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.

Specializes in Oncology/Haemetology/HIV.

So I went to work on Friday, and there was a bag of buttons on the counter....about washing hands. The Nursing staff asked if we could make the Attendings wear them.

At the staff meeting, our manager (a really nice woman) told us about wearing the buttons, and that they were going to do a study on usage of soap/hand sanitizer on our floor.

Three questions asked (beyond forcing MDs to wear them):

Do we really think that Housekeeping has the patience to keep accurate records and not borrow supplies from other floors?

Is any nurse ever going to say "No" when asked if s/he washed her hands?

And I, ever the smart aleck, asked what would happen if we all just used two/three times as much soap each time we washed our hands?

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:

:1luvu: A nurse after my own heart! :wink2:

Specializes in Critical Care.

On top of, I think, doing a good job of handwashing, I have taken to squirting several ounces of soap/alcohol based cleaners around my area down the drain each shift.

If that's the standard I'm going to be judged on, then I'll be the number one nurse in the hospital (who cares if it's actually true or not - it's all about being within or to the left of first standard deviation on some report, right?)

Just call me the curve buster. I use more soap then even the infection control nurses, ergo, my hands are always clean, even when they're not.

and the sign says . . . .

~faith,

Timothy.

:lol2: I like you.

On top of, I think, doing a good job of handwashing, I have taken to squirting several ounces of soap/alcohol based cleaners around my area down the drain each shift.

If that's the standard I'm going to be judged on, then I'll be the number one nurse in the hospital (who cares if it's actually true or not - it's all about being within or to the left of first standard deviation on some report, right?)

Just call me the curve buster. I use more soap then even the infection control nurses, ergo, my hands are always clean, even when they're not.

and the sign says . . . .

~faith,

Timothy.

Specializes in Critical Care.

And the sign says . . . nurses caught not washing their hands will be shot on sight.

So I wasted the soap and whined to admin: 'Hey what gives you the right!!? To put out a badge to put me down to or to keep me in my place . . . .'

signs signs everywhere signs, blocking up the scenery, breaking my mind . . .

"and the sign says, you got to wash your hands to go inside"

Ugh!

"well thank you admin for thinking about me, but I'm alive and doing fine. . . "

So i threw down that badge and said "Imagine that! Me, working for you!"

And the sign says . . .

DO THIS, DON'T DO THAT, CAN'T YOU READ THE SIGN?!?

~faith,

Timothy.

:1luvu: A nurse after my own heart! :wink2:

And in January, I will be driving 110 miles, one way, to go to grad school. Just think, I'll have a whole two hours to sing those golden oldies from the 60s, off key and at the top of my lungs.:Melody: :specs:

Grannynurse:balloons:

Het maybe I can do a research study on the number of nurses who really do not wash their hands

Specializes in Utilization Management.

Het maybe I can do a research study on the number of nurses who really do not wash their hands

You certainly could. But if the room isn't being cleaned, if the PCTs, lab techs, and doctors are not washing their hands, what would be the point?

Specializes in Oncology/Haemetology/HIV.
You certainly could. But if the room isn't being cleaned, if the PCTs, lab techs, and doctors are not washing their hands, what would be the point?

Not to mention is THE PATIENT washing his/her hands, are all of his/her visitors screened and sanitized, all the children and sick barred from entering the unit, etc.

Specializes in Utilization Management.
Not to mention is THE PATIENT washing his/her hands, are all of his/her visitors screened and sanitized, all the children and sick barred from entering the unit, etc.

You're reminding me of the few patients I've had that we call "pickers." They scratch their skin open for no apparent reason to the point of bleeding, then continue to pick the scabs open till they're a mess of scabs, scars, open wounds, and infection.

One would pick and pick and pick--and she still chewed her fingernails. She was never able to keep her hands off herself long enough to be even remotely clean. More often, her fingers were bloody nubs. :stone

Specializes in Critical Care.

I routinely hand my pt a full sized towel wet with soap at one end, dry on the other. That way, they can wash their hands and dry them on the same towel.

Especially the urinal users. . .

~faith,

Timothy.

(although let me say again, that this thread is not really about handwashing at all, but admin's attitude towards nurses.)

Specializes in Utilization Management.

(although let me say again, that this thread is not really about handwashing at all, but admin's attitude towards nurses.)

Thanks for the reminder, Tim.

Specializes in jack of all trades, master of none.

Even better than the stupid button, I got told I was taking too much time when I was wiping down the EKG wires, finger pulse ox, etc in between pts....ummm, helllllooooo!!! I hate explaining to other healthcare pros why things like that NEED to be done

If I had to wear that button I think I would put cute smilie stickers over the "ask me" so that just the " I washed my hands is visible" then add with a sharpie... "DID YOU?"

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