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.

Wow, has this thread gone on forever..........what's the big deal about wearing a stinking button. The button, or the patients asking if I washed my hands, or brushed my teeth, or wiped my a** today doesn't make me any less professional. My grandmother had an expression......"throw a rock into a pack of dogs and the one that yelps loudest is the one you hit" boy is there a lot of yelping going on over this tiny insignificant issue. :sofahider

Specializes in Critical Care.
Wow, has this thread gone on forever..........what's the big deal about wearing a stinking button. The button, or the patients asking if I washed my hands, or brushed my teeth, or wiped my a** today doesn't make me any less professional. My grandmother had an expression......"throw a rock into a pack of dogs and the one that yelps loudest is the one you hit" boy is there a lot of yelping going on over this tiny insignificant issue. :sofahider

The whole point of the thread is that maybe, just maybe, it'd be nice here and there to find managers/administrators that didn't believe in throwing rocks into packs of nurses quite so readily.

I've been hit by enough rocks over the years to know it's better to yell the loudest BEFORE the next one strikes you upside the head. The difference between me and a dog is that I can see that this rock is just one of a volley - and I can calculate the odds of how many times I'm going to be hit and decry the rock fight in the first place.

~faith,

Timothy.

Specializes in Utilization Management.

Grannynurse, what I seem to be hearing from you is, so what if it's embarrassing, it's true that nurses need to wash hands more, so get over the humiliation because the patients come first.

But there is another way, one that thank god, won't push even more nurses away from the bedside.

Our facility has successfully instituted a handwashing promotion program that does not belittle or degrade nurses (and only nurses). We keep our dignity, we don't have to wear stupid (fomite-attracting) buttons, and patients are taught to be proactive with handwashing for themselves, visitors, and ALL staff.

Nurses are the educators here, teaching patients on admission about the importance of handwashing for EVERYONE--doctors, lab techs, CNAs, everyone. They are then shown the handwashing stations, and told about the alcohol gels that we use that are considered effective as well.

So I'm here to tell you: Handwashing promotion can be done without treating nurses (and only nurses) like morons.

My point: no one needs to be treated badly by management in order to promote a vital procedure.

You can also teach the patients to ask. I worked in a bone marrow transplant unit where the WBC counts went down to zero. We washed our hands before and after leaving patient rooms. But we also told the patients to question ANYONE who didn't wash their hands before coming in, no matter who it was. I was there once when a patient said to the attending, "Did you wash your hands?" He laughed and admitted he had forgotten, and went off and washed them. This obviously only works for conscious patients, but teaching patients to advocate for themselves works wonders.

Grannynurse, what I seem to be hearing from you is, so what if it's embarrassing, it's true that nurses need to wash hands more, so get over the humiliation because the patients come first.

But there is another way, one that thank god, won't push even more nurses away from the bedside.

Our facility has successfully instituted a handwashing promotion program that does not belittle or degrade nurses (and only nurses). We keep our dignity, we don't have to wear stupid (fomite-attracting) buttons, and patients are taught to be proactive with handwashing for themselves, visitors, and ALL staff.

Nurses are the educators here, teaching patients on admission about the importance of handwashing for EVERYONE--doctors, lab techs, CNAs, everyone. They are then shown the handwashing stations, and told about the alcohol gels that we use that are considered effective as well.

So I'm here to tell you: Handwashing promotion can be done without treating nurses (and only nurses) like morons.

My point: no one needs to be treated badly by management in order to promote a vital procedure.

Being treated or feeling like one is being treated as a moron is one's own preception. I do not believe that wearing such a button makes me any less of a nurse. One cannot be treated as a moron unless one allows themself to feel they are a moron. I agree that the handwashing campaign should involve everyone. And if one group must wear such a button, so should every other group. I can think of several other things that would make me feel that the administration was treating me unfairly and poorly, then wearing a button.

Perhaps I have a unique preception because I have experience as a nurse, an administrative assistant and a patient. And I could relate some hair raising incidents I have observed as a patient.

Grannynurse:balloons:

Specializes in Utilization Management.

Perhaps I have a unique preception because I have experience as a nurse, an administrative assistant and a patient. And I could relate some hair raising incidents I have observed as a patient.

