Hand Hygiene: November 2025 Competency

Hand hygiene is the single most effective action to prevent healthcare-associated infections across home care, hospice, and inpatient hospice settings. Alcohol-based hand rub (ABHR) is preferred when hands are not visibly soiled; use soap and water when hands are visibly dirty or after caring for patients with suspected/confirmed C. difficile and/or Norovirus. This station validates technique, timing, and adherence to policy.

Nails & Appearance Standards (Required for Validation)

To protect patients and staff, artificial/acrylic nails, overlays, or nail tips are not permitted for clinicians participating in patient care. Natural nails must be kept short and reduce the risk of transmitting infections (at or below the fingertip; approximately ≤ ¼ inch/0.5 cm). Please see the below regulatory reference (below).

Professional notice: Staff who arrive with artificial/acrylic nails or acrylic extenders will be unable to complete the hand hygiene competency during the Skills Fair. You will be scheduled for remediation once policy requirements are met, ensuring a safe and consistent standard for all patients and teams.

What We Validate at This Station

If technique is not satisfactory on the first attempt, you’ll review provided content and return for a second attempt during your session (as time allows). If still unsatisfactory, you’ll be scheduled for 1:1 re-skill on November 19, 2025 between 8:00 AM and 10:00 AM, per standard process.

Regulatory References:
CDC. Guideline for Hand Hygiene in Health-Care Settings (MMWR 2002 RR-16); OSHA 29 CFR 1910.1030 Bloodborne Pathogens Standard; CMS 42 CFR § 484.70 Condition of Participation – Infection Control; Massachusetts DPH 244 CMR 9.03(3); WHO Guidelines on Hand Hygiene in Health Care (2009).

Regulatory References:

​WHO guidelines on hand hygiene in health care


Tufts Medicine Care at Home Policy & Procedures
Hand Hygiene (Washing and Rubbing) Videos:

Competency: HERE


​** If during your allotted skills-training time slot you are unable to complete the competency satisfactorily, you will be required to review the competency resources in their entirety, and attest that you have completed this training/review before your scheduled re-evaluation. After completing the review of all the resources, complete the attestation: HERE