Improving patient satisfaction in OB

  1. 0
    What types of things are you all doing in your units to improve patient satisfaction? What works? What doesn't? Just curious on how other units are handling this, especially on a unit where we care for mostly well patients.

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  2. 14 Comments...

  3. 0
    Several years ago our surveys were showing that many patients claimed the worst part of their labor and delivery experience was the IV start (I'd say we were doing pretty well if that was the biggest complaint!). So we started using 1% lidocaine for our IV starts. The patients really appreciate this and now it's second nature for me to use local for IV starts.
  4. 2
    I have been asking myself that same question.I would imagine that if someone were in labor, you could teach side effects all you want before giving the medication, who would hear it? I have been racking my brain over this question for years now. The conclusion is that I feel this is on there to set us up for failure. Doctors prescribing and nurses administering these medications have gone to school for years to learn how these medications work in the body. Now, we are expected to "explain the side effects in a way you can understand" before handing them the pill. I work on an orthopedic unit. Giving 6 patients coumadin and doing coumadin teaching in an hour (without appearing rushed) is pretty tricky. Especially when you enter the room and the patient suddenly has to go to the bathroom, etc it is especially interesting that the question is worded before it is given and not before you went home. Yes, failure is going to happen.
    And what's up with the call light help "as soon as you wanted" Again, almost impossible. I would love to survey the public on the politicians and see if they are happy. I have no idea how to teach patients to become nurses and doctors in the brief periods they are in the hospital (our average stay is 2 days). I think longer stays would help.
    Miiki and PinkNBlue like this.
  5. 0
    Our manager is always trying to get us to improve our scores, however it is very hard to make people happy when we do not have the means. Patients want help right away, well only two nurses each with 5 couplets each makes it very hard. Patients want help with breastfeeding, well there's only so much I can do the rest is up to you, I will NOT stand there holding your boob the whole 30 minutes. Also, patients complain about our rooms being dirty, food is not good, rooms are too small, about having a roommate and all of those things are not even in the nurse's control.

    I think things that would help would be proper staffing, updating/renovating the unit, and better housekeepers.
  6. 1
    Staffing by AWHONN standards....good start.
    mommy2boysaz likes this.
  7. 0
    Quote from Elvish
    Staffing by AWHONN standards....good start.

    Ideally.
  8. 3
    Quote from PinkNBlue
    Ideally.
    I know. It is always an uphill battle - but I hear over and over on my unit (and have said it myself) that if the nurses are happy, the patients will be too. If the nurses aren't overextended doing and being everything for 5 couplets/10 patients, they will have the time to help with breastfeeding, to address pain within a reasonable time frame, to spend more time with patients helping them learn how to care for their babies. As it is, we give minimal care, and that is frustrating.
    M/B-RN, RNinLDRP620, and oldenurselady like this.
  9. 0
    Quote from Elvish
    I know. It is always an uphill battle - but I hear over and over on my unit (and have said it myself) that if the nurses are happy, the patients will be too. If the nurses aren't overextended doing and being everything for 5 couplets/10 patients, they will have the time to help with breastfeeding, to address pain within a reasonable time frame, to spend more time with patients helping them learn how to care for their babies. As it is, we give minimal care, and that is frustrating.
    So frustrating. I feel like I'm running like a chicken with my head cut off between rooms with breast feeding help, meds on time, getting patients up for the first time etc that the time actually SPENT with my patients is not always what I strive for it to be. Unfortunately AWHONN staffing guidelines and unit budget are two different things :-/
  10. 0
    Quote from kirsnikity
    So we started using 1% lidocaine for our IV starts. The patients really appreciate this and now it's second nature for me to use local for IV starts.
    In an injection or cream?
  11. 0
    kirsnikity - when you say local are you injecting lidocaine or using a cream/gel? This is interesting, have you noticed a huge difference in survey scores?


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