‘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.

1
 Date/ Teachers Learner
Time Objective Contents activities activities AVA
11/10/2010 Introduction: Set induction: Greet student Greet teacher Slide no.1

0900-0902 appropriate set induction Good morning, Looi Pike Ling and Koay Shi Give hand to Respond by
Rou. I am Norzie your senior staff nurse in this
2 minutes shake each give their hand
ward.
student but pull to shake
1. Have you washed your hand?
Expected answer: Ermm... with smile. back and ask teacher hand
2. When did you last wash your hands?
simple question. and answer the
Expected answer: After take breakfast.
question.
0902-0905 appropriate link to I’m 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
of topic PowerPoint PowerPoint slides notes
Welcome into Surgical Ward teams, hope we
slides notes. slides notes
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.

discussion question. 2-12

During the teaching you are welcome to ask
question. Please do not hesitate to interrupt me
to clarify any of your doubts.
Date/ Objective Contents Teachers Learner AVA

2
 Time activities activities
0905-0908 On completion of this Now let us look at the learning objective that Go through the Listen PowerPoint

3 minutes session the learner you need to achieve after this class. learning slides
Q&A
should be able to know Expected Knowledge, Attitudes and skills. objectives. presentation

and achieve; 1. Discuss purpose of hand hygiene to

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/ Teachers Learner
Time Objective Contents activities activities AVA

3
0908-0910 1. Discuss purpose of Development: Question and Answer the
2 minutes hand hygiene to Ask student; discussion the question.
inculcate and importance of
Question 1: What purpose of hand hygiene?
appreciate the practices hand
importance of hand Expected answer from student: hygiene in
hygiene in  Clean dirty hand nursing/workpla
preventing infection  Prevent cross infection ce
in clinical area.
Slides presentation on;

Purpose of hand hygiene:- PowerPoint

Explain & Listen & slides

1. To remove visible soiling from hands
inculcate the appreciate the presentation
2. To prevent transfer of bacteria from the importance of
importance of
Slide no. 14
home to the hospital hand hygiene
hand hygiene in
nursing. 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/ Teachers Learner

Time Objective Contents activities activities AVA

4
0910-0918 2. Identify, analyze and Students will watch video from CDC Switch on the Watching Video

8 minutes apply the principles (Centre for Diseases Control and video for the video and take presentation

of hands hygiene in Prevention) recall situation need hand students. notes.

Slide no. 15
relation to hygiene.

management patients
C:\Users\user\Desktop\final\HandwashingV
in the clinical area. \
ideo-Engl.mp4

Explain & Listen, identify

Highlight: HAND HYGIENE SAVE LIFE Slide no. 16
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

relation to presentation

management
Slide no. 17
patients in the

clinical area.

Date/ Teachers Learner

Time Objective Contents activities activities AVA

5
0918-0923
3. Perform hand Ask student; Question and Refresh and PowerPoint
5 minutes
washing according discussion. answer the slides
Question: When we need to do hand hygiene?
to the need; 5 question. presentation

moments of hand Expected answer from student:

hygiene.
 Before and after touch patient

 Before and after do any procedure such as

dressing

Five moments for hand hygiene:-

Listen, identify Slide no.
1. Before touching a patient Describe the
and analyze the
normal practices 22-23
2. Before clean/aseptic procedure principles of
hand hygiene.
hands hygiene.
3. After body fluid exposure risk

4. After touching a patient.

5. After touching patient surroundings.

Date/ Teachers Learner
Time Objective Contents activities activities AVA

6
0923-0925 4. Select and Key points will be discussed: Ask student Refresh and PowerPoint
demonstrate choose items for select slides
2 minutes
appropriate type of 1. How many types of hands hygiene? hand hygiene appropriate presentation
hand hygiene type to Answer: 3 types and demo materials for
use on visible dirty  Hands washing (Hand H); 40-60 appropriate types hand hygiene. Poster hand
or soiled. seconds use soap & H2O on visible of hand hygiene hygiene
dirty or soiled hands. use in clinical Choose
 Hands rub; 20-30 seconds use +3mls appropriate Slide no.
area.
alcohol based hand rub on dry hands Give student hand hygiene
18-20
without visible dirty. scenario and
Demo hand  
 Surgical hand hygiene; 2-3 minutes observe student;
hygiene.
check their Slide no. 21
2. Student to choose below items and demo actions with the  
1. Hand rub
how to perform hand hygiene procedure
 Alcohol hand rub X checklists 2. Hand H
 Disposable hand towel√ 1. Before/after
 Sink with handle water tap√ touching a 3. Hand H
patient
 Liquid hand soap√
4. Hand rub
2. Before
Student will demonstrate the procedure for clean/aseptic
5. Hand rub
hand hygiene. As per ..\Appendix 2.doc- procedure

3. After body fluid

Procedure for Hand Hygiene· exposure risk

4. After touching
Pt surroundings.

Date/ Teachers Learner

Time Objective Contents activities activities AVA

7
0925-0930 Conclusion Closure; list of reinforcement word the Roundup Refresh and PowerPoint

5 minutes important parts in this classroom teaching. slides

Ask student what Q & A
 The single most important reason for presentation
they have learnt
healthcare workers to practice good hand
today? Slide no. 24
hygiene to prevent infections that patients

acquire in the hospital. Collect Evaluation

 ALWAYS clean your hands after touching evaluation form form

an ENVIRONMENTAL SURFACE near a

patient

 Use soap and water for visibly soiled

hands-Do not wash off alcohol hand rub.

 HAND HYGIENE SAVE LIFE.

REFERENCES-SLIDE 25

8
 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