b

o
w

t
o

h
a
n
d
w
a
s
h
!
D
u
r
a
t
i
o
n

o
f

t
h
e

e
n
t
i
r
e

p
r
o
c
e
d
u
r
e
:

4
0
-
6
0

s
e
c
.
w
A
5
b

b
A
N
0
5

0
N
L
Y

w
b

N

v
I
5
I
8
L
Y

5
0
I
L

0
!

0
J
b

k
w
I
5

,

0
5

b
A
N
0
k
0
8
!
R
u
b

h
a
n
d
s

p
a
l
m

t
o

p
a
l
m
,
r
i
g
h
t

p
a
l
m

o
v
e
r

l
e
f
t

d
o
r
s
u
m

w
i
t
h

i
n
t
e
r
l
a
c
e
d

f
i
n
g
e
r
s

a
n
d

v
i
c
e

v
e
r
s
a
,
a
p
p
l
y

e
n
o
u
g
h

s
o
a
p

t
o

c
o
v
e
r

a
l
l

h
a
n
d

s
u
r
f
a
c
e
s
.
W
e
t

h
a
n
d
s

w
i
t
h

w
a
t
e
r
p
a
l
m

t
o

p
a
l
m

w
i
t
h

f
i
n
g
e
r
s

i
n
t
e
r
l
a
c
e
d
,
b
a
c
k
s

o
f

f
i
n
g
e
r
s

t
o

o
p
p
o
s
i
n
g

p
a
l
m
s

w
i
t
h

f
i
n
g
e
r
s

i
n
t
e
r
l
o
c
k
e
d
,
r
o
t
a
t
i
o
n
a
l

r
u
b
b
i
n
g

o
f

l
e
f
t

t
h
u
m
b

c
l
a
s
p
e
d

i
n

r
i
g
h
t

p
a
l
m

a
n
d

v
i
c
e

v
e
r
s
a
,
r
o
t
a
t
i
o
n
a
l

r
u
b
b
i
n
g
,

b
a
c
k
w
a
r
d
s

a
n
d

f
o
r
w
a
r
d
s

w
i
t
h

c
l
a
s
p
e
d

f
i
n
g
e
r
s

o
f

r
i
g
h
t

h
a
n
d

i
n

l
e
f
t

p
a
l
m

a
n
d

v
i
c
e

v
e
r
s
a
.
R
i
n
s
e

h
a
n
d
s

w
i
t
h

w
a
t
e
r
,
Y
o
u
r

h
a
n
d
s

a
r
e

n
o
w

s
a
f
e
.
u
s
e

t
o
w
e
l

t
o

t
u
r
n

o
f
f

f
a
u
c
e
t
.
d
r
y

h
a
n
d
s

t
h
o
r
o
u
g
h
l
y

w
i
t
h

a

s
i
n
g
l
e

u
s
e

t
o
w
e
l
,
HAND
HYGIENE
When
and How
WHO acknowledges the Hpitaux Universitaires
de Genve ( HUG), in particular the members of
the Infection Control Programme, for their active
participation in developing this material.
Design: mondofragilis network
October 2006, version 1.
b
o
w

t
o

h
a
n
d
r
u
h
!
D
u
r
a
t
i
o
n

o
f

t
h
e

e
n
t
i
r
e

p
r
o
c
e
d
u
r
e
:

2
0
-
3
0

s
e
c
.
k
0
8

b
A
N
0
5

f
0
k

b
A
N
0

b
Y
6
I

!

w
A
5
b

b
A
N
0
5

0
N
L
Y

w
b

N

v
I
5
I
8
L
Y

5
0
I
L

0
!
A
p
p
l
y

a

p
a
l
m
f
u
l

o
f

t
h
e

p
r
o
d
u
c
t

i
n

a

c
u
p
p
e
d

h
a
n
d
,

c
o
v
e
r
i
n
g

a
l
l

s
u
r
f
a
c
e
s
.
R
u
b

h
a
n
d
s

p
a
l
m

t
o

p
a
l
m
,
r
i
g
h
t

p
a
l
m

o
v
e
r

l
e
f
t

d
o
r
s
u
m

w
i
t
h

i
n
t
e
r
l
a
c
e
d

f
i
n
g
e
r
s

a
n
d

v
i
c
e

v
e
r
s
a
,
p
a
l
m

t
o

p
a
l
m

w
i
t
h

f
i
n
g
e
r
s

i
n
t
e
r
l
a
c
e
d
,
b
a
c
k
s

o
f

f
i
n
g
e
r
s

t
o

o
p
p
o
s
i
n
g

p
a
l
m
s

w
i
t
h

f
i
n
g
e
r
s

i
n
t
e
r
l
o
c
k
e
d
,
r
o
t
a
t
i
o
n
a
l

r
u
b
b
i
n
g

o
f

l
e
f
t

t
h
u
m
b

c
l
a
s
p
e
d

i
n

r
i
g
h
t

p
a
l
m

a
n
d

v
i
c
e

v
e
r
s
a
,
r
o
t
a
t
i
o
n
a
l

r
u
b
b
i
n
g
,

b
a
c
k
w
a
r
d
s

a
n
d

f
o
r
w
a
r
d
s

w
i
t
h

c
l
a
s
p
e
d

f
i
n
g
e
r
s

o
f

r
i
g
h
t

h
a
n
d

i
n

l
e
f
t

p
a
l
m

a
n
d

v
i
c
e

v
e
r
s
a
.
O
n
c
e

d
r
y
,

y
o
u
r

h
a
n
d
s

a
r
e

s
a
f
e
.

8ff0kf
PAJIfNJ
C0NJACJ
AfJfk
PAJIfNJ
C0NJACJ
AfJfk C0NJACJ
wIJb PAJIfNJ
5Ukk0UN0IN65
8
f
f
0
k
f A
5
f
P
J
I
C
J
A5
k
A
f
J
f
k
80
0
Y

f
L
U
I
0
f
X
P
0
5
U
kf k
I
5
k
1
Before
patient
contact
WHEN? Clean your hands before touching a patient when
approaching him/her
EXAMPLES: shaking hands, helping a patient to move around,
clinical examination
2
Before
an aseptic
task
WHEN? Clean your hands immediately before any aseptic task
EXAMPLES: oral/dental care, secretion aspiration, wound dress-
ing, catheter insertion, preparation of food, medications
3
after
Body fluid
exposure
risk
WHEN? Clean your hands immediately after an exposure risk to
body fuids (and after glove removal)
EXAMPLES: oral/dental care, secretion aspiration, drawing and
manipulating blood, clearing up urine, faeces, handling waste
4
after
patient
contact
WHEN? Clean your hands after touching a patient and her/his
immediate surroundings, when leaving the patients side
EXAMPLES: shaking hands, helping a patient to move around,
clinical examination
5
after contact
with patient
surroundings
WHEN? Clean your hands after touching any object or furniture in
the patients immediate surroundings, when leaving - even if the
patient has not been touched
EXAMPLES: changing bed linen, perfusion speed adjustment
when? your
5
moments for hand hygiene
Clean hands
are safer hands.
Are yours clean?
All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind,
either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.