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.

You can downplay it all you want. It's a metaphor for the whole management philosophy that nurses are their biggest liability and how can we keep those expensive and overpriced servers in line.

It is the exact type of disrespect that hampers this profession at every turn.

This isn't a whine my friend. It's the beginnings of a revolt.

You can choose to view it from the perspective of this single issue and come to whatever conclusion you desire. It's not some stupid button at issue but the thought processes that concluded it was a good idea. . .

~faith,

Timothy.

You feel belittled by the fact that a nurse should have to wear a badge about handwashing? I feel belittled by the fact that ALL healthcare professionals have issues with handwashing, and that the cross contamination rate is so high. You do not want to feel belittled about having to wear a damn button or badge, get all the nurses involved and make them wash their hands, where management doesnt have JCAHO down their neck about cross contamination.

Don't get your feelings hurt over this, and the gut reaction that "its the doctors" is funny.. yeah it is the doctors, and the nurses, and the RTs and Dining facility and everything else.

This thread, or what I have seen of it, is a pity party over the fact that nurses were made to wear buttons, yet it has had very little posts that said, yeah, we need to make sure that we are all washing our hands. I said that the buttons were a bad idea, but the fact that hand washing is so lax is far more important than having a patient remind you to wash your hands.

EDIT: The problem is cross contamination, nosocmial infections, and spread of MSRA and VRSE. The issue at hand is handwashing, so they told nurse to wear the buttons, why? probably because THEY ARE THE ONES THAT HAVE THE MOST PATIENT CONTACT. I doubt that it was a slight against nurses, and/or a way to put nurses in their place.

Even since this thread started, they tried these buttons where i work, but never made them a requirement. You can imagine how many people wore them. Mine's in my locker somewhere.

We do have laminated signs posted EVERYWHERE about handwashing and hand sanitizers, but they are directed at everyone.

and that is the appropriate action to take, put conspicuous signs up about it so that EVERYONE is reminded..

Problem----->Solution.

Specializes in Utilization Management.
EDIT: The problem is cross contamination, nosocmial infections, and spread of MSRA and VRSE. The issue at hand is handwashing, so they told nurse to wear the buttons, why? probably because THEY ARE THE ONES THAT HAVE THE MOST PATIENT CONTACT. I doubt that it was a slight against nurses, and/or a way to put nurses in their place.

The problem--the one that we nurses keep coming back to and which apparently management completely fails to believe--is that nurses do NOT have to have "more patient contact" than other healthcare workers. It only takes ONCE from a contaminated person for some of these frail patients to pick up an infection.

How many ways can this be said before you understand?

Besides, in many hospitals, such as mine, the nurse's aides have way more contact with the patients than I do.

But do they have to wear a button?

No.

Hope this helps you to "get it."

The problem--the one that we nurses keep coming back to and which apparently management completely fails to believe--is that nurses do NOT have to have "more patient contact" than other healthcare workers. It only takes ONCE from a contaminated person for some of these frail patients to pick up an infection.

How many ways can this be said before you understand?

Besides, in many hospitals, such as mine, the nurse's aides have way more contact with the patients than I do.

But do they have to wear a button?

No.

Hope this helps you to "get it."

Ok- yeah sure

go read the general forum about the guy that watched a nurse cath a patient bare handed, after dumping another patients urinal bare handed...without washing her hands...

It is statistically more likely that nurses ARE the ones that contaminate the patients, and I have seen plenty examples of nurses that did not wash their hands .... at least once a shift

THe circle the wagons against management is great, but step back and look at the issue before you get all offended and hurt.

when you play the victim...you become one

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I don't see any "victims" here, just people who have an issue w/wearing a silly button, that won't solve the problem anyhow. The "problem" health care providers who are ignorant or lax in handwashing won't be changed by ALL OF US (most of whom are conscientious) wearing a button. Some of us consider it demeaning. And we wonder why NURSING is singled out to wear this button----I do not see them extending this to other HCP like RT's, Physicians, and others who also have direct contact with patients.

And the VERY real problem of visitors and family members being non-compliant and breaking universal and isolation precaution rules (which are posted clearly) won't be solved by MY wearing a stupid button.

JMO--- I think we have to be a bit more creative than silly slogans and buttons to get at the heart of this very important issue.

I don't see any "victims" here, just people who have an issue w/wearing a silly button, that won't solve the problem anyhow. The "problem" health care providers who are ignorant or lax in handwashing won't be changed by ALL OF US (most of whom are conscientious) wearing a button. Some of us consider it demeaning. And we wonder why NURSING is singled out to wear this button----I do not see them extending this to other HCP like RT's, Physicians, and others who also have direct contact with patients.

And the VERY real problem of visitors and family members being non-compliant and breaking universal and isolation precaution rules (which are posted clearly) won't be solved by MY wearing a stupid button.

JMO--- I think we have to be a bit more creative than silly slogans and buttons to get at the heart of this very important issue.

I agree, and I said that the buttons were a bad idea, but this thread has been 31 pages of whining about having to wear the button. I agree that others should have to wear badge as well, or at the very least have the signs placed so that EVERYONE has a reminder. When you whine for 31 pages about how demeaning it is to have to wear a button you are playing the victim... as in.."management singled nurses out"

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

Oh, good GRIEF!:uhoh3: Heaven help it if people vent here!

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
And the VERY real problem of visitors and family members being non-compliant and breaking universal and isolation precaution rules (which are posted clearly) won't be solved by MY wearing a stupid button.

I agree.

How bout a big neon arrow pointing to the waterless handwash dispenser or sink that flashes when staff comes through the door entering or leaving a pt room? And maybe a klaxon or siren that sounds if no handwashing takes place w/in a few seconds?:rotfl:

I'd take the flashing sign, etc. if it prevented the horrible scarring, the 6 months out of my life, etc. Yeah, before this episode, I'd have been laughing, too. Not now and not ever again.

this is a reply for the patients on this site, i am an R.N. now but have been an LPN for many years, i know there was a post recently about someone getting mrsa and it taking away six months of their life. Forget the button we have not worn the button for 5-6 months now, we only wore it the first month. I am sorry to hear that you got mrsa , i will brag for a minute that we had a patient on our unit once that had mrsa, she came to our clinic with it after a surgery we had to dress the wound three days a week., and we managed not to spread it to any other patient becaused we washed our hands, in your case someone was not as clean as they were supposed to be, and i do not think the button would have saved you from getting mrsa. I am so sorry that you got that germ, i would have been furious and disgusted. I guess the bottom line is we all even nurses have to be responsible and watch who takes care of us because it is our own life that we are trying to protect.:nurse:

Ok- yeah sure

go read the general forum about the guy that watched a nurse cath a patient bare handed, after dumping another patients urinal bare handed...without washing her hands...

And a button would solve this? I hate to think of all the germs on these buttons after worn day after day.

well in his case they needed more than a button, he needed a megaphone , to tell that nurse to get the h### away from him until her hands had been scrubbed and gloved, thats gross.

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