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.

Scripting can actually be useful in some cases. For instance, using the phrase "how may I help you" instead of "what do you need" sounds a little more caring. Reminding the patient that you care about their privacy, or that you're washing your hands before caring for them reassures them that you really do care about these things. And asking if there's anything else you can do before you leave also lets them know you care. Saying "Let me check on that" sounds alot better than "I don't know". And having some scripted phrases to use when patients and families are upset lets you handle the situation more calmly. So it's not always bad.

Just my opinion...

It's one thing to educate on better communication, which I am not against. I'm also not against education on how to deescalate situations that may occur, in fact I think there is a need for this one. I agree "May I help you?" sounds alot better than "What do you need?" as does "Let me check on that" opposed to "I don't know." There's more to communication than words, our tone/volume of voice and our body language for example. Depending on how you communicate, "May I help you?" can even come across as rude. There's a difference between providing a useful inservice on communication and mandating scripted responses. Scripted phrases can also sound phoney if it's been heard one too many times by patients and their families. Implementing a script and attempting to program people to parrot statements is demeaning to staff.

BTW I do respect your opinion on the subject Nursemaa.

Specializes in Nursing assistant.

I do have a question about had washing. In LTC as a nursing assistant, I would wash my hands when entering a room and before leaving if I had any pt contact...My mom was in the hospital recently, and in 10 days, I only saw hands being washed a couple times. The girl that removed her stitches didnt even wash. These were great nurses, and I was wondering if I was overboard with washing. Also, my home health pt has another aide and she said she doesnt wear gloves for bathing as I do... what is the standard on that?

I do have a question about had washing. In LTC as a nursing assistant, I would wash my hands when entering a room and before leaving if I had any pt contact...My mom was in the hospital recently, and in 10 days, I only saw hands being washed a couple times. The girl that removed her stitches didnt even wash. These were great nurses, and I was wondering if I was overboard with washing. Also, my home health pt has another aide and she said she doesnt wear gloves for bathing as I do... what is the standard on that?

You're not at all overboard with handwashing Chadash. Years ago when I taught bed bathing, gloves were frowned on, but in this day and age I use them.

It's one thing to educate on better communication, which I am not against. I'm also not against education on how to deescalate situations that may occur, in fact I think there is a need for this one. I agree "May I help you?" sounds alot better than "What do you need?" as does "Let me check on that" opposed to "I don't know." There's more to communication than words, our tone/volume of voice and our body language for example. Depending on how you communicate, "May I help you?" can even come across as rude. There's a difference between providing a useful inservice on communication and mandating scripted responses. Scripted phrases can also sound phoney if it's been heard one too many times by patients and their families. Implementing a script and attempting to program people to parrot statements is demeaning to staff.

BTW I do respect your opinion on the subject Nursemaa.

True. I remember way back in the stone age when I first went to nursing school, we had extensive education about communication techniques, body language, therapeutic communication, etc. Is that still part of the cirriculum for nursing students? It just goes a long way towards better relationships between the nurse and the patient/family. I don't think it's demeaning to give people tools to use so they sound more caring, more professional. I've had to do some intense recovery when staff have used less than optimal communication techniques with patients and/or families.

But you are absolutely right...you can't use the same phrase all the time or you end up sounding like an idiot.

Specializes in Critical Care.
I don't think it's demeaning to give people tools to use so they sound more caring, more professional. I've had to do some intense recovery when staff have used less than optimal communication techniques with patients and/or families.

There is a distinct difference between being armed w/ tools and beset w/ requirements.

I don't think it's demeaning to be armed w/ tools. I DO think it's demeaning for some suit to tell me how I MUST to do my job. If they so distrust me to do my job, well then maybe they should shed their suits and do the job themselves.

See this is the crux of the matter. A professional is autonomous within their professional sphere. A worker is not.

Are we professionals or laborers?

Many posters have said that these tactics are demeaning, including me. THE REASON WHY THESE TACTICS ARE DEMEANING IS BECAUSE THEY INFRINGE UPON, OR QUESTION OUR PROFESSIONALISM.

Think about that for a second.

Are YOU a professional, or a laborer? If you said professional, shouldn't you demand to be treated as such?

~faith,

Timothy.

True. I remember way back in the stone age when I first went to nursing school, we had extensive education about communication techniques, body language, therapeutic communication, etc. Is that still part of the cirriculum for nursing students? It just goes a long way towards better relationships between the nurse and the patient/family. I don't think it's demeaning to give people tools to use so they sound more caring, more professional. I've had to do some intense recovery when staff have used less than optimal communication techniques with patients and/or families.

