Noise level at night - page 3

Hello everyone! I wanted to get some opinions and suggestions about reducing noise levels during the night shift. What are the main sources of noise for your unit/floor? Was there a... Read More

  1. by   imintrouble
    I think the way we view this thread is directly related to the way we've been treated over the last several days.
    My interactions with the "customer", have been brutal this week.
    I'm leaning towards the idislikeCODEbrowns way of thinking.
    I suspect he/she has had an equally unpleasant week with unpleasant pts.
  2. by   SC_RNDude
    Quote from lilaclover6984
    Yes this!!!
    I'm sure I'm guilty of laughing a little too loudly on my night shifts. But guess what? I'm also the nurse that stays fully awake an alert my whole shift at all times. A few of my coworkers that are always quiet and respectful on nights are also the ones with their heads on the desk with eyes closed and all disoriented when something happens. If I were a pt I'd take the louder alert nurse anyday.
    Maybe so. But when the patient answers thier HCHPS survey, they are likley remembering the louder nurse in a negative way, and at the same time assuming that all the nurses were awake and alert.
  3. by   hiddencatRN
    Quote from SC_RNDude
    and at the same time assuming that all the nurses were awake and alert.
    IDK. I get asked a lot where we sleep during the shift and get surprised looks when I tell patients we are awake all night.
  4. by   lilaclover6984
    Quote from SC_RNDude

    Maybe so. But when the patient answers thier HCHPS survey, they are likley remembering the louder nurse in a negative way, and at the same time assuming that all the nurses were awake and alert.
    I work in Canada and we don't have such surveys
  5. by   RNperdiem
    Sleep is a physiological need not a want. Nurses who work nights should be more aware of this than others and protect what little sleep a patient can get.
    My unit also cracked down on TV in patients' rooms. A vented, sedated patient does not need the TV on. Turn off the televisions at night, life gets much quieter.
  6. by   Pepper The Cat
    I don't work nights anymore, but used to do them a lot.
    One night the person I was working with said "its funny. There are a lot less calls bells and pt's calling out when I work with you that when I work with Jane". I told her that was because I turned the radio down, kept my voice quiet and did not yell down the hall to anyone. Simple logic. Keep the unit quiet and pts will sleep better.
  7. by   SNB1014
    i work during the day and the noise level is embarassing at times, tbh.

    shift change, people have no concept of inside voices and that for the rest of the nonnurses, it is only 645am so be quiet!!
    iv beeps! i always put the alarm volume as soft as i can, without it being silent, its enough to drive me crazy when i hear another room iv going off, nevermind if i was confined to a bed and the beep was in my room!
    other family/visitors.....we had a african patient who had just a nonstop flow of visitors who spoke loudly/yelled, sang songs/prayers upwards of 12 people in the room. i had patients/family members poking their heads outside their doors to see what the commotion was and if everything was "okay"....once they realized what was going on, they were NOT happy.

    i usually only open the blinds when breakfast trays come around 0800, some people leave all the lights on, doors open, etc. crazy rude , in my opinion. i always ask if the patient wants the light on, door open, etc. some people do, which is cool, but to many, it disrupts their day.
  8. by   exit96
    Good topic. What else could be done? I work nights, and I think day and night shift volume levels should be considered the same. People are going to wake up. I may be having a bad day, dying pt, whatever...or I may be laughing at something that helps me relieve some stress or something...I admit to being a contributor to ruckus at night before, for that I am guilty. But let's not start believing that Nurses somehow need to become more of a puppet than we already are. No one sleeps 'normal' in the hospital anyway, come on. So Nurses, tone it down a bit, but people, CLOSE THE DOOR!!!
  9. by   exit96
    Quote from hiddencatRN
    Cackling laughter and foot stomping. People talking over each other.

    I think there's got to be a happy medium between expecting hotel-like silence and hooting and hollering like you're at a backyard barbeque.
    Agree 100%
  10. by   exit96
    Quote from IdislikeCODEbrowns
    Sorry to offend anyone but my beef w/ this whole issue is that I am seeing more and more pts who pick and choose when they want to be treated like pts and when they want to be 'paying customers who feel its ok to be waited on 24/7, I understand controlling noise level around others, nights or not, but its a slippery slope when people start forgetting what a hospital's are for (to get better) not to have a jug of ice water 3/4 filled w/ ice and the rest water and heaven forbid that there's too much ice... Or what about those pts who insist on staff putting signs on their doors saying 'do not interrupt between 11pm and 7am' really,this is a ******* hospital and you'll probably be the pt who turns around and sues bc your potassium level was 2.5 and had an arrhythmia but was refusing to get labs rechecked at 4am...hospitals aren't hotels bottom line, it's not pleasant and you shouldn't like being there more than your own home
    Nicely stated
  11. by   imintrouble
    This is just me.
    Every single biological need I have as a human being, is subjugated to the needs of the pt for 12 hrs while I'm at work. That's part of my job, and part of just being a nurse. I accept that. I've been doing it for a lot of years.
    I wait to pee, to eat, to sit, to address my own pain.

    When you tell me to shut up or tone it down, because it's best for the patient, it just simply rubs me the wrong way. I'm not talking about shouting, hooting, and hollering. I'm talking about normal conversation on a very small unit at 0300.
    What's next? I think we're creating the very monster that all of us despise. The pt who believes that no request/demand/expectation is not their right.
  12. by   FlorenceNtheMachine
    I'm soft spoken so the noise police don't get on to me. But the hearing impaired patients hate me!! Haha! It goes against my grain to speak so loudly, but I end up speaking louder in those cases.

    I value people's rest and sleep. A good four hours rest can make a world of difference in someone's healing just like medicine can. In my little opinion.
  13. by   dirtyhippiegirl
    I also get frustrated with patient complaints that nursing has no real control over. Count me in as someone else who works at a hospital where they often decide to buff the hallway at 0200. Or do construction 24/7.

    Seems like a lot of complaints come from the intrinsic noises that many of our machines make -- not even the (relatively) controllable beeps of IV pumps, tele monitors, and ventilators. Our self-inflating beds are probably the biggest complaint, followed by the SCD machines. I also personally happen to think that our stand-alone continuous pulse ox machine makes a dreadful hum that I wouldn't want to listen to. (And is fairly useless in a non-monitored room at the end of the hall.)

    TVs are another issue. Gotta love the quasi-demented, HOH old guy in room 2 who decides to turn on the TV at full blast at 0300 and then spends ten minutes flipping through static/dead channels until someone can go in & re-orient him to the remote. Wakes up the whole unit.

    We also have a few naturally loud people on night shift. One is hard of hearing. The other two would be loud in the middle of a funeral -- it's more of a personality quirk. But I'm also the first to ask people to quiet it down at night. At the end of the day, a sleeping patient means less busy work for me, y'know?