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.

I agree. There are other ways to gain compliance with handwashing other than have nurses wear those buttons. We need to get feedback about our performance and professional behavior but in a much better way.

Specializes in Surgical Intensive Care.

Why don't they just make you all wear buttons that say, "Ask me if I'm competant to do my job or not." buttons. How demeaning and stupid. I witness EVERYDAY doctors in intensive care where I work that walk out of one room into an isolation room using their personal stethoscope and then on to the next... Tell me why nosocomial infections are out of control?! It MUST be the nurses! Buerocratic bologna if you ask me!

Ok.. I spend some time reading this and for the most part people agree that this is demeaning.

I have a question or two?

What is the nosocomial infection rate for your facility? How many of your patients have C. diff?

We have a very large hospital here in Rochester and it seems that just about every resident I get from them has C. Diff. "Nosocomial outbreaks of C. difficile are common and are directly related to poor handwashing by caregivers." (http://www.rnweb.com/rnweb/article/articleDetail.jsp?id=114135)

I would call the infection control nurse and ask her what these rates are.. If they are within normal ranges, "then *****, moan and groan" TO ADMNISTRATION about the pins. If they are high, then people are probably NOT washing their hands.

As far as the no bitching pin? Are people bitching to the patients/residents about care, supplies, staffing?? if so, thats grossly unprofessional and it needs to stop. ***** to the right people.

Ok.. I spend some time reading this and for the most part people agree that this is demeaning.

I have a question or two?

What is the nosocomial infection rate for your facility? How many of your patients have C. diff?

We have a very large hospital here in Rochester and it seems that just about every resident I get from them has C. Diff. "Nosocomial outbreaks of C. difficile are common and are directly related to poor handwashing by caregivers." (http://www.rnweb.com/rnweb/article/articleDetail.jsp?id=114135)

I would call the infection control nurse and ask her what these rates are.. If they are within normal ranges, "then *****, moan and groan" TO ADMNISTRATION about the pins. If they are high, then people are probably NOT washing their hands.

As far as the no bitching pin? Are people bitching to the patients/residents about care, supplies, staffing?? if so, thats grossly unprofessional and it needs to stop. ***** to the right people.

I have followed this thread, with interest, and some dismay. Almost everyone as decried the demeaning of wearing a button. Almost no one has addressed the real problem-that nosocomial infections are one of the leading causes of prolonged stays in our hospitals. I'm sorry but everytime I am an in-patient I cringe everytime a nurse or physician comes near me. It has been my experience, in three different hospital, in three different states, in three different parts of this country, that staff is frequently remiss in washing their hands, either before or after examining me. If staff put a fraction of the time, that has been spent complaining on this board, into washing their hands, I venture to say the nosocomial infection rate would drop.

Grannynurse

Patients need to feel confident about the people providing their health care, they are already uncertain enough about their situation. Wearing a button telling the patient to ask you if you washed your hands just plants additional fear that something else is going to go wrong. We want to instill confidence, not uncertainty.

I agree good handwashing is important and is never adequate in any field. In my hospital we would benefit from having more sinks for handwashing in more convenient locations. Also, we frequently run out of either soap or paper towel at the sink. It would be beneficial to have signs reminding visitors to wash their hands if they are going to interact with the patients. Physical therapy also has physical contact with the patients. The list goes on and on.

Specializes in Critical Care.

Whether people wash their hands and what the nosocomial infection rate is at a hospital is, in my opinion, irrelevant to this discussion.

If you want to argue that handwashing rates should go up - fine, no argument.

If you want to say that the only effective way to accomplish that is to humiliate and demean your staff - then we have a problem.

It's not about whether we'd all like handwashing to go up, or rather, nosocomials to go down.

It's about how you get to point B from point A. And this is a skunked up road.

IF somebody asked me if I washed my hands, my non-committal answer would be that I'm a professional nurse. I wouldn't deign that question with a yes.

~faith,

Timothy.

