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Hand washing before physical examination

You can wash your hands OR wear gloves, you don't need to do both of them. Perhaps, gloves are quicker to wear than washing hands and so it's preferred.
No, you don't need to do it if you are not going to touch the SP!
Best time, is of course right before you start the physical examination.
To familiarize yourself with the hand washing technique I suggest you have a look at csevideo as they have a video devoted for hand washing.
 
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