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 ER,ICU,L+D,OR.

Maybe they are involved in money laundering

:banghead: You are right. That is insulting. Bad decision on their part for sure. They would be wise to invest effort into reinforcing the importance of hand washing. It would be much more beneficial for the pt to actually see the nurse wash their hands before touching them rather than the nurse to wear some ridiculous button.
Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.

QUOTE=Aquamarine;3142046]Does the joint commission encourage patients to ask what the nurse to patient ratio is, or how many nurses are on their 16th hour of work because someone didn't show up? or how many house doctors are there in the hospital? Or how many perdiem nurses does the hospital have to call for shortage? And finally is there "really and truly" a shortage or do they run short on purpose to save on benifit money, floor budgets, etc???? All I say is "think", just think! How many people die in the OR? is it because someone didn't wash their hands. Washing hands is a given, like part of the ten commandments of nursing, or more importantly of healthcare in general. How does all of this get so far off base, so far from the reality of things. Sure, wear a button but have the button then have all the issues listed, including the REAL issues also. Washing hands, that is like telling someone to be professional, not to lie, not to steal....pretty basic. And again, just to divert patients away from the more serious issues. I would wear ten buttons if each one had an issue of it's own on it. But wouldn't that look pretty foolish:yawn:.

Great, I was thinking the same thing. As a patient advocate, I enjoy teaching my patients, their friends, and families to be sure to ask those questions. Especially in ICU where I work. Hospitals push doctors to move their patients to a lower level of care when they're still at risk for serious complications. Generally when I share my concerns, the physicians agree that the patient still needs the higher nurse to patient ratio. Why transfer patients who still have one foot on a banana peel? Do no harm!

Instead of staffing up based on acuity, hospitals try to get away with marketing and using the rapid response teams. "Just in time rescue?" Why not staff with sufficient numbers of RNs to provide ongoing assessment and to be present and available to intervene and act in the first place? Staffing up based on acuity is often enough to avoid crisis and serious complications and codes. Talk about evidence? There's plenty of studies out there now that show improved outcomes, shorter length of stays, and the cost effectiveness of enriched nurse to patient ratios!

Barack Obama is educated and committed to the idea of national standards for RN ratios, and that's why I believe Obama/Biden is the right choice for nurses, patients, and workers. He's got my vote. :smilecoffeecup:

http://obama.3cdn.net/15ac0c5ca92ebc8450_6824mv5te.pdf

QUOTE=Aquamarine;3142046]Does the joint commission encourage patients to ask what the nurse to patient ratio is, or how many nurses are on their 16th hour of work because someone didn't show up? or how many house doctors are there in the hospital? Or how many perdiem nurses does the hospital have to call for shortage? And finally is there "really and truly" a shortage or do they run short on purpose to save on benifit money, floor budgets, etc???? All I say is "think", just think! How many people die in the OR? is it because someone didn't wash their hands. Washing hands is a given, like part of the ten commandments of nursing, or more importantly of healthcare in general. How does all of this get so far off base, so far from the reality of things. Sure, wear a button but have the button then have all the issues listed, including the REAL issues also. Washing hands, that is like telling someone to be professional, not to lie, not to steal....pretty basic. And again, just to divert patients away from the more serious issues. I would wear ten buttons if each one had an issue of it's own on it. But wouldn't that look pretty foolish:yawn:.

Great, I was thinking the same thing. As a patient advocate, I enjoy teaching my patients, their friends, and families to be sure to ask those questions. Especially in ICU where I work. Hospitals push doctors to move their patients to a lower level of care when they're still at risk for serious complications. Generally when I share my concerns, the physicians agree that the patient still needs the higher nurse to patient ratio. Why transfer patients who still have one foot on a banana peel? Do no harm!

Instead of staffing up based on acuity, hospitals try to get away with marketing and using the rapid response teams. "Just in time rescue?" Why not staff with sufficient numbers of RNs to provide ongoing assessment and to be present and available to intervene and act in the first place? Staffing up based on acuity is often enough to avoid crisis and serious complications and codes. Talk about evidence? There's plenty of studies out there now that show improved outcomes, shorter length of stays, and the cost effectiveness of enriched nurse to patient ratios!

Barack Obama is educated and committed to the idea of national standards for RN ratios, and that's why I believe Obama/Biden is the right choice for nurses, patients, and workers. He's got my vote. :smilecoffeecup:

http://obama.3cdn.net/15ac0c5ca92ebc8450_6824mv5te.pdf

O no. It's turning political!:bugeyes: That would be cool to have a politican that supports those beliefs. I frankly just don't trust him. In fact, I distrust him more than the average politican. He lacks judgement. Look at his associations.

I have a child that was beaten and shaken at 4 months old by his nanny. He is now MR, has SZ, has a VP shunt possibly for life, and is nearly blind. And he wants to nationalize healthcare?! Scares me to death to think of the goverment trying to organize and manage that!:no: I'll have to vote for the lesser of the evils. AGAIN!!! Where are those third party people?! Sorry to the person who started this thread about handwashing. Not really sure how we got off track.

