Hand Hygiene and the Five Moments

Programme: Certificate Nursing

Subject/Course Unit: Foundations of Nursing I

Topic: Hand Hygiene and the Five Moments

Learning objectives

  • Explain why hand hygiene is essential in patient care.
  • Identify the five moments for hand hygiene.
  • Choose an appropriate hand-hygiene method.

Study lesson

Hand hygiene is a basic infection-prevention practice that reduces transmission of microorganisms during patient care. It is performed before patient contact and before clean or aseptic procedures, and after body-fluid exposure risk, patient contact and contact with the patient’s surroundings.

The five moments

  1. Before touching a patient.
  2. Before a clean or aseptic procedure.
  3. After a body-fluid exposure risk.
  4. After touching a patient.
  5. After touching a patient’s surroundings.

Key points

  • Use alcohol-based hand rub when appropriate and hands are not visibly soiled.
  • Use soap and water when hands are visibly soiled or when washing is specifically indicated.
  • Keep fingernails short and use correct technique.

Watch and learn

WHO hand hygiene resources

Interactive MCQ quiz

1. When should hand hygiene be performed immediately before an aseptic procedure?



2. Which method is generally appropriate when hands are not visibly soiled?



3. Which is the fifth moment?



Revision

Remember the five moments: before patient contact; before an aseptic procedure; after body-fluid exposure risk; after patient contact; and after contact with the patient’s surroundings.

Programme note: This lesson is specifically for Certificate Nursing. It should only be shared with another programme when the curriculum identifies the same competency or learning outcome.

Disclaimer: This lesson supports learning and does not replace approved curriculum documents, institutional teaching, clinical supervision or professional guidance.

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