in
clinical area.
2. Identify, analyze and apply the principles
of hands hygiene in relation to
management patients in the clinical area.
3. Perform hand washing according to the
needs; 5 moments of hand hygiene.
4. Select and demonstrate appropriate type of
hand hygiene to use on visible dirty or
soiled.
Date/
Time
0908-0910

Objective
1. Discuss purpose of

Contents
Development:

Teachers
activities
Question and

hand hygiene to

discussion the
3

Learner
activities
Answer the

AVA

2 minutes

inculcate and
appreciate the
importance of hand
hygiene in
preventing infection
in clinical area.

Ask student;

importance of

Question 1: What purpose of hand hygiene?

Expected answer from student:

Clean dirty hand

Prevent cross infection

question.

practices hand
hygiene in
nursing/workpla
ce

Slides presentation on;

PowerPoint

Purpose of hand hygiene:Explain &

1. To remove visible soiling from hands
2. To prevent transfer of bacteria from the
home to the hospital

inculcate the

Listen &

importance of

appreciate the

hand hygiene in

importance of

nursing.

hand hygiene

slides
presentation
Slide no. 14

in clinical area.

3. To prevent transfer of bacteria from the

hospital to the home
4. To prevent infections that patients acquire
in the hospital.
Date/
Time
0910-0918

Objective
2. Identify, analyze and

Contents
Students will watch video from CDC

Teachers
activities
Switch on the

Learner
activities
Watching

AVA
Video

8 minutes

apply the principles

(Centre for Diseases Control and

video for the

video and take

of hands hygiene in

Prevention) recall situation need hand

students.

notes.

relation to

hygiene.

management patients
in the clinical area.

C:\Users\user\Desktop\final\HandwashingVi

presentation
Slide no. 15

deo-Engl.mp4
Explain &

Listen, identify

inculcate the

and analyze the

Refer to..\Appendix 1.doc - Principles of

principles of

principles of

PowerPoint

hands hygiene

hands hygiene in

hands hygiene.

slides

Highlight: HAND HYGIENE SAVE LIFE

Slide no. 16

presentation

relation to
management

Slide no. 17

patients in the
clinical area.
Date/
Time

Objective

Contents

Teachers
activities

Learner
activities

Question and

Refresh and

AVA

0918-0923

5 minutes

3. Perform hand

Ask student;

PowerPoint

washing according
to the need; 5

Question: When we need to do hand hygiene?

discussion.

Expected answer from student:

answer the

slides

question.

presentation

Listen, identify

Slide no.

moments of hand
hygiene.

Before and after touch patient

Before and after do any procedure such as

dressing

Five moments for hand hygiene:1. Before touching a patient

2. Before clean/aseptic procedure

Describe the
normal practices
hand hygiene.

and analyze the

22-23

principles of
hands hygiene.

3. After body fluid exposure risk

4. After touching a patient.
5. After touching patient surroundings.
Date/
Time
0923-0925

Objective
4. Select and

Contents
Key points will be discussed:

demonstrate
6

Teachers
activities
Ask student
choose items for

Learner
activities
Refresh and
select

AVA
PowerPoint
slides

2 minutes

appropriate type of
hand hygiene type to
use on visible dirty
or soiled.

1. How many types of hands hygiene?

Answer: 3 types
Hands washing (Hand H); 40-60
seconds use soap & H2O on visible
dirty or soiled hands.
Hands rub; 20-30 seconds use +3mls
alcohol based hand rub on dry hands
without visible dirty.
Surgical hand hygiene; 2-3 minutes
2. Student to choose below items and demo
how to perform hand hygiene
Alcohol hand rub X
Disposable hand towel
Sink with handle water tap
Liquid hand soap

hand hygiene
and demo
appropriate types
of hand hygiene
use in clinical
area.
Give student
scenario and
observe student;
check their
actions with the
procedure
checklists
1.

2.

Student will demonstrate the procedure for

hand hygiene. As per ..\Appendix 2.doc-

0925-0930

Objective
Conclusion

Contents
Closure; list of reinforcement word the

Before
clean/aseptic
procedure

3.

After body fluid

exposure risk

4.

After touching
Pt surroundings.

Procedure for Hand Hygiene

Date/
Time

Before/after
touching a
patient

Teachers
activities
Roundup

appropriate
materials for
hand hygiene.
Choose
appropriate
hand hygiene
Demo hand
hygiene.
1.

Hand rub

2.

Hand H

3.

Hand H

4.

Hand rub

5.

Hand rub

Learner
activities
Refresh and

presentation
Poster hand
hygiene
Slide no.
18-20

Slide no. 21

AVA
PowerPoint

5 minutes

important parts in this classroom teaching.

Ask student what Q & A

slides

The single most important reason for

they have learnt

presentation

healthcare workers to practice good hand

today?

hygiene to prevent infections that patients

acquire in the hospital.

evaluation form

ALWAYS clean your hands after touching

an ENVIRONMENTAL SURFACE near a
patient

Use soap and water for visibly soiled

hands-Do not wash off alcohol hand rub.

Collect

HAND HYGIENE SAVE LIFE.

REFERENCES-SLIDE 25

Slide no. 24
Evaluation
form

John M. Boyce, M.D.1 Didier Pittet, M.D.2, Guideline for Hand Hygiene in Healthcare Settings published in 2002. October
25, 2002 / Vol. 51 / No. RR-16 Epidemiology Program Office, Centers for Disease Control and Prevention (CDC), U.S.
Department of Health and Human Services, Atlanta. Retrieved on 30/9/2010 from:
http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf

Guidelines for Hand Hygiene: ICG 02, Version Number: 0, Version Date: 01/12/06 Cheshire Ireland. Retrieved on 30/9/2010
from: ` http://www.cheshire.ie/docs/staff/policies/clinical/infection/HandHygieneICG02.pdf

The Hand Hygiene in Healthcare Settings-Supplemental slide set was developed in conjunction with the Chicago
Antimicrobial Resistance Project. Retrieved on 30/9/2010 from:
http://www.cdc.gov/handhygiene/download/hand_hygiene_supplement_minus_notes.pdf

WHO Guidelines on Hand Hygiene in Health Care 2009. Retrieved on 31/8/2010 from:
http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf