hand hygiene is not needed if you wear gloves when you are touching a patient.

Hand hygiene is still needed even if gloves are worn when touching a patient. Gloves do not provide complete protection from contamination because microorganisms can get through small defects in gloves or contaminate hands during glove removal. Hand hygiene should be performed before putting on gloves, after removing gloves, and during care as indicated by hand hygiene guidelines. Gloves must also be changed between patient contacts and when soiled or damaged to prevent cross-contamination. Thus, gloves and hand hygiene are complementary infection prevention measures, not substitutes for each other.