PROCEDURE of HANDWASHING
PROCEDURE
1. Prepare all the materials needed
2. Remove all jewelries and watch
3. Roll sleeves above elbows
4. Do not touch outside or inside the sink
5. Turn on water and adjust temperature to
warm
6. Wet hands thoroughly
7. Dispense liquid or powedered soap
8. Lather hands and arms well, using
rotating motion
9. Clean fingernails
10. Hold hands and forearms lower than
elbows. Wash hands and arms to elbows,
with running water, using rotating
motion and giving special attention to
areas between fingers. Leave water
running during entire procedure.
11. Rinse thoroughly, keeping hands lower
than elbows.
12. Dry hands thoroughly from fingers to
forearms with paper towel/hand towel or
under air dryer
13. Turn off water supply. If faucet us used,
protect hands with paper towel.
14. Use lotion if appropriate
RATIONALE
Organization facilitates accurate skills performance
Removal of jewelries facilitates proper cleansing.
Microorganisms may accumulate in setting of jewelries
To facilitates proper cleansing
The sink is considered contaminated. Uniforms may carry
organisms from place to place.
Warm water is more comfortable and has fewer tendencies to
open pores and remove oils from the skin. Organisms can lodge
in roughened and broken areas of chapped skin.
Friction caused my firm rubbing and rotating motion helps
loosen the dirt and organisms
Water should flow from the cleaner area toward the more
contaminated area. Hands are more contaminated that the
forearm. Friction caused my firm rubbing and rotating motion
helps loosen the dirt and organisms which can lodge between
the fingers, in skin crevices or knuckles, on palm and backs of the
hands, as well as the wrist and forearams. Cleaning the least
contaminated aread (Forearms and wrists) prevents spreading
organisms from the hands to the forearms and wrists.
Running water rinses microorganisms and dirt into the sink
Patting the skin dry prevents chapping. Dry hands first because
they are considered the cleanest and least contaminated area.
Turning the faucet off with a clean paper towel protects the
clean hands from contact with a soiled surface
Lotion helps to keep the skin soft and prevents chapping. It is
best applied after patient care is complete and from small
personal containers.
PROCEDURE OF OPEN GLOVING TECHNIQUE

PROCEDURE RATIONALE
1. Explain the procedure
2. Prepare all the materials needed
3. Check the sterile glove package is dry, and unopened.
Also note expiration date, making sure that the date is
still valid
4. Place sterile glove package on clean, dry surface at or Any moist on the surface could contaminated the
above your waist gloves.
5. Open the outside wrapper by carefully peeling the top
layer
6. Remove inner package, handling only the outside of it. To keep the inner surface sterile
7. Place the inner package on the work surface with the
side labeled “cuff end” closet to the body
8. Carefully open the inner package. Folds open the top To maintain the sterility of the gloves
flap, then the bottom and sides. Take care not to
touch the inner surface of the package or the gloves.
9. With the thumb and forefinger of the non-dominant The hands are not sterile. By touching only the
hand, grasp the folded cuff of the glove for dominant inside of the gloves, the caregiver avoids
hand, touching only the exposed inside of the glove. contaminating the outside.
10. Keeping the hands above the waistline, lift and fold
the glove up and off the inner package with fingers
down.
11. Carefully insert dominant hand palm up into glove and
pull glove on. Leave the cuff folded until the opposite
hand is gloved.
12. Hold the thumb of the gloved hand outward. Place the This helps prevent accidental contamination by the
fingers of the gloved hand inside the cuff of the bare hands
remaining glove. Lift it from the wrapper, taking care
not to touch anything with the gloves or hands
13. Carefully insert non-dominant hand into glove. Pull the
glove on, taking care that the skin does not touch any
of the outer surface of the gloves.
14. Slide the fingers of one hand under the cuff of the
others and fully extend the cuff down the arm,
touching only the sterile outside of the glove. Repeat
for the remaining hand.
15. Adjust gloves on both hands if necessary, touching In this position, the thumb is less likely to touch the
only sterile areas with other sterile areas arm and become contaminated
16. Continue the procedure as indicated

17. Removing soiled gloves. Using dominant hand to grasp

the opposite glove near cuff end on the outside
exposed area. Remove it by pulling it off, inverting it as
it is pulled, keeping the contaminated area on the
inside. Hold the removed glove in the remaining
gloved hand.
18. Slide fingers on ungloved hand between the remaining To avoid the passage of contaminated to the hands
glove and the wrist. Take care to avoid touching the
outside surface of the glove. Remove it by pulling it
off, inverting it as it is pulled, keeping the
contaminated area on the inside, and securing the first
glove inside the second.
19. Discard gloves in appropriate container

20. Perform hand washing/hand hygiene. Contact with microorganisms may occur