It is essential to wash our hands between touching patients, but did you know that you do not have to do it with soap and water most of the time? In RL we use hand sanitizer unless our hands have become visibly soiled by body fluids. It is proven to kill more germs than soap and water. Mount this sanitizer near every sink and at the doorway of every patient room. Impress your patients with your professionalism. This product has two poses, one with avi's rubbing together under dispenser and one with avi turning back to room sill rubbing hands. This product now has sound. Trigger is "press". From Genesis!!!