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.

Specializes in Med/ Surg/ Critical Care, Oncology, ER.

We were recently asked to start a hand washing program, because of an increas in BSIs. We googled the phrase and found out all the negative comments regarding it. We did our homework and this is what we found.

less than 50% of healthcare workers wash their hands even though, as you said, it is basic nursing 101.

That includes doctors, therapists, anyone and everyone that comes in contact with patients.

Nurses are better than most, but not 100%

Patients, even when prompted, are hestitant to speak up and ask the healthcare provider "if they washed their hands".

Areas where MRSA was found could not have been touched my the patients.... cabinets, window sills, IV poles, monitor screens, computer screens.....

So if I have to wear a badge that gives a patient permission to ask me if I washed my hands, maybe it will encourage that patient to ask someone who didn't wash their hands. :bugeyes:

I would really hate to wear that button. The should have put up a sign in the room instead if they are that concerned.

Specializes in Med Surg, Tele, PH, CM.
How demenaing. Did your administrators wump their heads or something. Obviously you learned how to wash your hands in nursing schools. This is stupid. Sounds like something my administration would do. :uhoh3:

If you could be a fly on the wall for just a day, you would see how many healthcare workers don't wash their hands often enough. But we are far more compliant than other professions. I remember when I worked in a clinical setting, many folks actually get a little insulted at the thought that someone would think they had to wash their hands just from touvhing them. I was a practice manager when the CDC started the big "cover your sneeze and wash your hands" campaign several years ago. We placed boxes of tissues and hand sanitizer in strategic places in our waiting room. I had more than one patient complain to me that we did not trust them to stay control their germs. If you've ever sat in a crowded waiting room and watched people sneezing and hacking - I feel like passing the tissues myself. While I don't think I would like wearing the button, it could be turned into a "teachable moment" to remind patients that everyone needs to wash their hands often, not just nursing staff.

As one who lost almost a year of my life and has the very nasty abdominal scar from MRSA, let me assure you that I don't find it demeaning to the healthcare provider to ask. My very disfiguring scar is proof that asking is much better in the long run. You can bet if I don't see that provider washing, I WILL tell them to.

You being offended vs thousands upon thousands of dollars; you being offended vs my battle to live, just isn't going to impress me much. If someone is offended, I'd ask for another provider.

Specializes in Rehab, Med Surg, Home Care.

Ya know, if it was worded a little differently, say something like "Handwashing saves LIVES" or something along those lines, I could get on board with it. The "Ask me if I've washed my hands" kinda leaves a bad taste in my mouth; it's along the lines of "Ask me if I coughed on these pills I'm giving you ( I mean, if you've gotta ask, what are the chances of getting a straight answer?)

Specializes in Critical Care.
As one who lost almost a year of my life and has the very nasty abdominal scar from MRSA, let me assure you that I don't find it demeaning to the healthcare provider to ask. My very disfiguring scar is proof that asking is much better in the long run. You can bet if I don't see that provider washing, I WILL tell them to.

You being offended vs thousands upon thousands of dollars; you being offended vs my battle to live, just isn't going to impress me much. If someone is offended, I'd ask for another provider.

IF this were about good hand hygiene, I would agree with you.

It's about demeaning nurses.

I'm sorry, there has to be a way to encourage hand washing WITHOUT demeaning nurses. However, present to management a way to do something that also demeans nurses, and it's a twofer. It's not the hand hygiene message I disagree with. It's the part about demeaning nurses.

The message is implicit: your nurses aren't professional enough to do their jobs unless you check up on them.

Nope. Wouldn't wear it. I respect myself and my hard earned efforts much more than that.

~faith,

Timothy.

Chaya, I agree with you. Somehow there's got to be a way to impress EVERYONE how important it is. But the bottomline is that if I don't see the handwashing or someone using the sanitizer, I will say something. But for a long period, I wasn't aware or coherent enough to be vigilant. What then? Trust? That didn't work out too well for me.

Specializes in ICU,ED (intern).
IF this were about good hand hygiene, I would agree with you.

It's about demeaning nurses.

I'm sorry, there has to be a way to encourage hand washing WITHOUT demeaning nurses. However, present to management a way to do something that also demeans nurses, and it's a twofer. It's not the hand hygiene message I disagree with. It's the part about demeaning nurses.

The message is implicit: your nurses aren't professional enough to do their jobs unless you check up on them.

Nope. Wouldn't wear it. I respect myself and my hard earned efforts much more than that.

~faith,

Timothy.

If it is demeaning then perhaps we deserve it, but I do not feel that was the intention of the message. As my uncle always said, do not look for insult where none was intended.

Numerous studies (quoted throughout this post) have shown that health care professionals do not wash thier hands regularly or do not do so effectively. If we need a collective "kick in the rump" to do so then so be it. If it will save lives and promote health then so be it.

If you wash your hands everytime when entering and leaving a patients room then maybe the buttons will cause you to take a closer look at those around you.

If all nurses were professional enough to do thier jobs correctly without any kind of "checking up" then there would be no need for many safety measures such as double checking medications (some). Not all nurses play the game the same, I knew a guy who got fired because he had a hep lock under his clothes and would shoot up half of his patients meds (analgesics, etc.). The lock on the meds is not just in case a patient wanders near the med room, it is a safeguard against nurses as well. Granted this is a very small minority, but it is needed.

I also feel these buttons are good for the patients, they are reassuring and give them a sense of empowerment, perhaps even faccilitate communication in a patient that would otherwise not speak up. With all of the media hype surrounding MRSA and other transmittable disease these buttons might be just the ticket to let the patients know we are doing what we can to stop the spread of infection. Heck I might just get a "Ask me if I wiped today" tattoo on my forearm.

The day that I think I am above anything that helps my patients is the day that I have outgrown nursing (yes even if they made me wear a clown suit and dance on a pole in the psyche unit).:smokin:

If it is demeaning then perhaps we deserve it, but I do not feel that was the intention of the message. As my uncle always said, do not look for insult where none was intended.

it has been many moons since I last read the messages in this thread, but if I recall, part of the issue was that these buttons were required of nursing staff, but not of medicine and other members of the treatment team; if in fact I am correct, then I would have to respectfully disagree with your assertation; IMO singling out 1 component of the treatment team at the exclusion of the other components of the team is indeed demeaning to the component singled out

I think that if nurses will have to wear such a thing,It cant stop there.What about all the restuants,the people that work in many other areas,where handwashing,does play a big role in controlling the spread of germs.Handwashing is for everyone,all the time,this day and age.I mean the children at schools should alcohol gel after every recess and bathroom break!! I do need to add that at my daughters school,they do do this.My daughter is 7 and she has been well trained on the handwashing and the importance.I think the message is getting out.

Specializes in ICU,ED (intern).
it has been many moons since I last read the messages in this thread, but if I recall, part of the issue was that these buttons were required of nursing staff, but not of medicine and other members of the treatment team; if in fact I am correct, then I would have to respectfully disagree with your assertation; IMO singling out 1 component of the treatment team at the exclusion of the other components of the team is indeed demeaning to the component singled out

I agree, I did not think of it that way. At my hospital it is not mandatory, but many nurses and non-licensed personel where the buttons. Doctors are the worst at hand washing in my (very limited) experience. This being said, I dont know if doctors are actually in the patients rooms long enough to spread germs, think- five second rule :coollook:.

Specializes in ICU,ED (intern).

But I still say I will do it, I was never the kid sayin "But mom they dont have to eat thier vegetables". If its good for us its good for us.

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