I'm supposed to wear an "Ask me if I washed my hands!" button?!

Nurses Activism

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Today, administrators launched a handwashing campaign, part of which includes having patient care staff wear giant buttons that say, "Ask me if I washed my hands!" Patients are encouraged to ask this of their nurse/CNA/etc. every time s/he walks into their room. Every time.

I find this incredibly insulting both to my intelligence and to my professional practice as an RN. I cannot imagine what patients must be thinking: does it imply that we don't know enough to wash our hands? What else do they need to be checking up on, if we can't be trusted to have washed our hands after patient contact?

I understand that the aim is to decrease the spread of microorganisms. We all learned that in Nursing Fundamentals. I've listened to all the inservices on handwashing, antimicrobial foam and gel, and standard precautions ad nauseum. But this is way over the top. I don't ask my mechanic if he remembered to put all the parts back in my car and I don't ask my accountant if she used a calculator to figure out my taxes. I don't think I should be asked over and over if I'm doing my job, either.

We've had a hard enough time trying to be recognized as professionals without this nonsense. If I wanted to wear giant silly buttons at work I'd be waiting tables at TGI Fridays.

I told one of the administrators I'd consider wearing one if all the docs had to wear them, too. It's been a long time since I've seen some of them lather up before performing a bare-handed dressing change.

Our issue is the opposite. Housekeeping will stuff so many paper towels in the holder that you can't pull any out without shredding it.

Marie, I worked as a housekeeper years ago in a hospital. I would leave extra supplies nearby the dispensers. I don't have a problem adding stock to a dispenser, the problem with the dispensers we use where I'm at is that you need a key to open them. Also our stock is locked up.:roll

I find it sad that the supplies needed to facilitate handwashing are so highly guarded.

The stocking of dispensers has recently improved (biggrin.gif d/t someone complaining). It was to the point that if there was a drop of soap in a dispenser, it was not replaced, also the same dispensers would remain empty for days, the nurses would have to leave out supplies for handwashing.

One thing I dont get about this thread. One is supposed to wash their hands before entering a patient's room right? So if the activity of washing is happening outside the room why would the patient ever see a nurse wash her hands?

So even if you dont see your nurse wash her hands she may have done so before entering your room.

Those badges seem like an awful idea. I too would be insaulted to have to wear something like that.

One thing I dont get about this thread. One is supposed to wash their hands before entering a patient's room right? So if the activity of washing is happening outside the room why would the patient ever see a nurse wash her hands?

So even if you dont see your nurse wash her hands she may have done so before entering your room.

Those badges seem like an awful idea. I too would be insaulted to have to wear something like that.

I have not seen sinks outside a patient's room since the lare 70s. Where I have worked and been a patient in, sinks are all located inside the room. Like I said, I don't go into the hospital to pick up an infection. Should I ever pick one up, watch out. I will consult an attorney.

Grannynurse

Specializes in Oncology/Haemetology/HIV.

Many of the hospitals that I work at have sinks outside the room as well as the alcohol sanitizers.

But then I do work Onco/Hemo.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Good luck proving where it precisely came from.

Nurses at the hospital I go to wash their hands in the room infront of the patient. then you dont have to ask

Good luck proving where it precisely came from.

All I have to prove is that I got the infection while I was a patient. And if you know anything about lawsuits, you name everyone, everyone that came near you. Nurses should stop bellyaching about some dumb button and get on those-physicians included-who they observe not washing their hands before touching a patient and upon leaving. They should be carrying on about everyone they see who does not wash their hands. It shouldn't be an issue left up to the infection control nurse or administration. And a patient or his/her family should not be placed in the position or role of monitoring their care givers hand washing. Apprently not everyone, nurses and physicians included, are washing their hands, give the rate of nosomcial infections.

Grannynurse:balloons:

All I have to prove is that I got the infection while I was a patient. And if you know anything about lawsuits, you name everyone, everyone that came near you. Nurses should stop bellyaching about some dumb button and get on those-physicians included-who they observe not washing their hands before touching a patient and upon leaving. They should be carrying on about everyone they see who does not wash their hands. It shouldn't be an issue left up to the infection control nurse or administration. And a patient or his/her family should not be placed in the position or role of monitoring their care givers hand washing. Apprently not everyone, nurses and physicians included, are washing their hands, give the rate of nosomcial infections.

