Washing and Sanitizing Hands Outside

Handwashing is an effective personal hygiene practice that is proven to reduce the viral load on skin and hands. 

Ensure handwashing stations are accessible to students. If handwashing stations are not available, ensure students have access to fragrance-free alcohol-based hand sanitizer. Consider the height of any hand washing or sanitation stations; they need to be the right height for the target age group for accessibility.

Put procedures into place to wash hands before and after going outside and after sharing materials. Build a handwashing routine into the instruction schedule to allow students to wash their hands with warm water and soap for at least 20 seconds.

Provide fragrance-free soap. Artificial fragrances and some essential oils are known skin and respiratory irritants and can exacerbate eczema and other skin conditions. Be sure to use biodegradable soap if drain water is disposed of outside.

Consider the nearest source of water and how the water can be transported when choosing locations for handwashing stations.

Please note: Recommendations found within this document are based on the guidance published by the Centers for Disease Control and Prevention (CDC) as of November 5, 2021. According to the CDC, this “guidance is meant to supplement—not replace—any state, local, territorial, or tribal health and safety laws, rules, and regulations with which schools must comply.”

© Linden Waldorf, Nashville, TenNessee

© Sharon Danks, Golestan Education


No-Cost and Low-Cost Options

Implement protocols for students to wash hands in indoor bathroom sinks. Protocols should include limits on the number of students in the bathroom and waiting indoors at any time.

Provide hand sanitizer stations at all exterior doors and plan for frequent refill checks.

Purchase fragrance-free alcohol-based hand sanitizer for students and teachers to carry with them. 

If your school building has easily accessible water spigots near high-use outdoor areas, consider installing a simple handwashing station nearby. See some options below:


Handwashing Station

To create a handwashing station, purchase 5-gallon water jugs (with nozzles that can be easily operated by children), soap, and paper towels and place them on sturdy stools. Provide a waste bin with a fitted lid for used paper towels. Handwashing stations can also be placed at other strategic locations or can be put into a carrying cart that can be brought to different learning areas. See this example of a handwashing station from the Safe Plates Program at North Carolina State University.

Tippy Tap

Another option for a simple handwashing station is a “Tippy Tap.” According to tippytap.org, an organization dedicated to global handwashing education, the tippy tap is “a simple, hygienic device to wash hands with soap & water.” This solution is low-cost, hands-free, and saves water. It involves hanging a jug of water that dispenses water by tipping when an attached string is stepped on. See “How to Build a Tippy Tap” below; click on the instructions to view them in multiple languages.

Mobile Handwashing Station

Use of readily available, lightweight, natural materials makes for an easy to transport handwashing station. This version is a great idea for outdoor events during which you may need some additional handwashing stations, or for field trips during which access to a sink is limited. Watch this short video from MudWorks that demonstrates creating a mobile handwashing station by handing a water jug from three bamboo poles and attaching a simple wood “lever.” Place in an area where excess water can be easily directed away from feet and will not cause a slip hazard, or add a catch basin.

Click on the graphic above to view larger.
© Safe Plates Program, North Carolina State University

Tippy Tap - English Manual 2020 (1).png

Click on the graphic above to view larger.
© TippyTap.Org


Moderate-Cost and High-Cost Options

Install additional plumbed-in handwashing stations on school grounds. This may involve understanding and planning around storm water regulations, building codes, and plumbing. If you are connecting to a spigot using a hose, be sure to use a garden hose that is approved for potable water.

Rent portable restrooms or handwash stations and have them serviced regularly by a responsible company.

Install hand sanitizer dispensers on school grounds.


Examples of plumbed-in sinks on schoolyards

They look all different ways!

© Sharon Danks, Golestan Education, El Cerrito, Calfornia

© EarlySpace

© EarlySpace

© Lauren McKenna

© Lauren McKenna, Our Lady of Perpetual Help, Downey, California

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© Naomi Stern, Half Moon Bay, California

© Sharon Danks, Golestan Education, El Cerrito, Calfornia

© Lauren McKenna, Our Lady of the Assumption School, Claremont, California

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© Green Schoolyards America


Link to the landscape

Depending on the location and frequency of use, handwashing stations could be set up in a way that diverts excess water to a planter or bioswale, either directly, through a simple filtration system made of natural materials like sand and rocks, or through a greywater system.

This is also a great educational opportunity to learn about water conservation and recycling, or how to build a greywater system and test various filtration materials. If you are directing any water back into the landscape, it is important to use hand soaps that are non-toxic and biodegradable (as well as free of salt and borax, which can harm soil and plants).


Reminders

Here are some reminders to students and staff of best practices for handwashing, especially where there are items or supplies that are touched frequently AND touched by more than one user.

It is important that students (and everyone!) wash their hands:

  • Before AND after eating and drinking, and before any food preparation or cooking. See more suggestions and related case studies in the chapter on Outdoor Meals at School.

  • After using the restroom.

  • After handling any bodily fluids or solids (such as helping students put on a bandage, or helping clean up runny or bloody noses).

Remind students not to touch their eyes, nose, or mouth, even when outdoors. This reminder may need to be repeated more frequently for younger students.

If use of high-touch surfaces or objects cannot reasonably be avoided, consider restricting access to only one class or cohort in between cleanings and disinfection.

See our resource, Supplies and Storage for Outdoor Teaching, for ideas regarding individual outdoor kits for students and designated sets of supplies for groups of students. 


Make Sure to Contact

Your school’s facilities manager, buildings and grounds staff, or custodial staff can inform you of existing cleaning and disinfecting practices. Be sure that staff are trained and are using cleaning and disinfecting products that are appropriate for use on outdoor surfaces. 

Also keep in close touch with the following for updated guidelines and regulations, such as:

Local county and state health departments,

Centers for Disease Control and Prevention (CDC), and

United States Environmental Protection Agency (EPA).

© paige green, Green Schoolyards America


Resources for Further Information

Healthy Green School & Colleges
— Green Seal
Guidelines and best practices

School Handwashing Program Manual
TippyTap.org
Detailed instructions on how to run an effective school handwashing program, including increasing handwashing behavior and installing “tippy taps”


Credits

Information for this article was contributed by Sunna Mahmood; Sayaka Ogata, NP, MSN; Zach Pine, MD; Kara Rubio, MPH, Healthy Schools PA program manager, Women for a Healthy Environment; and Naomi Stern, San Mateo County Office of Education. It was reviewed by Eric M. Cherry, MS, Hexagon Environmental; Sarah Gill, MPP; and Christina Vassallo, MSN, FNP-BC. 

The article was edited and compiled and edited by Lauren McKenna, MLA; and Nancy Striniste, MLD, EarlySpace, LLC.

An additional review and update occurred in November, 2021, by Sarah Gill, MPP; and Naomi Stern, San Mateo County Office of Education.


National COVID-19 Outdoor Learning Initiative

The National COVID-19 Outdoor Learning Initiative supports schools and districts around the country in their efforts to reopen safely and equitably using outdoor spaces as strategic, cost-effective tools to increase physical distancing capacity onsite and provide access to abundant fresh air. The Initiative seeks to equitably improve learning, mental and physical health, and happiness for children and adults using an affordable, time-tested outdoor approach to keeping schools open during a pandemic.