The four moments of hand hygiene
Before contact with the client or their environment. Before an aseptic procedure. After exposure or risk of exposure to body fluids. After contact with the client or their environment Alcohol-based rub : 20 to 30 seconds, on visibly clean hands.. Soap and water : 40 to 60 seconds, when hands are soiled, and always for C. difficile. Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. essential infection prevention landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Additional precautions and IPC measures are among the most frequent questions on the OIIQ exam.