Concordia Home Care and Nursing Services LLC   Concordia Health Mobile Lab

Concordia Edvantage Training Academy                  Concordia Luxury Home

Mon-Fri: 9AM to 5PM

Handwashing/Hand Hygiene Policy and Procedure

Handwashing/Hand Hygiene Policy and Procedure


It is the practice of this agency to ensure that every effort is made to reduce the risk of infection in clients and staff members.  Thorough hand washing/hand antisepsis is required of all employees. The agency has established guidelines for all staff and will provide education and direction on accepted practices.


To improve hand-hygiene practices of agency staff and reduce transmission of pathogenic microorganisms to clients and personnel in the home care setting.

Special Instructions:

    1. If antimicrobial hand soap is used, it must be for a period of at least 20 seconds. (www.cdcgov/handhygiene/training/interactiveEducation).
      1. Before and after caring for clients, or when coming in contact with inanimate objects/equipment in the immediate vicinity of the client.
      2. Between tasks on the same client and particularly when there is prolonged or intense contact with client, i.e., bathing,
      3. After removing gloves,
      4. After touching objects that are potentially contaminated,
      5. After caring for a client who is infected with drug resistant organisms, i.e., C-Diff and MRSA (CDC recommendation for C-Diff: In a setting in which there is an outbreak, or an increased CDI rate, visitors and healthcare workers must wash hands with soap (or antimicrobial soap) and water after caring for or contacting patients with CDI (B-III).
      6. After using the toilet, blowing the nose, or covering a sneeze,
      7. After assisting client with using the bathroom,
      8. Before eating, drinking, handling food, or serving food,
      9. When hands are visibly dirty/soiled or contaminated with proteinaceous material and/or blood or other body fluids soap and water should be used first,
        • An alcohol-based hand rub for routinely decontaminating hands all other clinical situations is acceptable.
      10. Before donning sterile gloves to insert urinary catheters, vascular catheters, or other invasive devices,
      11. Before eating and after using a restroom.
  1. Wet hands with water.
  2. Apply enough soap to cover all hand surfaces.
  3. Rub hands together palms facing while interlock fingers, then with palms down, one hand on top of the other interlock fingers, and rub.
  4. Cup one hand and with fingers together on the opposite hand scrub your nails in the palm of the cupped hand. Repeat with the opposite hand.
  5. Rinse hands with warm not hot water.
  6. Dry hands completely using a single-use towel or air dry.
  7. Use an alcohol-based hand rub that contains 60%-95% alcohol if soap and water are not available. Cover all surfaces of your hands and rub them together until they feel dry.


    1. Caregivers are not to wear artificial fingernails or extenders when having direct contact with clients at risk (i.e. immunosuppressed, etc.).
    2. Natural nail tips are to be kept less than 1/4-inch long.
    3. Gloves are to be worn during client care when there is a risk of contact with blood or other potentially infectious materials, mucus membranes, and non-intact skin.
    4. Rings are discouraged except for a plain wedding band.