Background: Patients hospitalized could experience spiritual distress for praying because of ablutions obstacle. One of holistic care is fulfill of spiritual needed patients and one of alternative to ablutions is tayammum pack (dust made of pure clay), unfortunately there are many differences perception that dust as ablutions for patients. Objective: The aim of this study to understand the effect of tayammum pack used on skin hygiene. Method: Study design used one-group pre-experimental prepost test design. Sixteen patients participated on this study. Result: Paired t-test analyzed showed significance level 0,034 (p <0, 05).There was significant effect that used from tayammum pack on skin hygiene. Average number of bacterial colonies (colony forming units 218.44) on the skin after application pack tayammum. Conclusion: Clay minerals in tayammum pack contains intrinsic antibacterial components, so the use of tayammum pack can improve hygiene on the skin.