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.

Specializes in Critical Care.
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.

My pts would never see those inserts.

~faith,

Timothy.

I'm not sure I'm reading your post correctly, but if I am, I'm sure we are all in agreement with you. I don't think any of us are saying that we don't need to wash our hands, or that we don't wash our hands, or that we don't have time to wash our hands. It has sounded to me reading all these posts that we all DO wash our hands, and understand the importance of handwashing (which is why we do it). It sounds to me as if you have misunderstood most of our postings; we (I think) are saying that wearing a button like this is an insult because we do either wash or use the hand sanitizer; we are saying that it is usually other health care providers (physicians) who are less diligent about this. As well as family members, visitors, and the patients themselves.

I do not use short-staffing as an excuse to not wash my hands and I don't imagine any of us do. I am pretty compulsive about it for my own sake, as well as patients' sake.

If I misunderstood your post I apologize.

\

I think you need to read some of the earlier post and I am not misunderstanding them and you are not misunderstanding me either I meant what I said and it is foolish to think that we ALL wash our hands it is proven over and over again year after year that we ( meaning nursing) do not wash our hands as we should its a fact. I know doctors and others don't patients dont that is irrelevent to us as the nursing profession we are to answer for us. I do disagree with the button idea and would not wear it either, and if you look at studies on this matter we ( nursing ) do not come in over all other healthcare providers in handwashing. So sorry if you did not like my responce but I am all about patient safety and as hard as I try without making excuses it is hard to wash my hands as much as I should, and I fail alot everyday but I try as most do, I just hate it when people make excuses like " Ask me if I have had a break today" or " Why is when change needs to happen it is on the nurses to do it" The thought behind these statements are true but if we use them to excuse not washing our hands then its an excuse and its wrong. That is all I am saying Sorry its my opinion. :D

Specializes in Critical Care.
\

I think you need to read some of the earlier post and I am not misunderstanding them and you are not misunderstanding me either I meant what I said and it is foolish to think that we ALL wash our hands it is proven over and over again year after year that we ( meaning nursing) do not wash our hands as we should its a fact. I know doctors and others don't patients dont that is irrelevent to us as the nursing profession we are to answer for us. I do disagree with the button idea and would not wear it either, and if you look at studies on this matter we ( nursing ) do not come in over all other healthcare providers in handwashing. So sorry if you did not like my responce but I am all about patient safety and as hard as I try without making excuses it is hard to wash my hands as much as I should, and I fail alot everyday but I try as most do, I just hate it when people make excuses like " Ask me if I have had a break today" or " Why is when change needs to happen it is on the nurses to do it" The thought behind these statements are true but if we use them to excuse not washing our hands then its an excuse and its wrong. That is all I am saying Sorry its my opinion. :D

Those weren't meant as excuses for not washing hands.

1. they are 'tongue in cheek'

2. the point is - if we are going to wear buttons to have pts query us about unsafe work practices, let's cover the whole gamut of them.

To a large degree, this discussion isn't even about handwashing at all, but about assinine management 'solutions' that don't really addess the problems.

If you want to talk about handwashing, that's a different topic.

~faith,

Timothy.

Those weren't meant as excuses for not washing hands.

1. they are 'tongue in cheek'

2. the point is - if we are going to wear buttons to have pts query us about unsafe work practices, let's cover the whole gamut of them.

To a large degree, this discussion isn't even about handwashing at all, but about assinine management 'solutions' that don't really addess the problems.

If you want to talk about handwashing, that's a different topic.

~faith,

Timothy.

I agree they are assinine management solutions, tongue in cheek or not they were used as excuse and we could go in alot of direction with this whole thread and I was making a point on one aspect my view on the flipant comments that are viewed as excuses and thats just my opinion no big deal. :D

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.

What a hoot!!! Potsy is a great choice....Richie is too busy directing films. :lol2:

I use the alcohol hand sanitizer for a quickie sometimes instead and save the major handwashing for when I return to the nurses' station since I like to use my own soap (the stuff at work just kills my skin).

A few months back I had a patient's mother sniff me suspiciously and say, "I smell alcohol. Have you been drinking?" The patient and I both smiled and educated grandma on the alcohol sanitizer, she was a little embarrassed but I'm really glad she asked instead of reporting me for smelling like alcohol!

Melissa

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:

I am not there to pick up a nosocomiall infection. Grannynurse :balloons:

This is good, I need to remember this line!

Thanks

Opal

I use the alcohol hand sanitizer for a quickie sometimes instead and save the major handwashing for when I return to the nurses' station since I like to use my own soap (the stuff at work just kills my skin).

A few months back I had a patient's mother sniff me suspiciously and say, "I smell alcohol. Have you been drinking?" The patient and I both smiled and educated grandma on the alcohol sanitizer, she was a little embarrassed but I'm really glad she asked instead of reporting me for smelling like alcohol!

Melissa

I rarely use the alcohol hand sanitizers they dry my hands out too much. But I am glad that you stop and use them. Keep up the good habit.

Grannynurse :balloons:

That button is silly, and seems belittling. I would object to wearing it. It reminds me of the button the waitress/waiter at Denny's wears stating something like if I don't suggest juice, it's free. Or Toys R Us if I don't suggest buying batteries tell the manager.

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

In other words, the button might as well said "if i'm not doing my job, please run me over with a bus."

Specializes in Utilization Management.
You are absolutely correct, I would love to swab and culture the docs hands!!!:rotfl:

The winners get to wear the buttons, right?

:p

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.

EXACTLY. That's precisely what this debate is about; not whether or not we're washing our hands- it's really about are we professionals, and if so, why are we allowing mgmt to treat us this way?

Do you think anyone would tell doctors or lawyers to wear some kind of "ask me" button?

HELL no.

+ Add a Comment