Effective hand hygiene involves the following steps:
Wet hands with clean, running water. Apply soap and lather by rubbing hands together. Scrub all surfaces of the hands, including the back of hands, between fingers, and under nails, for at least 20 seconds. Rinse hands thoroughly under running water. Dry hands using a clean towel or air dry them. If using an alcohol-based hand sanitizer, apply the product to the palm of one hand and rub hands together, covering all surfaces, until hands are dry.