Hand hygiene reduces bacteria on the hands as well as those objects that hands come into contact with; transient bacteria are acquired via contamination and easier to remove from hands. Use of gloves does not provide complete protection against contamination. Avoid washing the hands with soap and water as much as possible. Hands should only be washed if visibly soiled, otherwise alcohol disinfection is preferred. It is important all staff have suitable instruction, education, and constant reinforcement to hand hygiene.