But you are absolutely right...you can't use the same phrase all the time or you end up sounding like an idiot.

It was back in the Bronze Age. :lol2: :lol2: It's not demeaning to provide tools for improved communication. I not only hope it's part of the cirriculum for students today, I hope they've expanded on it. The area of management mandating what you say is what I find demeaning. It's like the fast food workers who ask "Do you want fries with that?" or "Do you want to supersize that?"

Effective communication can prevent many situations from even happening.

Maybe we should try 'Washing to the Oldies'

'One o'clock, Two o'clock, Three o'clock, WASH

Four o'clock, five o'clock, six o'clock, WASH

7 o'clock, 8 o'clock, 9 o'clock, WASH

we're gonna WASH, WASH around the sink tonight

we're gonna WASH WASH WASH until the dawn's daylight

we're WASHING around the sink tonight.'

I'm sure some consulting firm could pay enough to hire Potsy to do the video.

~faith,

Timothy.

I could see if the poor schmuck dressed as the nine-foot hand from our hospital is available, too.

There is a distinct difference between being armed w/ tools and beset w/ requirements.

I don't think it's demeaning to be armed w/ tools. I DO think it's demeaning for some suit to tell me how I MUST to do my job. If they so distrust me to do my job, well then maybe they should shed their suits and do the job themselves.

See this is the crux of the matter. A professional is autonomous within their professional sphere. A worker is not.

Are we professionals or laborers?

Many posters have said that these tactics are demeaning, including me. THE REASON WHY THESE TACTICS ARE DEMEANING IS BECAUSE THEY INFRINGE UPON, OR QUESTION OUR PROFESSIONALISM.

Think about that for a second.

Are YOU a professional, or a laborer? If you said professional, shouldn't you demand to be treated as such?

~faith,

Timothy.

I am absolutely a professional, and because of that I tend to use the types of phrases that are given in scripting classes. I always want to sound professional with my patients and their families. Maybe that's why I don't find it to be a problem. I've attended a couple of scripting classes and have never had it presented to me as a demand or "you have to say it like this every time", so again maybe that's why I don't feel demeaned. If your administration has presented it in a negative or demeaning way, then they're not following their own requirements to be positive and professional are they? But I ask that you don't be angry with me, I've just not experienced it in the same way as you have I guess....

We were told the other day there is going to be a paper in patient's packets instructing them to ask us if we wash our hands. Not as bad as a button - I wonder if that's next?

I wouldn't mind signs at the nursing station reminding us, or inservices on handwashing, but putting it in the lap of the patient to "police" us puts us on the defensive and puts the patient on the offensive, not the kind of relationship a nurse/patient want to have.

I don't like to wash my hands at work, I would rather just wear nitrile gloves for every patient interaction instead (I am sensitive to latex gloves too but the nitrile don't bother me) as I am prone to dermatitis and eczema on my hands and the soap at work makes me hands itch and crack like mad. I am going to bring my own soap and keep it at the sink in the nursing station.

Melissa

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 Critical Care.
Are YOU a professional, or a laborer? If you said professional, shouldn't you demand to be treated as such?

Oh Oh - I just re-read that and wanted to clarify.

1. That was a general YOU not a specific one - I didn't mean YOU, nursemaa.

2. It was a rhetorical question - I knew the answer all along.

I'm sorry if it came across as questioning your professionalism - that certainly wasn't my intent!

~faith,

Timothy.

I do have a question about had washing. In LTC as a nursing assistant, I would wash my hands when entering a room and before leaving if I had any pt contact...My mom was in the hospital recently, and in 10 days, I only saw hands being washed a couple times. The girl that removed her stitches didnt even wash. These were great nurses, and I was wondering if I was overboard with washing. Also, my home health pt has another aide and she said she doesnt wear gloves for bathing as I do... what is the standard on that?

The standard is you wash your hands before entering a room, after emptying a foley, after changing a dressing, after handling a patient, and upon leaving the patient's room. I am not surprised by what you saw during your mother's hospitalization. I have been hospitalized in New York, Tennesse, and Florida and have seen the same. I speak up and ask the individual to wash his or her hands. It makes me unpopular, with some of the staff but I am not there to win a popularty contest. I also ask any physician to wash his or her hands. I am not there to pick up a nosocomiall infection. If it's wet, wear gloves!

Grannynurse :balloons:

You are absolutely correct, I would love to swab and culture the docs hands!!!:rotfl:

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