I think we have similar issues… definitely before is a challenge because we don’t know if we will be interacting the environment or not. It might just be someone asking for water or a blanket in which it would not be a miss if you just checked and came back. But then when its something else we go do it and forget we didn’t hand wash. I have tried to just do it all the time anyway so I don’t have that problem. Must be a challenge for those who have skin issues.