I've noticed that you have a "unique perception" with nearly every thread you participate in.

I'll bet you walked 50 miles to nursing school one way, too, right?

Yer a Pot-Stirrer, Granny, yessiree. :lol2:

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Perhaps I have a unique preception because I have experience as a nurse, an administrative assistant and a patient. And I could relate some hair raising incidents I have observed as a patient.

Others might as well, only they don't feel the need to state it. That also doesn't mean that the automatically will have the right solution for everything, including this particular subject.

(done here)

I've noticed that you have a "unique perception" with nearly every thread you participate in.

I'll bet you walked 50 miles to nursing school one way, too, right?

Yer a Pot-Stirrer, Granny, yessiree. :lol2:

Actually, I drove 30 miles to my college:chuckle Then 25 miles to AMC where I worked :D I am not a pot stirrer, I just love a spirited rational discussion:cool:

Grannynurse:balloons:

Come, now. Once again, a thread that began as an intelligent and respectful discussion has begun to evolve (or perhaps, digress) into an unpleasant series of off-topic tangents that appear to serve no purpose.

My intent was to give an example of how far removed from the trenches management has gotten (or has always been?), and what a gaping hole exists between the mindsets of administration and those providing patient care. While the entire hospital's goal is improving the quality patient care, clearly we are not on the same page regarding how we should go about improving it. As a team.

Timothy, you seem to understand exactly the point I've attempted to make, and thank you for illustrating it so eloquently. Others kept this post productive by sharing infection control strategies that include the entire health care team as opposed to singling out nurses. Light-hearted comments along the way helped to release a little frustration at the fact that sometimes we feel like administration just doesn't understand. That's the spirit in which my original post was intended. Angie, Marie, you seem to know exactly where I'm coming from. I think most of you do.

So please, no more sidebars of who's going to sue whom, nobody cares about the darn button, quit whining, etc. etc. There's no need to perpetuate this thread by drifting from the original topic in order to get the last word in. Clearly, no one's mind is going to be changed here.

This is now FAR from a rational discussion. Seems more like being contrary for the sake of being so. I implore you, if there's nothing left to say that's productive and relevant, just let it go.

Come, now. Once again, a thread that began as an intelligent and respectful discussion has begun to evolve (or perhaps, digress) into an unpleasant series of off-topic tangents that appear to serve no purpose.

My intent was to give an example of how far removed from the trenches management has gotten (or has always been?), and what a gaping hole exists between the mindsets of administration and those providing patient care. While the entire hospital's goal is improving the quality patient care, clearly we are not on the same page regarding how we should go about improving it. As a team.

Timothy, you seem to understand exactly the point I've attempted to make, and thank you for illustrating it so eloquently. Others kept this post productive by sharing infection control strategies that include the entire health care team as opposed to singling out nurses. Light-hearted comments along the way helped to release a little frustration at the fact that sometimes we feel like administration just doesn't understand. That's the spirit in which my original post was intended. Angie, Marie, you seem to know exactly where I'm coming from. I think most of you do.

So please, no more sidebars of who's going to sue whom, nobody cares about the darn button, quit whining, etc. etc. There's no need to perpetuate this thread by drifting from the original topic in order to get the last word in. Clearly, no one's mind is going to be changed here.

This is now FAR from a rational discussion. Seems more like being contrary for the sake of being so. I implore you, if there's nothing left to say that's productive and relevant, just let it go.

I'm sorry, I have gotten the wrong impression of this board. I though it was a public message board and as long as one did not violate TOS, one could post what one wishs. I guess I was wrong.

Grannynurse

"Can't we all just get alooooooooooooooong......":rolleyes: :icon_hug:

Sorry, I have seen the buttons and think they're silly. Almost like

the campaign we had here about mosquitos and West Nile; no way was I carrying around a flyswatter!

Specializes in Critical Care.
"Can't we all just get alooooooooooooooong......":rolleyes: :icon_hug:

Sorry, I have seen the buttons and think they're silly. Almost like

the campaign we had here about mosquitos and West Nile; no way was I carrying around a flyswatter!

Were the flyswatters just symbolic, or could you use them on people that asked assinine questions about them?

~faith,

Timothy.

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