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 ER,ICU,L+D,OR.

I love wearing buttons

I even look for new buttons when I go out malling

this is insulting. we know our duties and practice our profession well which includes handwashing, a basic nursing procedure. Handwashing aims to decrease the spread of microorganisms. We do this not only for our patients but also for our own protection. I wouldn't forget to do these for my own good as well. Those who have thought of this idea should be the first to wear it! :angryfire

Specializes in RN CRRN.

we have to now wear badges that say in big letters...ASK US...and in the bathroom there are a list of questions to start with.....yes we should add to those questions....how many times have I missed lunch this month, how many times during said lunch have I had to leave it because they make us wear the things that are like walkie talkies and they can call you at any time....had a conversation in the br today to be exact....and yes I washed my hands.....can we ask pts where they have had their hands and if they have washed theirs? no we can't.

Specializes in Med Surg/Tele/ER.

I might wear one that says....ask me are you short staffed today?

did you get to take a lunch break in order to have the stamina to care for me?

how long has it been since a bathroom break?

do you have the supplies you need to perform your job?

how many people are you providing care for in addition to me?

I came to work one night and noticed all our rooms had new signs up for the patients Its ok to remind your healthcare worker to wash their hands!!

Secretely I am the nurse that has been taking them down and trashing them!

I wash my hands

We need signs to remind and educate patients to wash THEIR hands perhaps after they change baby diaper or grandmas diaper or have their own bm!!

Specializes in nursing student.

How about a sign for Physicians to remind them to wear gowns and gloves in isolation rooms.

YUCK. I've seen them go into an isolation room, touch the patient and come back to chart. Ewwww I am most definitly going to bleach wipe everything he touched!

We have the EXACT same signs and buttons up. I talked to our clinical nurse specialist and told her I would NOT wear the button, and if I was forced to, I was going to change it to say "Ask me if I wiped my a$$" because it's the same concept and it is just as insulting.

I do not work in a movie theater or a restaurant. I do not wear "flair".

How can anyone think these are helpful? Do they think nurses are really going to wear these and think they are a good idea?

I might wear one that says....ask me are you short staffed today?

did you get to take a lunch break in order to have the stamina to care for me?

how long has it been since a bathroom break?

do you have the supplies you need to perform your job?

how many people are you providing care for in addition to me?

That last one is esecially valid. In fact during the fight for the California ratio law, we encouraged patients to ask that very question.

:banghead:I'm an Infection Preventionist, and I am very dismayed at the reactions that I have seen here. Lots of fingerpointing in the other direction, not stopping to remember that when you do that, 3 fingers are pointing back at you!!!!!!!! You can only be responsible for your own actions, and it sure sounds like you aren't!

I wonder if you get as upset when one of your patients develops MRSA, VRE, Cdiff, or one of the other nasty bugs???? :bluecry1: How about a central line related blood stream infection or ventilator associated pneumonia, because you could not be bothered to wash your hands????:scrying:

Instead of partnering with your Infection Prevention and Control Department to make sure that your patients are safe from both resident and transient bacteria that you carry on your hands, you sit there and complain about everyone else. What a bunch of negative people! Maybe if you encouraged your patients to ask this question, it might just get through to the doctors also! A study in England showed that patients were afraid to ask their doctors and nurses about the most basic of safety actions: hand hygiene? Why? They feared retaliation!!! What does that say about the care that you give??:cry:

Also, all of you saying that you learned this in nursing school...I will go one further...you learned it in kindergarten, and yet you still do not practice it 100% of the time? What does that say about your personal integrity as both a person and a nurse? Don't tell me that you do, because I do hand hygiene observations every day, and know that this is not a fact! The national average of hand hygiene being performed before patient care is only about 45% and after is only about 60%. Yet you touch keyboards, telephones, and charts, alll of which are extremely difficut to clean, and yet think nothing about touching a patient or passing a medication without cleaning your hands! I want the patients to ask you!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

SO PULLLLEEEEZZZEEEE, don't ***** about a catchy slogan or campaign to try to increase awareness until you can PROVE to your Infection Preventionist that you are 100% compliant before, during and after patient care 100% of the time. Partner with us, instead of ******** about what we are trying to accomplish. Think up another catchy slogan if you don't like this one. Help us develop a campaign to keep patients safe. If you don't, you have no reason to *****!

Specializes in Medical Surgical & Behavioral Health.

Although I do agree with you about the importance of Patient safety, I feel that a hospital actually budgeting funds on such a campaign is wrong. The hospital I am currently doing clinical rotations in has a similar slogan. They have also taken it one step further to place hand sanitizers in each room...none of which are in the same location. You are constantly trying to find these sanitizers upon entering the room and leaving... not to mention the heavy doors that you must open to get back out, and there is a "fire hazard" as to putting the sanitizers in the hall way. They employ people to walk around the floors "at random" to catch you walking out of a room either using the sanitizer or not. It is almost always the case where you are asked another question as you are trying to push 2 pieces of equipment out of the room with your foot, a puffy little wad of sanitizer in one hand and your MAR's under your other arm which is trying to open the door... I am 100% WASHING my hands before patient care and 100% using the sanitizer when I do not actually touch a patient, but this method and campaign are even causing my patients to question what I am doing with all of the sanitizer and the items. Maybe they can start putting blood pressure cuffs, thermometers, and stethoscopes in all rooms so we are not dragging those around either...maybe that will reduce infections (it seems to work wonders with peds and neonates)

Specializes in Obstetrics, M/S, Psych.

All great suggestions MIZZ...the problem with hospital policies and campaigns like these is they never seem to ask the people who could truly help put an effective policy in place...the nurses!

Specializes in Medical Surgical & Behavioral Health.
:up: I totally agree, the nurses and the aides should be the ones involved in the policy making, not some board who received 3 complaints of [probably] physicians not washing their hands when they entered the room (I HAVE SEEN SEVERAL START PATIENT CARE WITH OUT WASHING THEIR HANDS OR USING SANITIZER)
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