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.

Partnering in patient safety and prevention of infection and NOT pointing fingers is one issue. However I doubt if ANY nurse working in a patient care area had any say on wearing such a button and yes, I would think it is demeaning. Not the button itself, but the words, and I also am of the opinion getting a sick patient to attempt to ask health professionals if they have washed their hands is silly. We are suppose to be taking care of, educating, calming their fears...this button would have the opposite effect.

Specializes in ER,ICU,L+D,OR.

I always wash my hands, I dont feel anything wrong with this at all.

Specializes in Medical Surgical & Behavioral Health.

Last Thursday, the environmental services crew were coming out of a room, grabbed the sanitizer and said very loudly ... "I AM WASHING MY HANDS"...

Specializes in RN CRRN.
: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 *****!

Okay I am going to have to respond to this. We aren't discussing the reason for the buttons, we are discussing how the buttons make us feel. Your whole, article, on preventing infection is missing the whole point of this thread. Sorry. The reason our facility wants us to wear buttons is because then they can advertise in the community that they are on the 'forefront of handwashing promotion' to prevent infection. I agree staff don't always wash their hands. I do. In and Out of rooms. Before and After and In-between procedures. But this promotes distrust where there may not have been any before. How can patients respect us and continue to consider nursing as the most honest and trusted profession when they see us with buttons such as this. If I was a patient I would think, hmmm they must have a problem with that....should I be concerned? (yes of course) but I wouldn't like to see my nurse with a stupid button that makes me think I have to remind her to do such a basic thing. Do you think they are going to trust us with the pills and needles full of medicine we bring in? HMMM how sure am I you prepared those correctly if I have to even remind you to wash your hands. This is NOT about pts getting VRE -That is not the point here, in this thread. There is cause and effect. This thread is not about the cause (buttons to prevent infection) it is about the effect (buttons that create doubt in our profession at the most basic level).

Specializes in RN CRRN.

As someone who is disfigured and lost 6 months of my life from MRSA, you can bet I'll be watching! What should have been a straight, perhaps fading surgical scar is now something very ugly.

I really don't care about your ego. It seems the point of dispute is having to wear a button. Big deal. I wear this every day of my life. But make no mistake, I'm grateful I have that life! A button? ptttf!

This whole thread reminds me of children saying "But he/she doesn't have to do it."

I thank the infection control people who have spoken up, given statistics and tried to put it in perspective.

I've given up on allnurses (but get e-mails because I posted on this thread a long time ago). To me, most have bruised egos. THIS IS OVER A BUTTON, for crying out loud!

Specializes in RN CRRN.

I am sorry not an ego thing. If we are to get other young people into nursing it does have an impact on the respect and dignity of our profession. We wash our hands. And I will not get over it. And really they need to campaign to get family and visitors to wash their hands. They let their little kids play on the floor for crying out loud. Or they let them sit on the bed with the patient. The same kid who just got off the elevator where they touched all the buttons etc. where all the patients have been. The elevators seriously need to be scrubbed or sprayed down every hour.

Specializes in RN CRRN.

Otherwise it will be pretty hard to find nurses to help you out in ten years time. Do you want me to get some statistics on that?

I do understand that you find this upsetting, however, this campaign was developed by The Joint Commission, in an effort to elicit patient participation in their care. I have been a patient in the last 2 years, as was my mother. I cannot tell you how many times I had to ask my caregivers to clean their hands! When my mother was a patient on an oncology unit, I sat and surreptitiously monitored hand hygiene. The % compliance before patient care was about 15%! And when we asked them to do it, we got an attitude and some retaliation. Needless to say, I wanted my mother out of there as quickly as possible.

So to those of you who do clean their hands, I applaud you!!!!:yeah: I wish everyone did! I know that I have some staff at my facility who are incredibly consistent about hand hygiene.

As I said, please help us develop campaigns that will motivate the rest of the care givers who do not clean their hands routinely to do so. Give me some ideas that I can use! What motivates you, other than personal integrity, which I believe all of you have! I am trying to put together a campaign right now that will boost our rates. I would be really interested in some positive ideas from you all!:bow:

Specializes in ER,ICU,L+D,OR.

I see nothing wrong with innocent little buttons.

Specializes in PACU, ED.
OMG !!!!!!!!!!! :rotfl: :rotfl:

I wonder what schmuck they talked into dressing up like a big hand???

They probably thought it was cute.....You all should have got out a bunch of hand sanitizer and attacked the "big hand" :rotfl:

I doubt you'd have enough hand sanitizer, get out the FIRE HOSE! :chuckle

Specializes in PACU, ED.
I see nothing wrong with innocent little buttons.

To me, it's just another vector. Our scrubs should be professional and free from clutter. Buttons like this remind me of the servers at TGIF.

Handwashing is important but I'd rather see signs in the pt rooms encouraging them to ask than to put a button on my scrubs; a button that travels with me from room to room, day in day out. Although I would wipe out down I don't think many others would. Perhaps they also need another button "Ask me if I've sanitized my button".

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