St.
Michael’s College
College of Nursing
Iligan City
Name: ______________________________________________ Group: ______________
Clinical Instructor: _____________________________________ Date: _______________
Handwashing
Concept:__________________________________________________________________________________
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Purpose::__________________________________________________________________________________
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Equipment:_______________________________________________________________________________
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Oral
Performed
Rationale
Procedure Written Rationale Not
Yes No Done Don
e
1. Assessment:
Presence in client of factors
increasing susceptibility to
infection
Use of medications and
immunosuppressives
Recent diagnostic procedures
or treatments that penetrated
the client’s skin or a body
cavity
Current nutritional status
Signs and symptoms
indicating the presence of an
infection
Nails should be kept short.
Remove all jewelry.
Check hands for breaks in the
skin, such as hangnails or
cuts.
2. Planning:
The location of running water and
soap or soap substitutes
Assemble the equipment and
bring it near to working area.
Materials:
1. ____________________
2. ____________________
1. ____________________
2. ____________________
3. ____________________
4. ____________________
5. ____________________
6. ____________________
7. ____________________
8. ____________________
3. Implementation:
If you are washing your hands
where the client can observe
you, explain to the client what
you are going to do and why it
is necessary.
Turn on the water, and adjust
the flow:
a. For knee levers, move with
the knee to regulate flow
and temperature.
b. For foot pedals, press with
the foot to regulate flow
and temperature.
c. For elbow controls, move
with the elbows instead of
the hands.
d. For infrared control, motion
in front of the sensor
causes water to start and
stop flowing automatically.
Be sure to adjust flow so that
water is warm.
Wet the hands thoroughly by
holding them under the
running water, and apply soap
to the hands.
a. Hold the hands lower than
the elbows, so that the
water flows from the arms
to the fingertips.
b. If the soap is liquid, apply
2–4 ml (1 tsp). If it is bar
soap, granules, or sheets,
rub them firmly between
the hands.
Thoroughly wash and rinse the
hands.
a. Use firm, rubbing, and
circular movements to
wash the palm, back, and
wrist of each hand.
Interlace the fingers and
thumbs, and move the
hands back and forth.
Continue this motion for
10 seconds.
b. Rub the fingertips against
the palm of the opposite
hand.
c. Rinse the hands
Thoroughly dry the hands and
arms.
a. Dry hands and arms
thoroughly with a paper
towel.
b. Discard the paper towel in
the appropriate container.
Turn off the water.
Use a new paper towel to
grasp a hand-operated control
4. Evaluation:
After care and document the
procedure done including the
time and type of hand
washing performed.