The upper management staff came unit to unit explaining to us (wispering mind you) of the need to speak quietly and not to raise the voice - EVER.
Some crap about CMS, hospital scores, medicare reimbursment and $$$ - I tuned them all out because in my honest opinion - YOU ARE IN AHOSPITAL, NOT A MONASTERY.
If you want peace and quiet, then go home - I will gladly show you the way out.
Its a new motto - SHHHH (Silence Helps Healing Happen Here).
When will the powers that be realize that I am there to work and keep patients from dying and treat them. I am not there to make them feel like they are at the Ritz-Carlton.
Imagine a code - Wispering the code call, silently doing compressions.
I'm sorry, but yeah... you need to shut up lol. I don't think anyone expects you to whisper a code... nor does spending tons of money to "inhance" your hospital seem necessary. However... walking down the hall talking to your coworker about your date last night and I can hear you while I'm trying to sleep off a surgery? Yeah... you need to shut up.
Maybe you should look into a different career path Abbaking. If you can't be bothered to be quiet-something that takes less energy than being loud-for your patients' benefit, you have no place in nursing. Sleep is essential to healing and feeling well. Kindly leave the profession if you think otherwise.
Maybe this goes deeper than your superiors scalding you, or maybe you've always had a problem with being told what to do. But they're management they are there to MANAGE you.
Random reactions:
I'd be upset if my Sup scalded me.
Some Managers are resented because they don't have compassion for staff, don't ever offer to help with anything, including scheduling holidays and vacations fairly or doing any hands-on care, making sure you get breaks, and so on.
Some people are just louder than others. Booming, robust voices and boundless energy and all that.
Some Managers don't talk nicely to staff and are disrespectful of and rude to staff. So, yeah, they are there to manage but they don't necessarily do it very well.
Or maybe she just has trouble with bosses, like you said.
I'm sorry, but yeah... you need to shut up lol. I don't think anyone expects you to whisper a code... nor does spending tons of money to "inhance" your hospital seem necessary. However... walking down the hall talking to your coworker about your date last night and I can hear you while I'm trying to sleep off a surgery? Yeah... you need to shut up.
I hate it when people don't pay attention to their work - like checkers at the grocery store yacking on a cell phone while ringing up my order and stuff like that. I make them hang up by holding my hand over the scanner until they do.
I don't know why anyone would be displeased about leadership trying to provide a placid environment for staff, patients and visitors alike. Some people just aren't happy unless they re complaining about something I guess.
I normally tell my pt's and their families that I round every 1-2 hours, after 2300 do you want me to knock or just peek in, if everything looks ok, I am not going to wake you up unless it is for VS/labs/alarms, however if I am concerned I will wake you to better assess you. Once they hear that, they usually are ok with me just peeking in. Hopefully this counts as me ALWAYS treating the pt courteously and respectfully, and doesn't screw me in that daggone new HCAHPS survey.
I think anymore it's not about Press-Gainey, it's all about HCAHPS and reinbursement.
The problem is at 3 am, when there are long loud rumbles of laughter that wake patients up (been there, heard that). That is disturbing. Being in a hospital is a study in sleep deprivation as it is. You never get uninterrupted sleep. Just when midnights are getting their stuff done, and you doze off, knowing that 4 a.m. vitals are coming, someone in the hall sounds like they've just watched a M*A*S*H marathon, and is trying to get a nurse in the next state to appreciate how funny she thought it was
Which goes back to my gripe, make the nurse station more sound deadening. They used to be enclosed, but that wasn't "inviting" enough. Apparently not enough family members felt welcome to come back behind the desk.
It all boils down to "here's a problem, let's blame the nursing staff instead of being a bit creative in fixing the problem." Sound dampening architecture. At least fixing the banging doors (during a snowstorm a nurse ended up sleeping on our unit. We asked, and she never heard the staff talking or laughing, but she heard every single time someone went throught a door.) Nope, just blame the nursing staff. (Cue the thread about always being the nurse's fault.)
My point, sometimes their own stupid policies contradict others.
Right after they gave us the stoplight and the lectures on being quiet, they put a "siren" on our phones. That could go off at any time. It was even called a "siren" which you'd think would have registered for people in a hospital would be loud. So apparently, we're loud, but a "siren" isn't loud at all.
