[Indication for hand hygiene] After touching the patient [Transmission risk] Hand transmission of micro-organisms from the patient flora to other surfaces in the healthcare setting Dissemination of patient flora to the rest of the healthcare environment and infection of other patients or HCWs [Examples] After skin contact with the patient. Bathing, change position or lifting a patient. Taking a pulse or blood pressure. Shaking hands [When] 
Directly after leaving the patient when the patient was touched