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 LTC.

I have observed that many administrators have good intentions they just tend to be alittle misguided at times. :banghead:

Stepping aside for a moment and taking a look from their point of view, I'm sure they didn't intend on demeaning the staff.

I would gather some of the staff together and come up with other, more tastful, ideas to propose to the admin staff.

:D***sounds like your admin used to work at an auto dealership***:D

The Joint Commission encourages patients to feel comfortable asking caregivers to wash their hands or if they have washed their hands. The campaign is called "It's Ok to Ask". It is sad when we as caregivers don't clean our hands but 30% of the time, yet it has a huge negative impact on our patient's outcomes. Have you ever lost a loved one to a hospital acquired infection? You watch nurses who are educated and know better, yet they don't wash or disinfect their hands. How often do we properly disinfect IV tubing hubs before injecting medications or connecting IVPBs? If it wasn't a problem, it would not be in the spotlight. It is devastating to have a family member preparing to go home and suddenly develop sepsis and die in a hospital bed. Could this have been prevented? Maybe, if everyone followed strict infection control guidelines. I say if you are cleaning your hands in the patients rooms every time you enter, they will see that you have washed and not need to ask. However, if you haven't then they will feel comfortable asking. And yes, doctors should wear them also. One other thing, maybe you should look at from a positive side: I am not perfect and may forget to wash my hands. If I don't wash them in front of you, I would like for you to remind me. Your safety is always important to me.:D

Specializes in Critical care, tele, Medical-Surgical.

as early as 1843, dr. oliver wendell holmes advocated handwashing to prevent childbed fever.

holmes was horrified by the prevalence in american hospitals of the fever, which he believed to be an infectious disease passed to pregnant women by the hands of doctors.

he recommended that a physician finding two cases of the disease in his practice within a short time should remove himself from obstetrical duty for a month. holmes's ideas were greeted with disdain by many physicians of his time.

in the late 1840's, dr. ignaz semmelweis was an assistant in the maternity wards of a vienna hospital.

there he observed that the mortality rate in a delivery room staffed by medical students was up to three times higher than in a second delivery room staffed by midwives.

in fact, women were terrified of the room staffed by the medical students.

semmelweis observed that the students were coming straight from their lessons in the autopsy room to the delivery room. he postulated that the students might be carrying the infection from their dissections to birthing mothers. he ordered doctors and medical students to wash their hands with a chlorinated solution before examining women in labor. the mortality rate in his maternity wards eventually dropped to less than one percent.

http://www.accessexcellence.org/ae/aec/cc/hand_background.php

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

I have no problem wearing a button saying, ask me if I have washed my

hands. Looks well with my Obama/Biden button to win in 2008

Specializes in ER,ICU,L+D,OR.
Yes, they are THAT offensive.

~faith,

Timothy.

I have found all this amusing. To me there are far greater concerns in this world. Ending this illegal war, fixing the economic crisis, saving our environment, saving the whales,promoting alternative energy,preserving our eroding human rights.And the list goes on eternally.

I agree about the button but think about it...it takes the attention off the real issues. like the pending surgery, the skills of the surgeon, the shortage of RN's on the floor, and puts the attention on the level of a 12 yr. old...isn't that what all the patient education is geared towards...12 year olds. Sound right in tune with that to me. How insulting. If you don't know you are supposed to wash your hands what are you doing in a medical facility. I have seen plenty of docs walk out and into another room without washing hands, volunteers, transport people, etc. Why not electronic banners down the halls, maybe a poster the size of the building that says..."we remind our nurses to wash their hands"...excellent marketing! Kind of funny. I wonder if any comedians could do an entire show on this...good material.

Have fun...and you know, don't forget to wash your hands!

