Wash hands, gloves, or hand sanitizer ... Which is faster? - USMLE Forums
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  #1  
Old 07-24-2015
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Default Wash hands, gloves, or hand sanitizer ... Which is faster?

Wash hands, gloves, or hand sanitizer ... Which is faster? I read somewhere that Kaplan wanted you to wash hands then glove up (Which does not make sense unless you are going into surgery)

I am wondering people thoughts on which is faster since time is critical.

Also ... When do you exactly do it ... Just before the physical?

Washing hands - This requires time to wash and I heard it is bad idea to talk to the patient when your back is turned or not looking directly at them

Hand Sanitizer - I read you need to be careful to make sure that your hands are completely dry when you touch the patient especially in the face area ... Also could make your hands colder.

Gloves would appear to be the quickest as long as you do not have a problem putting them on and doing physical the with them.
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  #2  
Old 07-28-2015
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I know people who used sanitizer and passed the exam and I am sure its the fastest way.

On the other hand I washed my hands(no gloves) and during the process and I used to ask the SP if they had "anything else to share" to avoid the akward silence. it worked well for me and it made sure that I dont forget to ask that important question.

Its basically a preference and it all comes down to the practice method.
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Old 07-28-2015
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U can do whatever u want but make it a habit. I sanitized my hands during each encounter and while rubbing my hands i asked a question to keep sp engaged in conversation.
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  #4  
Old 08-03-2015
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Sanitizer would be best
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Old 08-04-2015
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I did the same thing mentioned above - washed hands ant at the same time looked at patient and asked some general questions. I do know that hand sanitizer is easier but as for me one of the main points of this exam is to make a rapport with your patients. And if i think that i were a patient i would prefer doc who washed his hands completely. That's my point
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Old 08-04-2015
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i just took my exams and i used a sanitiser.its faster and lets you give more time to the pt.but there was no anitiser on the 1st case so had to wash my hands
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Old 08-07-2015
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i like to wear gloves
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Old 08-08-2015
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It amazing how much time wearing gloves can save you in the actual exam. The downside of hand sanitizer is that you need to wait for the alcohol to evaporate since you cannot touch the patient having your hands wet, I'm against wearing gloves to exam a patient, but remember this is a test where time is crucial. If you prepare yourself to wear gloves putting them on will give you the exact time to established eye contact with the pt and ask him if there is anything they want to add to what they have already told you, worked for me in the exam and I was able to leave the room 3min before the announcement which I add it to the allotted time to type the note.

Last edited by ari2003; 08-08-2015 at 12:09 PM.
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Old 08-08-2015
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I washed my hands. It really doesn't take long and let's you gather your thoughts prior to the physical since it's acceptable to be silent for a few moments while you wash.
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Old 08-11-2015
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gloves is better for me
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  #11  
Old 11-19-2015
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I would not worry about which you use but it is better to use gloves for all leg exams this way you won't have to wash your hands twice
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  #12  
Old 11-25-2015
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You have to make sure you ask for allergies even if you have already asked for it in the history
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