40.Hand Hygiene practices in healthcare settings
1.4.3 Hand rubs that contain either no alcohol or alcohol in concentrations lower 60% for hand hygiene should not be used
1.4.4 Hand hygiene products purchased for use in canadian healthcare settings should be approved for professional use and have either a health canada natural product Number or a drug I dentification Number
1.4.5 Hand hygiene products that are compatible with with each other and do not adversely affect integrity should be used
1.5 hand hygiene ,preferably with an alcohol-based hand rub, should be performed as follows
1.5.1 Before and after contact with a patient, even if gloves are worn
1.5.2 After contact with the patient environment (e.g., inanimate objects in the patient's vicinity, including medical equipment and environment surfaces, such as bed tables or door handles) or after contact with items known or considered likely to be contaminated (e.g., bedpans ,urinals, wound dressings,) even if gloves are worn
1.5.3 Before moving to a clean-body site from a contaminnated- body site during care of the same patient
1.5.4 After know or potential contact with blood, body fluids, respiratory and/or other secretions and excretions, excretions, exudates from wounds, mucous membranes or non-intact skin, even if gloves are worn and regardless of whether the source is the patient or healthcare worker