• turns on the water to wet hands; turns off water to apply soap
• scrubs all parts of hands for 20 seconds, particularly palms, fingers and finger tips
• implements strategy to time scrubbing of 20 seconds (many students sing “Happy Birthday Song” two times at typical group singing speed)
• turns on the water and rinses off the soap completely; turns off the water
• dries hands using a single paper towel and places used towels int rash