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

Nurses Activism

Published

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 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...

i agree with this as well, but was just saying if ANYBODY has to wear them, than EVERYBODY should have to as well.

Specializes in Medical Surgical & Behavioral Health.
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?

Again a student here, but you would be surprised how many nurses and CNAs and yes the Drs too that I have worked with in 5 clinical visits that DO NOT WASH THEIR HANDS AT ALL BEFORE ADMINISTERING CARE!

We just had to write up safety inspections and chain of infection papers of our clinical experience and you would not believe how many of us cited "the nurse did not wash her hands before (state proceedure here)... " we are taught, walk in to a room wash hands, then check pts. It was so bad at our hospital that the actual staff nurses hide the contact precaution gowns from us because it offends the pt to see us in gowns while administering care... HELLO CONTACT PRECAUTIONS!

Sorry my vent just ended...

SOrry that they want you to wear a button, its sad that some health care workers are that inconsiderate to the pts that they wouldn't practice basic common sense.... one person ruins it for the rest of us I guess

Christa

"I am a former Infection Control Nurse and I did a Handwashing survey during my time, I found that Most nurses DO NOT wash there hands the way the CDC recommends"

And most hospitals do not staff the way professional organizations and common sense dictate either. Handwashing is a priority for me. However, I must say that w/ all of the superfluous junk we must chart and all of the little extra regulatory and HIPPA dictates we must attend to, why do management types wonder why things like handwashing aren't a priority? Plain and simple it is because of the many many junk tasks we have to perform throughout the day. I think our informatics nurse sends out a memo every week about some new little ditty we must enter into good old meditech. Where do we get the time to do this? How about subtracting from non-existent bathroom or meal breaks? No time there. It's already gone. So we may cut corners w/ pt. care. I don't think it's right, but I understand how it happens. Maybe someone needs to find a way to help us make patient care task and hygiene a priority, not ridiculous repetitive charting and data entry. Oh BTW did you wash your hands after using that computer keyboard? When nurses are pressured and put under the gun, it doesn't improve nursing care and that is not good for our patients either.We got those pins. I don't wear mine either.

Considering that a friend of mine, who is not a nurse, was infected with MRSA infection, while in the hospital. I do not consider this button an insult. Neither the RNs, LPNs, residents or attending consistently washed their hands, prior to examining her, emptying her foley, etc, etc. I can understand why the administration is promoting this button, since the rate of hospital caused infections keeps rising, perhaps it would help to cut down the the rate of infection.

Grannynurse :balloons:

So, just because a patient asks whether hands were washed or not, means they WILL be washed before the room is entered? If a person does or does not wash their hands before entering a room, wearing a big lame button isn't going to change that, and who would admit they hadn't? Not many people *I* work with, even up on the Leukemia floor. I'm sorry to hear your friend became infected with MRSA. I'm also sorry to hear you assume it was a nurse that hadn't washed his/her hands before caring for your friend.

If I didn't know better I woulda sworn this was a Joko doing. I didn't read all of the posts, but I'd rather have a pair of buttons which states: "Ask me how many other acutely ill patients I'm having to care for right now" and the other states "Ask me how the mortality rate increases with each patient I have beyond the 4th."

One more thing, you left out those HUGE buttons they wear at Wal-mart. Now you've finally achieved the status of Wal-Mart employees, with ten times the expense for the education. Your post was so funny!

Thanks,

Rebecca

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.

So, just because a patient asks whether hands were washed or not, means they WILL be washed before the room is entered? If a person does or does not wash their hands before entering a room, wearing a big lame button isn't going to change that, and who would admit they hadn't? Not many people *I* work with, even up on the Leukemia floor. I'm sorry to hear your friend became infected with MRSA. I'm also sorry to hear you assume it was a nurse that hadn't washed his/her hands before caring for your friend.

