Checking first the condition of our hands can influence the effectiveness of hand hygiene, and it’s essential for infection control. Skin cracks, dermatitis, or cuts can trap bacteria and may place patient at an increased risk. Hands are the most contaminated part of the arm. Water should flow from the elbow which is the least contaminated area over the hands and down the drain. Subungual areas (under the fingernails) can harbor higher concentration of microorganisms. In addition, long nails are harder to clean and may lead to more frequent puncture in gloves from the thumb and forefinger. Soap lather emulsifies fats and aids in cleansing. Sink is contaminated and dropping bar soap causes contamination. The outside of the bar is contaminated. Outer layer should wash off first before using. Preparation for the equipment needed to be used minimize the waste of time and to determine if there are incomplete things before proceeding to the next step. Friction caused by firm rubbing and circular motion helps loosen dirt and microorganisms. Relathering ensures more thorough cleaning. Wristwatch, rings, and bracelets can increase microbial count on hands Removing jewelry makes it easier to wash all areas of hands and wrists. The fingertips should always at the down position because we clean hands properly from the least contaminated to the most contaminated part. Avoid reaching into sink and touching edge prevents contamination. Keeping the uniform in distance with the sink surface can also prevent contamination. Water that is too hot can chap skin. Too much force can cause splashing and spread of microorganisms to other areas especially your uniform The joint forces given by both hands will ensure that every part of the fingernails has no microorganisms left behind. Orange stick helps remove dirt and reduces chance of microorganisms to remain under nails. Water should run from cleaner area (elbow) over the hands and then down the drain. This position prevents microbes from being rinsed off from the most contaminated part to the least. • Be careful not to splash wet into uniform because it may result in contamination as moisture breeds microorganisms. Rotating motion helps removing dirt and microorganisms starting from the elbow down to the hand. This position prevents microbes from being rinsed off from the most contaminated part to the least Prevents chapping of the skin. The cleanest areas are now the fingers and hands to drying should progress from clean to less clean. Running water rinses organisms and dirt into the sink. Proper disposal of soiled paper also prevent contamination that can cause infection. Remember not to lean your hand too much or beneath the surface of the trash bin when discarding. Using towel or paper tissue can eliminate the transmission of microorganism from the faucet. Keeps clean hands from not touching contaminated faucet to prevent transfer of microbes. Maintaining skin soft and lubricated after hand washing. To maintain the cleanliness of the handwashing area and also courtesy for next user.