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.

Aaron, this forum is "Nursing Activism/Healthcare Politics." The description is listed as: Nursing Activism, Nursing Shortage, Mandatory Overtime, Nursing Networking, American Nurses Association, Collective Bargaining, Nursing Unions, Healthcare Legislation, Healthcare politics & workplace issues discussed. "

I don't believe it's possible to be a complete patient and professional advocate, unless you are a social and political advocate for responsible healthcare policy as well. Study historical nursing leaders such as Florence Nightingale, Lillian Wald, and Lavinia Dock....I could go on. They participated in political demonstrations as social advocates and lobbied politicians, even before they had the right to vote in some cases.

You're apologizing, I hope, in hindsight, for your misplaced attempt at character assassination? Peace and faith!:loveya:

Aaron, this forum is "Nursing Activism/Healthcare Politics." The description is listed as: Nursing Activism, Nursing Shortage, Mandatory Overtime, Nursing Networking, American Nurses Association, Collective Bargaining, Nursing Unions, Healthcare Legislation, Healthcare politics & workplace issues discussed. "

I don't believe it's possible to be a complete patient and professional advocate, unless you are a social and political advocate for responsible healthcare policy as well. Study historical nursing leaders such as Florence Nightingale, Lillian Wald, and Lavinia Dock....I could go on. They participated in political demonstrations as social advocates and lobbied politicians, even before they had the right to vote in some cases.

You're apologizing, I hope, in hindsight, for your misplaced attempt at character assassination? Peace and faith!:loveya:

Character assasination? On whom? Obama? Please. No, I'm not apologizing.

You're right. We should push for politicans, or rather, public SERVANTS, to understand what is best for our pts. Somewhere along the line they forgot that they are supposed to serve us, not the other way around. I am not going to vote for someone, in this case Obama, who says he is for nurses because he has a socialist mindset. Its not worth it. We are on our way to a communist state......

Specializes in ICU, ER, Trauma.

Although it seems that this topic has strayed a bit, I would like to bring it back.

My last job required that I wear a giant round 'ask me if I washed my hands" button. It was so heavy that it brought down my scrub top to expose my bra. Patients would ask me why was I wearing the button, rather than if I washed my hands. I took the button off and told the manager to fire me after an dirty old man asked me if he could watch me wash my boobs.

Specializes in ICU/CCU/TRAUMA/ECMO/BURN/PACU/.
Character assasination? On whom? Obama? Please. No, I'm not apologizing.

You're right. We should push for politicans, or rather, public SERVANTS, to understand what is best for our pts. Somewhere along the line they forgot that they are supposed to serve us, not the other way around. I am not going to vote for someone, in this case Obama, who says he is for nurses because he has a socialist mindset. Its not worth it. We are on our way to a communist state......

We agree on one issue, that some politicians don't have public service in mind once they're elected to represent our interests. What's your frame of reference for inferring that Senator Obama is a socialist? Because he believes in public benefit programs instead of corporate welfare? The link I supplied includes many of Obama's position statements. It demonstrates that his position is consistent with his statement during the last debate that access to healthcare should be a right, not a privilege for the wealthy only. He demonstrates an understanding and respect of the work nurses do on behalf of their patients, and barriers to their ability to provide good care.

Aaron, the Columbia Encyclopedia defines 'communism' as: "a system of social organization in which property (especially real property and the means of production) is held in common." So, I don't understand what you meant when you threw the term communist into your post. I prefer to debate the merits of an idea or ideal, rather than tarnish the messengers by using inflammatory rhetoric.

In this country we have a "socialized" single-payer system for seniors-MediCare. I believe we should expand it so that everyone receives care based on need. In a publicly accountable, not for profit health care system, we would reduce administrative waste, control costs, and as professionals, be able to regain control over the healthcare delivery system. It's about fair and equitable distribution of resources.

Button campaigns? How about putting the money spent on those marketing and advertising gimmicks toward better staffing. Rather than blaming individuals we need to look at system problems. Nurses have been complicit in allowing models of care to change. We should work to regain control of the environment of care and be prepared to insure that it serves the exclusive interests of our patients.

Hospitals engage in deliberate short staffing, speed up, through put, and fast tracking. Discharge/Admit bed turnaround time, room, and supply cleaning are placed under "hospitality services." Mixed medical/infected patients on wards with fresh post-ops? Patients with complex care needs discharged to the care of family and friends? It's no wonder that MDROs are spreading throughout the hospitals and into our community. When insurers delay or deny payments, it leads to cost cutting and corner cutting. We can't starve the public health system and the department of health services compliance/enforcement sector of funds and then call them failures.

The system is broken; 'ask me if I've washed my hands' buttons won't fix it, no matter how well intentioned they may appear on the surface. I think those button campaigns are distractors to keep us divided and unable to focus on solving the real system problems.

