Enhanced Hand Hygiene

• Staff will supervise all child hand hygiene to ensure hands are cleaned appropriately.

• Staff will review daily with age appropriate children, proper hand hygiene practices as well as coughing etiquette, tissue use, etc.

Proper hand washing steps using soap and water (in a sink)’

• Remove jewelry such as rings

• Wet hands up to the wrist

• Apply enough soap to cover hands

• Lather for at least 15 seconds doing all the following

• Rub between each finger and front/back of hands

• Rub each fingertip, under nails

• Rinse off all lather with water

• Dry hands well with paper towel

• Turn taps off with paper towel

Proper hand cleaning steps using hand sanitizer (70% and up alcohol-based) when outdoors or a sink isn’t available

• Remove jewelry such as rings

• Apply enough alcohol-based sanitizer into the cupped palm of one hand to wet both hands completely

• Rub the liquid into the palm, back of hands, between fingers and under nails

Hand hygiene practices/frequencies

Enhance hand hygiene practices for children and staff as follows:

• before entrance and leaving the building

• before and after preparing food or drinks

• before and after eating or handling food/feeding children

• before and after administering medications or first aid

• before and after diapering

• before and after playing outside/gym

• before and after use of gloves

• after the use of the bathroom or helping children use the bathroom

• after any contact with bodily fluid

• after handling garbage, laundry, children’s bedding

• after wiping a child’s nose, after washing a child’s face

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