Which goes back to my gripe, make the nurse station more sound deadening. They used to be enclosed, but that wasn't "inviting" enough. Apparently not enough family members felt welcome to come back behind the desk.
It all boils down to "here's a problem, let's blame the nursing staff instead of being a bit creative in fixing the problem." Sound dampening architecture. At least fixing the banging doors (during a snowstorm a nurse ended up sleeping on our unit. We asked, and she never heard the staff talking or laughing, but she heard every single time someone went throught a door.) Nope, just blame the nursing staff. (Cue the thread about always being the nurse's fault.)
Right after they gave us the stoplight and the lectures on being quiet, they put a "siren" on our phones. That could go off at any time. It was even called a "siren" which you'd think would have registered for people in a hospital would be loud. So apparently, we're loud, but a "siren" isn't loud at all.
What I heard was in the halls...the station was on the other side of double doors, as I was in a neutropenic precaution area.
It's not always about blaming nurses- but the situation I was in was the staff...they were wonderful, and mostly not a problem- but it was still the experience I had :) I'm a nurse- I'm not anti-nurse
Ever since I have been working with people who are hard of hearing, I have lost my inside voice. Outside of work I practically yell when I talk now. I automatically assume everyone is HOH. *sigh* I don't mean too. It just happens. I swear I wasn't always this way...lol
The upper management staff came unit to unit explaining to us (wispering mind you) of the need to speak quietly and not to raise the voice - EVER.
Some crap about CMS, hospital scores, medicare reimbursment and $$$ - I tuned them all out because in my honest opinion - YOU ARE IN AHOSPITAL, NOT A MONASTERY.
If you want peace and quiet, then go home - I will gladly show you the way out.
Its a new motto - SHHHH (Silence Helps Healing Happen Here).
When will the powers that be realize that I am there to work and keep patients from dying and treat them. I am not there to make them feel like they are at the Ritz-Carlton.
Imagine a code - Wispering the code call, silently doing compressions.
I would give you a million Kudos if I could. At the hospital where I work, we have room service 24/7 (AND I mean room service...thats what it is called), night shift VS have been decreased (from q4 to q8) on a tele SDU unit, because patients c/o being aroused in the middle of the night. This was decreed a week after management decided that VS would all be q4 r/t being a tele unit, lights must be out and doors closed after 2200 (even though you have a patient crawling out of bed every 5 minutes), but loud and foul mouthed family members and significant others have the right to stay 24/7. Pt and family members complain r/t the noise that was generated by a code and think that their glass of ginger ale was more important than saving someone else's life.. Then, they complain about the condition of health care. Sorry, too many of us are too busy playing maid and making sure that the DO NOT DISTURB SIGN IS ON THE DOOR as well as catering to your self diagnosis you found on WebMD.
I would give you a million Kudos if I could. At the hospital where I work, we have room service 24/7 (AND I mean room service...thats what it is called), night shift VS have been decreased (from q4 to q8) on a tele SDU unit, because patients c/o being aroused in the middle of the night. This was decreed a week after management decided that VS would all be q4 r/t being a tele unit, lights must be out and doors closed after 2200 (even though you have a patient crawling out of bed every 5 minutes), but loud and foul mouthed family members and significant others have the right to stay 24/7. Pt and family members complain r/t the noise that was generated by a code and think that their glass of ginger ale was more important than saving someone else's life.. Then, they complain about the condition of health care. Sorry, too many of us are too busy playing maid and making sure that the DO NOT DISTURB SIGN IS ON THE DOOR as well as catering to your self diagnosis you found on WebMD.
Concierge nursing stinks- that's clear. But there are ways to minimize noise- including visitors. Get the house sup involved if needed. But the patient who is trying to get well (and not everybody has a WebMD diagnosis), and the noise is a problem.... nobody is asking for total silence- that is nuts.... just toning it down :)
kenyacka
91 Posts
I'm sorry, but yeah... you need to shut up lol. I don't think anyone expects you to whisper a code... nor does spending tons of money to "inhance" your hospital seem necessary. However... walking down the hall talking to your coworker about your date last night and I can hear you while I'm trying to sleep off a surgery? Yeah... you need to shut up.