Protocol for hand hygiene using soap and water, or alcohol-based hand sanitizer21

Hand Wash (Soap and Water)

Hand Rub (AHS)

Turn on water

Wet hands

Dispense appropriate amount of product directly onto hands
(e.g., 1–2 pumps from dispenser)

Dispense appropriate amount of product directly onto hands
(e.g., 1–2 pumps from dispenser)

Apply product to all surfaces of hands; min. 15 s contact time

  • Palms
  • Back of hands
  • Between fingers
  • Finger tips
  • Thumb and thumb web
  • ±6 Wrists

Apply product to all surfaces of hands; min. 15 s contact time

  • Palms
  • Back of hands
  • Between fingers
  • Finger tips
  • Thumb and thumb web
  • ±6 Wrists

Rinse all surfaces of hands with water

Dry hands thoroughly with single-use towel

Rub hands until dry

Turn water off, using drying towel to avoid direct contact with faucet handles (unless automatic faucet present)

Discard towel

TOTAL TIME: ~w30–60 s

TOTAL TIME: ~w20–30 s

AHS, alcohol-based hand sanitizer