Sometimes there is no single right way to do things, but there is sure as hell a wrong way to do it. Actually, it happens quite often. Yesterday, for example, there was some debate as to whether or not you should wash your hands before or after shaking hands with a patient. My personal thought is that the patient has touched themselves at least everywhere that you are going to during the exam, so it really doesn't matter to much if you touch their hands after washing yours. Your mileage may vary.
However, all can agree on wrong ways of going about hand hygiene: eg - just skipping it, spitting on your hands and wiping on your pants, or demanding that the patient sterilize their skin so that you don't contaminate your hands. All wrong positions.
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