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

Please keep the focus on the topic and not each other, so the thread does not have to be closed. Also, remember your "ignore" features if there are posts/posters who offend you. Keep the direct attacks and sarcasm out of it, please. Thanks for understanding!

Please keep the focus on the topic and not each other, so the thread does not have to be closed. Also, remember your "ignore" features if there are posts/posters who offend you. Keep the direct attacks and sarcasm out of it, please. Thanks for understanding!

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I am done here:uhoh3:

Jt, that wasnt meant towards you..

sorry for the confusion

yes originally when this first started , i whined and complained about having to wear the button, but it has turned into more than being about the button for me, i have read the post from this section , and there have been patients on this site that have gotten hurt because nurses or doctors have not washed thier hands, so to me i am learning alot from this section of posts. No i did not learn how to wash my hands , because i already do that. I am realizing that together we can all make a concious effort to wash our hands more. I am also learining that if i am the patient i should watch my surroundidngs more carefully. The button does not matter to me anymore....we are all responsible for our own actions and as a patient our own care to a certian extent ..

Thank you so much for posting this. I've seen it now from the patient's side and if a patient asked me NOW, I would not be offended. 7 months ago, I probably would have. Funny how your point of view can change. And how your LIFE can change. 7 months ago our injured warriors were foremost on my mind.......now, I feel I've let them down. NOW I don't care if I'm labeled a PITA. Then I was determined not to be.

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

I've had pts. (whose case i'm scrubbing for), while they wait to go in the OR, ask about the surgical scrub. So, i describe it for them to the letter. I tell them it takes 5 minutes (and point out the time on the clock over the sink), how much time is spent on each part, what happens first (nail cleaning), the different soaps we have, what's in the soap, point out the time again when i'm done scrubbing, how to rinse (fingertips and back, now water dripping 'forward', don't touch the sink, don't bust your rear on a wet floor walking toward the room). And while i describe all of this, i also describe why. It has worked to put a pt. at a little ease in different ways, and they have also learned something in the process.

And if a pt. asked me to scrub again, i would.

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

And what would happen if this button came undone and fell off? An open pin?

kevin, i really enjoy reading your posts, i do not feel personally attacked as a matter of fact i love debates, i live for them, i respect your opinion so do notget mad a leave, you opinoin is just that your opinion and as nurses we are suspect to harsh opinions sometimes. stay and chat with us....everyone has lots of opinions on this subject..i enjoy reading them all.

Specializes in Nursing assistant.

I personally appreciate, and (at times) participate in whining* and venting over mundane issues. It keeps you sharp!

*But, if a pig loses its voice, is it disgruntled?

venting is very good for me too . it keeps me sane.

:nono: I am totally in agreement on your objections. As far as Im concerned if a nurse or other care worker is NOT washing hands, asking the question would not necessarily change things, but rather have them lie about it. Wearing a button is degrading. Are we back in grade school?
Specializes in OR.
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.

Amen to that! How about the large majority of MD's that I've seen who disregard the isloation/ contact precaution signs up near a patients room. They just walk on in there and proceed to their next patient. Or some of the surgeons I work with who wear gore covered shoes and don't change them when they leave. Funny, I've never heard of the physicians having to wear a button that said "ask me if I know what MRSA is.."

We are professional and advocates, I feel that our patients deserve a better than 45% hand washing rate. If you are witnessing Doctors or any other healthcare worker providing care without washing their hands then you have an obligation to intervene. If your mechanic only replaced 45% of your car parts, your car would not run. The 45% rate of hand hygiene compliance has the potential to take a life and has. What is the rate of compliance in your facility that they feel the need for the buttons. There are other buttons available that perhaps you will not take offense to. If you think that the patients do not realize who is and is not washing their hands without the need for the buttons to remind them, then you are not as informed as you think. If the buttons give the patients the right to protect their safety, then wear it and wash your hands!!!!

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 agree with you 100%. Why don't the administrators wear buttons that say "Ask me what the RN to patient ratio is at my facility". those wash your hand buttons are on a level of a third grader, so if the patients see that they won't notice that the floor is short staffed, or that the blood pressure cuff is old, broken, or that the staff is so short she can't get the care she needs.

I worked for a hospital system where the politics were just as you mentioned. They didn't want the patients to "really" know what the "Real" issues were so they would give them issues, on the level you are talking about. and yes, then doctors need to wear them too. They don't wash all the time, no one does, and yes everyone should all the time. Wearing a button won't help. Maybe inservices, with facts, films, whatever....but dragging the patients in on the disgrace of medical staff isn't going to cure the problem. Maybe this needs to be tackled without making sick patients worry even more that the medical staff taking care of them is so neglectful about washing thier hands they are going to get an infection on top of the reason they are hospitalized. Who comes up with these ideas, and how many people went along with it to actually have buttons made? While the patients are there let's wear buttons for everything. How about "make sure your surgeon knows which body part he is doing surgery on today", "has your toilet been disinfected today", "are you sure you are getting your medication".How utterly disrespectful to the patient.

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.

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