Grannynurse:balloons:

You know what? We are extremely infection control minded in our unit and still, infections happen. I don't have control over every single person in the hospital and unfortunately it would take perfection to guarantee no infections. We don't need insulting buttons to get us to wash our hands. It makes me sad to think that you would name me in a lawsuit regardless of MY behavior, but I guess that's the way people do things. Not that it matters since I'll never be your nurse, but I still think it's sad.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Well, let's think of it this way: the button is just one more surface for germs to live on.:stone:

Specializes in Oncology/Haemetology/HIV.

I get really tired of the old "I'm going to sue" mentality.

Perhaps we should be able to force all of the patients to abstain from germy behavior, ban all flowers, ban all home food, ban all visitors, ban all home clothing, ban everything that makes the patient feeling comfortable and at home....because we cannot control the germ content.

Perhaps the hospital should be permitted to quarentine everyone without ABX/antipyrtics for the required 2-5 days (before blood cultures come back) before we admit them. That way we will not be blamed for any errant germs that may have been there to begin with. Why treat them prophylactically...you might get sued over something that was not diagnosed at admission?

Or we can give every single patient a massive dose of multiple antibiotics that kill off every form of bacteria (even the "helpful" ones), so that the patient has massive continued diarrhea and yeast, but so that we won't be blamed for errant bacteria.

I have had medicine make some errors in my care...but I have chosen to teach hospitals about errors (by using my issue) rather than sue. Because lawsuits can provide the impetus for overkill...such as nurses not being able to do chemstix/fecal occults, because of the issue that they might be colorblind. It makes medicine way too cumbersome/expensive for the average person to afford it.

There are mistakes worth suing over and there are ones that we need to accept personal responsibility for and those that are a matter of life and living it.

I have had medicine make some errors in my care...but I have chosen to teach hospitals about errors (by using my issue) rather than sue. Because lawsuits can provide the impetus for overkill...such as nurses not being able to do chemstix/fecal occults, because of the issue that they might be colorblind. It makes medicine way too cumbersome/expensive for the average person to afford it.

That's really comendable.

I get really tired of the old "I'm going to sue" mentality.

Perhaps we should be able to force all of the patients to abstain from germy behavior, ban all flowers, ban all home food, ban all visitors, ban all home clothing, ban everything that makes the patient feeling comfortable and at home....because we cannot control the germ content.

Perhaps the hospital should be permitted to quarentine everyone without ABX/antipyrtics for the required 2-5 days (before blood cultures come back) before we admit them. That way we will not be blamed for any errant germs that may have been there to begin with. Why treat them prophylactically...you might get sued over something that was not diagnosed at admission?

Or we can give every single patient a massive dose of multiple antibiotics that kill off every form of bacteria (even the "helpful" ones), so that the patient has massive continued diarrhea and yeast, but so that we won't be blamed for errant bacteria.

I have had medicine make some errors in my care...but I have chosen to teach hospitals about errors (by using my issue) rather than sue. Because lawsuits can provide the impetus for overkill...such as nurses not being able to do chemstix/fecal occults, because of the issue that they might be colorblind. It makes medicine way too cumbersome/expensive for the average person to afford it.

There are mistakes worth suing over and there are ones that we need to accept personal responsibility for and those that are a matter of life and living it.

For your information, I was named twice in a lawsuit. So, I know what it is like to be named and I do not take filing a lawsuit lightly. But if it takes a lawsuit to get everyones attention, I will file one. It is still my right, as an American. Taking personal responsibility, yes and it is too bad more nurses and otther healthcare professionals do not take it. Or ensure that their peers take it. Your take on corrective action is a gross misrepresentation of the necessary steps that would prevent many infections. Some chose to ignore that and focus on an administrative attempt to take spme type of action. I suggest some refocus their on their own peers.

Grannynurse

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