Rather embarrassing to say, Hygiene QUeen, particularly to someone w/ your screen name and your cheery signature, but I don't think I've seen anyone at my hospital wash their stethoscope...and washing their cow/wow? Nope...have never seen it at my place. Frankly, I myself just quickly slap some alcohol gel over it when I remember. But I'll try to be better from now on. A good scrub down w/ a sani-wipe makes the world go round, and God knows those wow/cow's are probably crawling.
At one of our staff meetings, they recently told us that our unit, usually sterling in press-gainey compared to our medical floor rival, scored poorly on "nurses washing hands." One of the reasons may be that the alcohol gel dispensers are kind of out of view of the Pts, so although we (maybe!) are gel-ing in, gel-ing out, the Pts might not see it over in their beds, and if they are of the old-school mentality that "washing hands" means physically washing them w/ soap and water, then, yeah, they have no idea that we're performing hand hygiene. We're supposed to inform Pts that we're performing hand hygiene, even if they don't see it. I've started saying, when I come over and touch them to do my physical assessment, "Sorry that my hands/stethoscope are/is cold - I just disinfected them." (Kills 2 birds w/ one stone, because Pts are always saying my hands are icy!)
I also don't really bother w/ gloves when cutting up pills. If my hands are clean (and they are - I'm the hand hygiene queen), and my pill cutter is clean (I wipe it down), and the pills are clean, then I see no mortal sin in touching the pill w/ my clean fingers, but I only touch the pill anyway if it doesn't slip right out of the pill cutter, which is a minority of the time.
(Really, since most of the immune system is in the digestive tract anyway, I don't think it's a big deal. Stomach just chomps up most of those germs while bathing them in a hydrochloric acid pool pH of 2 or 3.)