You need to reread my post. Not only did the RNs,but LPNs, CNAs, house staff as well as her attending, all repeatedly failed to wash their hands both before and after handling her and emptying her foley bag. Perhaps if we had spoken up everytime it happened, she would not have developed a nocosocial infection. Or perhaps if everyone focused on the real issue, that all staff repeatedly fail to wash their hands and that this failure results in infections, rather then focusing on whatever or not this button is demeaning. If it takes a button to wake the staff up, I would gladly

wear the button.

Grannynurse :balloons:

As an Infection Conrol Nurse as well, I agree that washing hands is a very big problem in healthcare. I have watched nurse after nurse go from room to room and not even stop to use the hand gel that is now at each door way to each patient room. (And yes I do call their attention to it when I see this), The media has been so very good at making sure the population is aware of the problem and how many nosocomial infections are out there and that healthcare workers are the main reason for this. And because of this patients are now paying more attention to what we are doing to them. The media has asked people to question healthcare workers before care is given, including asking them if they have washed their hands. Why would being out in the open and proud of your work ethic be demeaning to you. Be proud to wear it not ashamed, it is there to show the patients that this hospital is not afraid to have you ask them if we are following the right procedures to protect them. And if nothing else, by wearing it, you may remind those others (and there is alot of them) to wash their hands.

Because we are not 5 years old and I don't need any "mommys" asking me if I washed my hands or brushed my teeth. I wash my hands before, and after each pt, I clean my stethoscope the same way. BTW I am very proud of my work ethic. What I really find frustrating is when I go wash my hands only to find the soap dispensers empty and no paper towels, and then come back the next night and the same dispensers still have not been filled.

I've worked on a unit where MRSA and VRE patients were isolated (this was in Canada), on this unit one patient kept being reinfected with MRSA because his visitors kept recontaminated him after they would visit another patient infected with MRSA down the hall. They igored the health teaching from staff about how to prevent the spread of this infection and also ignored the numerous signs posted about handwashing. Another issue is visitors who come in with an infection/illness or bring their kids who have an actively running nose, but I'm sure if the patient gets an infection it's the nurse's fault, since they have time to monitor every person who steps on the unit.

I've seen doctors and nurses where I work pack wounds with clean gloves instead of sterile ones, where's our infection control nurse on this issue? Staff are not provided sterile dressing trays and doing sterile dressings is not encouraged, again where's the infection control nurse? Doctors will remove the patient's surgical dressing 1st or 2nd day post-op and leave the incision open to air, hello infection control nurse are you out there? I'm not all that surprised when I see patients here develop infections on this unit, and ya know I do see my coworkers washing their hands.

Housekeeping is supposed to clean the IV poles when a patient is discharged, yet they frequently don't and put them in the soiled utility room, then I have to clean them (yea, one more thing I do) before I utilize it. Equipment is supposed to sent down to Supplies after a patient is discharged, when you order an IV pump it will sometimes take 4 hours and repeated phone calls to get it, many times I've had to disinfect/clean an IV pump because my patient can't wait 4 hours for his heparin gtt to get started. Why we don't keep a supply of clean pumps on the floor (our clean pumps are bagged in plastic, so we know they are clean) is beyond me, but heck why make even one thing easier. Patient beds are longer changed the way they should be, patients are no longer bathed the way they used to be nor with the principles I was taught. I once sat through a lecture at a former facility with the Infection Control Nurse there that felt gloves were being over utilized, her only valid point was that nurses do not need gloves to pass meds.

Each year the RNs have to complete a competency on Infection control, why not the doctors, CNAs, housekeepers, etc? Frankly it's not only nurses that work in a facility so why is infection control ONLY directed at us. Infection control is everyone's responsibility not just the nurses. We also shouldn't have to babysit everyone else to ensure they comply. Why is not information given to patients and their visitors about preventing the spread of infection, years ago I saw a sign posted at a hospital entrance directed at visitors that included the importance of handwashing and not visiting if they had symptoms of illness (specific symptoms were listed), gee it disappeared, must not have fit in the "customer service" aspect. It is also interesting that I've never even met the Infection Control Nurses at my facility, I guess they don't do midnights.

