I think most of us are guilty of not always following the 4moments of hand hygiene. Most common miss, is the cleaning of hand before entering the client’s environment, this is never intentional. How many of us run to answer a call bell and we become so task focus that we walk into the room forgetting to clean our hands on our way in. We often remember to clean our hands after contact with client, after aseptic procedures and when leaving the room but that first step is often missed. Maybe more frequent audits may help, I feel like when we know we are being audited there is better compliance, no one wants to be caught in the wrong.