Since when is caring for one another socialism or communism? There are socialized public services that provide for the public's education and general welfare (public parks, police, fire, library, the VA, and MediCare systems); we all share responsibility and costs through our tax system and they are not maintained to make a profit. Public health and safety should be the supreme reason government exists. If it's o.k. for the government to bail out financial institutions, why can't we implement a socially responsible national health plan?

We're all in this together.:up:

We agree on one issue, that some politicians don't have public service in mind once they're elected to represent our interests. What's your frame of reference for inferring that Senator Obama is a socialist? Because he believes in public benefit programs instead of corporate welfare? The link I supplied includes many of Obama's position statements. It demonstrates that his position is consistent with his statement during the last debate that access to healthcare should be a right, not a privilege for the wealthy only. He demonstrates an understanding and respect of the work nurses do on behalf of their patients, and barriers to their ability to provide good care.

Aaron, the Columbia Encyclopedia defines 'communism' as: "a system of social organization in which property (especially real property and the means of production) is held in common." So, I don't understand what you meant when you threw the term communist into your post. I prefer to debate the merits of an idea or ideal, rather than tarnish the messengers by using inflammatory rhetoric.

In this country we have a "socialized" single-payer system for seniors-MediCare. I believe we should expand it so that everyone receives care based on need. In a publicly accountable, not for profit health care system, we would reduce administrative waste, control costs, and as professionals, be able to regain control over the healthcare delivery system. It's about fair and equitable distribution of resources.

Button campaigns? How about putting the money spent on those marketing and advertising gimmicks toward better staffing. Rather than blaming individuals we need to look at system problems. Nurses have been complicit in allowing models of care to change. We should work to regain control of the environment of care and be prepared to insure that it serves the exclusive interests of our patients.

Hospitals engage in deliberate short staffing, speed up, through put, and fast tracking. Discharge/Admit bed turnaround time, room, and supply cleaning are placed under "hospitality services." Mixed medical/infected patients on wards with fresh post-ops? Patients with complex care needs discharged to the care of family and friends? It's no wonder that MDROs are spreading throughout the hospitals and into our community. When insurers delay or deny payments, it leads to cost cutting and corner cutting. We can't starve the public health system and the department of health services compliance/enforcement sector of funds and then call them failures.

The system is broken; 'ask me if I've washed my hands' buttons won't fix it, no matter how well intentioned they may appear on the surface. I think those button campaigns are distractors to keep us divided and unable to focus on solving the real system problems.

Since when is caring for one another socialism or communism? There are socialized public services that provide for the public's education and general welfare (public parks, police, fire, library, the VA, and MediCare systems); we all share responsibility and costs through our tax system and they are not maintained to make a profit. Public health and safety should be the supreme reason government exists. If it's o.k. for the government to bail out financial institutions, why can't we implement a socially responsible national health plan?

We're all in this together.:up:

Yes, we are in this together. And as long as we are all striving the the good of all it is healthy. However he does have a socialist mindset. If that sounds extreme, I'll call it "socialism-light." But I fear it could open up the doors for more extreme measures at a later time. We do not need a nanny state. We need a system where these funds that are used for, say, medicare, cannot be touched by those in Washington. If they can touch it, they will spend it and untimately waste it.

Socialism-Any of various theories or systems of social organization in which the means of producing and distributing goods is owned collectively or by a centralized government that often plans and controls the economy.

http://www.thefreedictionary.com/socialism

He publically admitted this. In fact, I just heard it in his own words on the radio early this morning. He said he wanted to redistribute the wealth of the better off and give it to the poor. This sounds good up front. In fact, this is what I believe each of us should do on our own for the good of our fellow man. However, this has been tried before in other parts of the world and it just doesn't work (especially when you let a corrupt goverment run it). Robin Hood was never one of my favorite stories a kid.

Specializes in Education, FP, LNC, Forensics, ED, OB.

Please, let's stay on topic: "Ask me if I washed my hands!" button?!"

Any discussion regarding the presidential candidates is to be done in the Election 2008 forum.

Thank you.

This would be about the same as "Ask me if i pick my nose" button to me.

:yeah::yeah::yeah::yeah::yeah:

I need one of those buttons! There could be some even less polite versions of that, but I will spare the good people here from that. ;)

Unfortunately, such buttons telling patients and families to ask if we washed our hands have become a staple of the "marketing gone over the line" approach of some hospitals. Hospitals are a business, and need patients (and their money) in order that they stay in business. As a result, some have embraced marketing campaigns that are a bit too much (and annoying); if I hear " Because We Care" one more time, I will puke.

Am I in favor of a hospital increasing its market share? You bet, but that should be done by improving quality of care and services offered, not by putting the same old stuff in a new wrapper.

Specializes in HomeHealth / geriatrics.

I think that whole situation with the button is so demeaning to nursing and the healthcare profession. Corporate suit and tie people are so caught up in how can we make ourselves look better and get more money for our paychecks .The better how our hospital looks the bigger the paycheck!!! :twocents:

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