A charge nurse is reinforcing teaching with a group of staff members about hand hygiene. Which of the following information should the nurse include in the teaching? (Select All that Apply.)

Clients should be instructed about hand hygiene

One out of 40 clients obtain a healthcare-associated infection HAL

Compliance of hand washing among staff members is less than 50%

Hand hygiene is the most important step to prevent spreading of infection.

Alcohol-based hand gel is an acceptable method of hand hygiene