Does your facility allow fans at the bedside? If so, do you have a specific policy for infection control?
I'm a palliative care nurse & I'd like to be able to provide bedside fans for dyspnea that would either be thrown away or sent home with the pt upon discharge. My facility's infection control director is worried the fans would never be properly cleaned &, even if they were cleaned, would blow infections into wounds, lungs, or sterile sites & the hospital would be held responsible for the infection because we provided the fan, which makes sense; however she doesn't really understand the relief a fan can have on dyspnea & said we should just adjust the thermostat. When I specifically mentioned my palliative care/end-of-life patients she said her mom had been on palliative care for a year & wasn't end-of-life... When I said a doctor's order would be required to get a fan from SPD she said her brother is a doctor & she knows nurses ask doctors for orders walking down the hall so they could order fans for everybody. [emoji17]
I understand the infection control concerns, but I've also seen the comfort blowing air in someone's face can provide... Which may decrease medications and maybe decrease sedation which could improve quality of life. What are your thoughts/policies on fans for palliative care patients?