Interesting how the media didn't stress the importance of everyone washing their hands, including patient's & visitors. Interesting how it's portrayed ONLY as a nursing issue, therefore it must be the fault of your nurse if you got an infection. Interesting how other factors involved are never discussed, like unsafe patient loads, nurses who usually work their shifts without breaks and never leaving on time, being continually interupted while trying to provide your patient's with care by non-nursing issues, patients arriving 3 at a time without notification or report.

Frankly the idea of wearing a button is offensive. Wearing one would not improve the work ethic of those who don't have a good one anyway. What about providing written information in a pamphlet upon admission to the patient and their visitors about how to prevent the spread of infection. Maybe their visitor woundn't get their nose out of joint when I go immediately to the sink to wash my hands while they are talking to me, they would understand that it is part of preventing infection. Maybe providing the public information when they enter a facility about infection control and why handwashing is important instead of just telling people to "wash their hands" would be more effective.

How about administrators being more concerned with providing a work environment that facilitates the nursing staff in providing adequate care in all aspects including infection control. I've noticed as a nurse, when one is overworked, some aspects of infection control unfortunately are not always done. I don't see buttons as a solution, because they don't fix the problems of working conditions or policies. Infection control is not just a nursing issue, it is everyone's issue in a health care facility.

From a nurse:

Who knows that the first step to preventing the spread of nosocomial infections is 1. handwashing and 2. clean equipment.

That handwashing not only protects her patients, but herself as well.

Is very vocal about infection control issues.

Who thinks infection control is EVERYBODY'S responsiblity, not just the nurses.

Makes her own sterile field and uses sterile gloves for wound packings.

Cleans her own equipment because those responsible don't.

Who talks to her patients and visitors present about how to prevent infection.

Gets her own paper towels and soap/santizers and often has to provide the same for her patients also because those responsible don't.

Who will actually clean the urinals and bedpans after use.

Takes pride her work ethic and the work ethic of the other RNs she works with.

Who will not be forced to wear a useless button that fails to address the real issues about infection control and does nothing about them.

Other infection control issues:

Lack of disposable equipment in isolation rooms. Lack of disposable equipment period.

Visitors who insist on sitting on the clean bed, despite being asked repeatedly not to, oh oh wait, the nurse is supposed to educate the 10 plus visitors for every patient in every room.

Lack of public BRs on the unit, visitors using the patient's BR, unfortunately education comes after the fact, um no yet again the nurse should know the visitor has a full bladder and should direct them to the public BR.

BP cuffs never being cleaned on the dynamap, also used probe covers in a pile on said machine, there are bedside bags that could be used for this, oh I forgot the nurse is supposed to follow the CNAs when they do VS.

Patient's telling me they've never seen anyone clean their room, dang yet again nurses should be babysitting the housekeepers.

There's got to be a better place for urinals than the overbed table or the floor, since this is no doubt the nursing staffs fault, I'm working on this one.

People taking responsibility for doing their jobs and adhering to infection control principles, oh crap then they couldn't blame the nurses.

I would not wear the button either!

Our institute.........I can just see the button thing happening here...it would be just my luck!

At our facility, the 8 year old daughter of the infection control nurse made up a poster of 8 hands with hole punches of different colors on them, with the caption "for every minute you spend in a patients room, your hands contract 16 bacteria, wash your hands!"

They have plastered these stupid posters everywhere. I cant stand it!

It's like saying...............uh, duh! :smackingf

Its a feel good campaign to help the public feel more in control re MRSA

:roll :roll :eek:

Specializes in Critical Care.
Its a feel good campaign to help the public feel more in control re MRSA

Improving the hospital's image by questioning the nurses is not my idea of a 'feel good' campaign.

It's more like, sabotage.

But then again, it's not the first time we've been in the cross-hairs. That's fine - as long as we don't pretend this is about increased handwashing: it's about the hospital's image at our expense.

There has to be better ways to do that than "I'm not trustworthy to do my job unless you verify it, first." That's the same philosophy that brought us trackers -and I balk at that, too.

Whether there is a better way to improve handwashing or not, THIS IS AN UNACCEPTABLE WAY.

~faith,

Timothy.

+ Add a Comment