---
title: I TRIPLE DOG DARE you to wash your hands!
description: I TRIPLE DOG DARE you to wash your hands!
---

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## I TRIPLE DOG DARE you to wash your hands!

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f29287946/1498845280573//img.png.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f29287947/1498843853848/1000w/>

If you have seen [A Christmas Story](http://www.imdb.com/title/tt0085334/), you'll know the  
 reference to "triple dog dare".   
 For those that haven't, it is a movie of a boy who wants nothing but a  
 Red Ryder BB Gun for Christmas.  Set in  
 winter in Indiana (think cold), the scene I am referring to has Ralphie's  
 friends Flick and Schwartz arguing over whether a person's tongue will stick to  
 a frozen flagpole. Schwartz ultimately issues Flick a "*[triple dog dare](http://www.bing.com/videos/search?q=Christmas+story&view=detail&mid=B43907A2C5A77A1B2D4AB43907A2C5A77A1B2D4A&first=0&FORM=NVPFVR&qpvt=Christmas+story)*" and Flick's tongue gets stuck to the pole.

Aside from the obvious grossness factor that flag poles  
 are likely a breeding ground for who knows what human or animal pathogens and  
 certainly NEVER cleaned and the thought of sticking my tongue on it makes me  
 gag a bit, there is no obscure infection control subplot.   It's all about the childhood concept of  
 daring a friend to do something. 

To improve our  HAI  
 rates and patient safety outcomes we have implemented infection control  
 bundles, we have implemented auditing programs for environmental cleaning and  
 for hand hygiene and we implemented antibiotic stewardship programs. Yet we  
 continue to see HAIs and I think many of us can give more than a dozen samples  
 of healthcare workers not following best practices.  Perhaps, it's time to change our tact - if  
 you were **DARED** to do something by a friend or peer would that put enough  
 pressure on you to do what's right?  What  
 if that*** DARE*** was said out loud in front of your other peers - what then?

May 5th, is the global** **[**SAVE LIVES: Clean Your Hands campaign** ](http://www.who.int/gpsc/5may/en/)organized by the WHO.  As of  
 this April 24th, **15, 596 **healthcare facilities from around the globe have  
 registered to partake in this campaign.   
 SAVE LIVES: Clean Your Hands campaign aims to galvanise action at the  
 point of care to demonstrate that hand hygiene (HH) is the entrance door for  
 reducing health care-associated infection and patient safety. It also aims to  
 demonstrate the world's commitment to this priority area of health care.

Washing ones hands is such a simple action.  It is certainly one of the primary ways to  
 reduce HAIs, yet worldwide the lack of compliance among healthcare workers  
 (HCWs) is abhorrent.  According to WHO,  
 adherence to HH by HCWs ranges from 5% to 89% with the overall average being  
 38%!  Further, the frequency with which  
 HCWs cleaned their hands ranged from 5 to 42 times per shift.  Assuming an 8 hr shift, my guess is the 5  
 time/shift hand cleaner washes before morning and afternoon break, before lunch  
 and assuming they only use the toilet twice - they wash after relieving  
 themselves.  Sounds to me like that  
 person cares about themselves and doesn't give 1 hoot about patient safety  
 outcomes.

The fact is following contact with patients and/or the  
 contaminated environment, pathogens can survive on hands for between 2 and 60  
 minutes.  Moreover, HCW's hands become  
 more and more contaminated the longer the duration of patient care is.  When HCWs fail to clean their hands during  
 patient care or between patients (e.g. they do not follow[ the Five Moments of Hand Hygiene](http://www.who.int/gpsc/5may/background/5moments/en/index.html)), the likelihood for pathogen transfer from HCW to patient  
 increases.

A study commissioned by the[ Joint Commission](http://www.centerfortransforminghealthcare.org/assets/4/6/CTH_HH_Fact_Sheet.pdf) in  
 2008/2009, found that doctors and nurses fail to wash their hands with alarming  
 frequency, contributing to the **247** deaths caused each day by preventable  
 hospital infections.  Healthcare  
 facilities around the globe have tried to address the problem of low hand  
 hygiene compliance rates through numerous techniques such as constant  
 monitoring and auditing, programs that involve the patient to promote hand  
 hygiene prior to patient care and installation of hand hygiene surveillance  
 equipment (cameras and RFID systems).   
 While compliance does improve, the long term sustainability varies.  It's appalling to know that regardless of  
 what program is implemented there are still HCWs who believe they are  
 "above the law".  Worse yet, is  
 that their peers, their patients and in even in some cases, the C-Suite  
 Executives are reluctant to call these people to task and point out to their  
 faces their lack of compliance.

It's funny, as children we had no issue with daring our  
 friends to do something.  We certainly  
 had no qualms about shouting out for all to hear that "Johnnie just picked  
 his nose!", why as adults have we lost this ability?  Stand up and call a spade, a spade!  The next time you see a friend or loved one,  
 a peer, a boss or a patient miss an opportunity to wash their hands, call them  
 on it!  Quite literally, the life of one  
 of your loved ones could be in their hands some day!  If you know they do not wash their hands when  
 they should, do you want to take that risk?

Come on, I ***TRIPLE ***DOG DARE you to!

*Bugging Off!*

*  
*

*  
*

Nicole

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