The Joint Commission encourages patients to feel comfortable asking caregivers to wash their hands or if they have washed their hands. The campaign is called "It's Ok to Ask". It is sad when we as caregivers don't clean our hands but 30% of the time, yet it has a huge negative impact on our patient's outcomes. Have you ever lost a loved one to a hospital acquired infection? You watch nurses who are educated and know better, yet they don't wash or disinfect their hands. How often do we properly disinfect IV tubing hubs before injecting medications or connecting IVPBs? If it wasn't a problem, it would not be in the spotlight. It is devastating to have a family member preparing to go home and suddenly develop sepsis and die in a hospital bed. Could this have been prevented? Maybe, if everyone followed strict infection control guidelines. I say if you are cleaning your hands in the patients rooms every time you enter, they will see that you have washed and not need to ask. However, if you haven't then they will feel comfortable asking. And yes, doctors should wear them also. One other thing, maybe you should look at from a positive side: I am not perfect and may forget to wash my hands. If I don't wash them in front of you, I would like for you to remind me. Your safety is always important to me.:D

It is deviastating to lose any family member for any reason. I lost my daughter because a hot shot cardiac doctor didn't dictate into her chart note that he saw the start of an aortic problem. I told him he told me...but he knew better and refused to do another echo in 6 months, said I had to wait the usual 12 months. Would a mom forget something like that??? so yes, losing a family memeber to anything is devastating...And I did remind him of what he said....he said he didn't say it. I thought about it after her death...he saw it, commented on it...but didn't dictate it. When I went in for a 6 month check that he told me I needed because it was suspicious, he looked at his notes and said ..."nothin in the notes"...she didn't need it and he never said it. So yes, losing a family memeber is tough, I can relate. But if he wore a button that said "don't forget to dictate your findings today, it could save a life later"...pretty retarded looking button. If you need a button you need to get out of the field and we don't need to make ourselves look like idiots to the3 patients and thier families which lessens thier security and peace of mind. :coollook:

I think that people working in fast food should also wear them.

Specializes in ED, ICU, PACU.

If you wear the button, then you are going to have to wear a second one saying "Ask me if I ever wash the other button".

I think that ID would have real issues with those cheap big buttons collecting all the infectious material on them as the nurse goes room to room washing her hands and never thinking what the button has accumulated at the bedsides.

The Joint Commission encourages patients to feel comfortable asking caregivers to wash their hands or if they have washed their hands. The campaign is called "It's Ok to Ask". It is sad when we as caregivers don't clean our hands but 30% of the time, yet it has a huge negative impact on our patient's outcomes. Have you ever lost a loved one to a hospital acquired infection? You watch nurses who are educated and know better, yet they don't wash or disinfect their hands. How often do we properly disinfect IV tubing hubs before injecting medications or connecting IVPBs? If it wasn't a problem, it would not be in the spotlight. It is devastating to have a family member preparing to go home and suddenly develop sepsis and die in a hospital bed. Could this have been prevented? Maybe, if everyone followed strict infection control guidelines. I say if you are cleaning your hands in the patients rooms every time you enter, they will see that you have washed and not need to ask. However, if you haven't then they will feel comfortable asking. And yes, doctors should wear them also. One other thing, maybe you should look at from a positive side: I am not perfect and may forget to wash my hands. If I don't wash them in front of you, I would like for you to remind me. Your safety is always important to me.:D

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:.

Specializes in ER,ICU,L+D,OR.
I think that people working in fast food should also wear them.

Fast Food Places do not concern me anymore as Ive stopped using all of them now.But thats a good idea

Fast Food Places do not concern me anymore as Ive stopped using all of them now.But thats a good idea

My favorite is when people in fast food places use the gloves, count money with them, and go back to the food with the same gloves.

I know the glove thing is hard, it is hard to always be taking them on and off, minute to minute. We treat and document immediately on the computer which is a few inches from the patient. It is tough. I am not against gloving, I am not against hand washing...I am against the idiotic buttons. I am for excellent health care. Lets all try this week to make a good effort to wash hands more, and take a note personally and to ourselves on when and how to use gloves. :nurse:

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