Three reviews (Hand washing V2.0 2016, Indications for Hand Hygiene V2.0 2016, and Use of Alcohol Based Hand Rub V2.0 2016) were amalgamated into one review using the two-person NIPCM methodology.

New recommendations were added in for:

• When should hand hygiene be performed?

• How should hands be dried after hand washing?

• What is the evidence regarding the wearing of jewellery in relation to hand hygiene, including Jewellery worn for religious reasons?

• What are the requirements for sink design, provision and types of tap for clinical hand wash?

• Is the use of alcohol based hand rubs suitable for individuals who abstain from alcohol for religious reasons?

http://www.nipcm.hps.scot.nhs.uk/web-resources-container/standard-infection-control-precautions-sicp-literature-review-hand-hygiene-hand-washing-hand-rubbing-and-indications-for-hand-hygiene/