Hygiene – Good practice

Procedure for hand disinfection:

Hand disinfection must always be performed with surgical spirit (ethanol 70-85%) with skin care agent. Take 3-5 ml (2 strokes on the soap) surgical spirit, rub the surgical spirit in your palm, on your fingertips, around the thumbs, the backhand, wrists, between fingers. Your hands should be kept moist from the surgical spirit for about 30 sec. Then rub until the hands are dry.

Procedure for washbasin:

Rinse your hands and wrists (cold or temperate water). Take 1-2 pump strokes soap scrub mechanically with water and soap between fingers, on fingertips, on the back of the hand, the palm and around the wrists for about 15 seconds. Thoroughly rinse the soap off the hands and wrists and dry with disposable towel. Hand operated (non-automatic) water taps are closed with the used disposable towel.

Procedure of applying gloves:

Used when risk of contamination from blood, secretions and excretions or other biological material and from clean wounds on hands and wrists. Always wash your hands with spirits before the gloves are removed from the dispenser. During procedures, gloves must be whole. Gloves should be immediately removed after finished procedures. Change gloves between procedures. Remove gloves by everting the cuff over the rest of the hand, so that the inside is turned out. Sprit your hands after use of gloves.


Nails must be visibly clean, whole and cut short.
Nail polish or nail jewellery must not be used.
Artificial nails should not be used.
Cuticle must be kept whole and smooth.

Watches and wrist jewellery:

Do not wear rings, bracelets, watches or other jewellery on hands and forearms.
There must be no piercings or implants on the hands and wrists.

Sleeve length:

Clothes and uniforms:
Sleeves on clothes and uniforms must be at or above elbow level.

Skin care

Skin care (good personal hygiene) is an important factor in the prevention and healing of pressure ulcers.

The daily inspection of the current skin area is important. When changes appear it must be recorded.

Older people’s skin has less elasticity than younger, as excretion through sweat and sebaceous glands are lower. This allows the cracks and irritation that disrupt the skin’s barrier function.Sebaceous glands are secreting a fatty oily substance called sebum.

Sebum are produced from fats and dead fat-producing cells.

Sebum is designed to protect and waterproof hair and skin and make sure it does not dry out, or become fragile and crack. It can also inhibit the growth of micro-organisms on the skin.

It is important that the urine and faeces are rapidly removed from the skin. For washing use mild soap and temperate water.

Careful drying and use of moisturizing creams are two components that contribute positively to skin care.