The problem is, so many "professionals" don't wash their hands. And there's nothing wrong with educating patients about how to protect themselves- they have every right to question their caregivers if they are concerned. I know that if I were the patient, I wouldn't let someone touch me without washing their hands.

We have signs in patient rooms that tell them we're committed to washing our hands, and instruct them to feel free to point it out if someone tries to care for them without washing their hands first.

It's OK to say that we're professionals but the bottom line is, there are plenty of us who don't do the right thing. We know that, but it's difficult to pinpoint individuals who don't wash- patient feedback is usually "the nurses didn't wash their hands" but they can't identify which nurses. So you have no choice but to issue generalized feedback.

I've seen the following efforts to correct the handwashing problem: observing staff and correcting failure to wash or poor technique, signs, buttons, reminders in newsletters and staff meetings, inservices, awards for those caught using good handwashing....all considered insulting because "we're professionals and were taught this in our basic nursing classes". Yet the problem continues...

If every effort to correct problems is considered insulting because we're professionals, does that mean that nursing leaders should look away and say nothing? What's the answer to the problem?

I like the idea of signs by the sinks, they could remind both visitors and staff to wash before touching the patient. But many times the sinks aren't right in the entry of the room so I don't know how well that would work. Lots of hand sanitizer dispensers (in rooms and the halls, kept full of course) might help.

The problem is, so many "professionals" don't wash their hands. And there's nothing wrong with educating patients about how to protect themselves- they have every right to question their caregivers if they are concerned. I know that if I were the patient, I wouldn't let someone touch me without washing their hands.

We have signs in patient rooms that tell them we're committed to washing our hands, and instruct them to feel free to point it out if someone tries to care for them without washing their hands first.

It's OK to say that we're professionals but the bottom line is, there are plenty of us who don't do the right thing. We know that, but it's difficult to pinpoint individuals who don't wash- patient feedback is usually "the nurses didn't wash their hands" but they can't identify which nurses. So you have no choice but to issue generalized feedback.

I've seen the following efforts to correct the handwashing problem: observing staff and correcting failure to wash or poor technique, signs, buttons, reminders in newsletters and staff meetings, inservices, awards for those caught using good handwashing....all considered insulting because "we're professionals and were taught this in our basic nursing classes". Yet the problem continues...

If every effort to correct problems is considered insulting because we're professionals, does that mean that nursing leaders should look away and say nothing? What's the answer to the problem?

I like the idea of signs by the sinks, they could remind both visitors and staff to wash before touching the patient. But many times the sinks aren't right in the entry of the room so I don't know how well that would work. Lots of hand sanitizer dispensers (in rooms and the halls, kept full of course) might help.

everybody who is involved in care should then have to wear these buttons, not just the nurses. The docs, PT, RD, Techs, etc.. all need to wear it if the nurses have to.

everybody who is involved in care should then have to wear these buttons, not just the nurses. The docs, PT, RD, Techs, etc.. all need to wear it if the nurses have to.

I have to agree that requiring all staff to wear them is better than requiring only nursing staff to wear them, but I am not crazy about the button idea at all. Makes me think of WalMart.... :(

There has to be a better way...

Well, my guess is that your facility has a problem with infections and/or lack of handwashing. Why else would there be an all out effort to "improve" your customers perceptions? The public is becoming more and more aware of hospital acquired infections, therefore the effort to improve perceptions. You could help the situation by giving your solutions to deal with the problem instead of being handed one.

Well, my guess is that your facility has a problem with infections and/or lack of handwashing. Why else would there be an all out effort to "improve" your customers perceptions? The public is becoming more and more aware of hospital acquired infections, therefore the effort to improve perceptions. You could help the situation by giving your solutions to deal with the problem instead of being handed one.

Actually, my facility doesn't have a problem with infections. I was referring to the situation in general, and have seen caregivers in multiple facilities care for patients without washing their hands. I think there is an effort in most organizations to decrease infections and enhance customers' perceptions.

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.

:uhoh3: Un-freakin' believable. :uhoh3:

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