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Proper hand washing is crucial to preventing the spread of infection, and staff and volunteers are encouraged to wash their hands several times a day and are instructed to do so before and after each shift and after handling any used supplies.

To hand wash properly: jewelry on the hands or wrists (such as rings and stones) should be removed prior to washing. Use running water, soap lather, and friction to clean all surfaces of the hands for at least 30 seconds. Next, rinse well with running water and dry one’s hands with paper towels. If soap and water are not available, use an alcohol-based hand sanitizer of at least 70% isopropyl alcohol with the understanding that it is not as effective as hand washing.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

Medical gloves should be worn whenever handling exposed or used supplies, especially those that might be used to prepare or use injection drugs such as syringes, cottons, cookers, tourniquets, and ascorbic acid. Gloves should be changed often, especially between activities or participants.
As discussed in the part of the site on preventing escalation, it is essential for harm reduction workers to stay present and remain centered and relatively calm during escalated events. This is one of the hardest things to do, but staying present and centered during any kind of escalated situation at your harm reduction site is essential to de-escalation.