1. Handwashing: Answer - CDC guidelines - "Speak UP" program - Alcohol-based handrubs - if hands are not visibly soiled - Effective handwashing with antimicrobial soap and water for longer than 15 seconds - if hands are visibly soiled 2. When to use Alcohol Based Hand Rubs: Answer - Before and after direct contact withpatients - Before and after using gloves - Before inserting urinary catheters, peripheral vascular catheters, or invasive de-vices that do not require surgical placement - If moving from a contaminated body site to a clean body site during patient care - After contact with objects (including equipment) located in the patient's environment 3. Handwashing Procedures: Answer - C-difficile - wash with soap and water - Rings and longer fingernails are contraindicated - Natural nails should be no longer than ¼" - Artificial fingernails should not be worn by healthcare workers - Wearing artificial nails in the OR is a citable offense for a Joint Commission accreditation process 4. Handwashing Skill: Answer - Do not touch the sink - Only a plain wedding band in place - Warm water - Wash to 1" above the wrist