Shhhh! ---It's all a crock!

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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 A HOSPITAL, 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.

Specializes in Leadership, Psych, HomeCare, Amb. Care.
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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.

They'd love to go home...but they can't. They're Sick!

They'll never mistake the hospital for the Ritz. The Ritz has locks on the door to keep the help from wandering in whenever they please. There are no constant call over the intercom that makes one think they're sleeping at the airport. They get to wear their own clothes, can go to the dining room or order room service (and get better food in any event), and can come and go as they please.

They don't want to be trying to rest and hearing loud chatter about who won the game, or what Mike Tyson did on TV when he traded place with a nurse, or what the cafeteria is serving for lunch.

And if it's a work related conversation, they certainly shouldn't be overhearing conversations about someone elses medical condition.

Go sit in a room sometime and just sit and listen for 5 minutes. You'll be amazed how much you'll actually hear.

BTW, when we gave clinicians unit wireless phones, it relly helped cut down on the ambient noise level & eliminated overhead paging.

Specializes in PeriOp, ICU, PICU, NICU.

And there you have it. Management has spoken :)

Press Ganey was a good chunk of the end of nursing as nursing....the other pieces (IMO) are lawyers and insurance (including Medicare, which pays a puny fraction of what is charged- and things are overpriced because of Medicare's lousy reimbursement- makes me embarrassed to need it).

Nursing as a piece of the hospital as a business can never be good for nurses, which in turn, makes patient care a joke (not that they get inferior care from nurses, but nurses are doing other things....it's not that there aren't enough nurses- just too much non-nursing stuff- IMO).

Press Ganey is the death of "real" nursing.

Specializes in Certified Med/Surg tele, and other stuff.

I agree that the noise level needs to be turned down. We have people that seem to want to YELL down the hall to the other person, or talk on the phone about MRS SMITHS CBC RESULTS. OMG...do you HAVE TO YELL?

It gets so loud at the desk, I can hardly here somebody on the phone. I have gotten pretty brutal to staff about keeping their voices down.

Specializes in Med/Surg, Geriatrics.
I think the frustration has to do with the "dumbing down" of information delivery to nursing staff. Admin feels the need to have to make it ridiculous in order for it to be understood. You can actually imagine them trying to figure out how to "make it so the nurses can understand it"... LOL.

They didn't dumb it down, they told him what it was about but he tuned them out. See the OP:

Some crap about CMS, hospital scores, medicare reimbursment and $$$ - I tuned them all out

I bet he wasn't the only one rolling his eyes at the boring details so they reduced it to a corny mnemonic. Oh well..........

Go sit in a room sometime and just sit and listen for 5 minutes. You'll be amazed how much you'll actually hear.

I have. And you know what? Management isn't interested in changing anything that I heard in there other than telling the nursing staff to "keep it down." As soon as management actually cares enough about the problem to spend some money on it, then I'll stop tuning them out when they're telling us to be quiet.

Of course, if you do a good job of staying quiet, then you get complaints in the morning, "Nobody came in my room all night!!":rolleyes:

Specializes in Telemetry, Med-Surg, ED, Psych.
They didn't dumb it down, they told him what it was about but he tuned them out. See the OP:

I bet he wasn't the only one rolling his eyes at the boring details so they reduced it to a corny mnemonic. Oh well..........

Oh well indeed! I certainly did tune them out and you would too my dear . Usually saints like you are the first to go against the grain

As I see it, nursing in hospitals is not nursing anymore. Its robotic simpleton and ultra fake - "Smile, Lower Your Voice, Wash Your Hands, The Customer Is Always Right, Always Smile, " ---its done and over with. That horse has been beaten dead.

We need more realistic blunt honest and straight-forward professionals in healthcare.

Enough if this dumbing down bs

say it like it is

Leave me to make sure i can give care and nobody dies - you stay in your office and deal with the regulatory bs i don't care in the least about

Specializes in Telemetry, Med-Surg, ED, Psych.
I have. And you know what? Management isn't interested in changing anything that I heard in there other than telling the nursing staff to "keep it down." As soon as management actually cares enough about the problem to spend some money on it, then I'll stop tuning them out when they're telling us to be quiet.

Of course, if you do a good job of staying quiet, then you get complaints in the morning, "Nobody came in my room all night!!":rolleyes:

Thank you....your damned if you do and your damned if you don't.

I would rather stick to what I know is effective for me and what actually gets things done at work.

Just say everyone knows - I work noc shift.

I do not blast Kia or Metallica on the speakers nor do i yell (once in a blue moon to disruptive patients/visitors)

In fact I am actually a quiet person

Most of our noise related problems come from the equipment, the technology and the patients and not the staff.

we have 3 and 4 bed rooms - with that many occupants, surely they will not be happy with the noise level and will respond in there post discharge survey

Thank you....your damned if you do and your damned if you don't.

I would rather stick to what I know is effective for me and what actually gets things done at work.

Just say everyone knows - I work noc shift.

I do not blast Kia or Metallica on the speakers nor do i yell (once in a blue moon to disruptive patients/visitors)

In fact I am actually a quiet person

Most of our noise related problems come from the equipment, the technology and the patients and not the staff.

we have 3 and 4 bed rooms - with that many occupants, surely they will not be happy with the noise level and will respond in there post discharge survey

Wow- that is a set up for complaints.... how does mgmt figure you're supposed to keep HIPAA standards? :)

Wow- that is a set up for complaints.... how does mgmt figure you're supposed to keep HIPAA standards? :)

Because in semiprivate rooms it's considered to be incidental or some other BS that lets management make twice the money on the room. It absolutely violates the spirit of the rule, but doesn't violate the wording of the rule.

Besides, didn't you know hospital curtains are soundproof? Hey! We should hang those up in patient doorways, it would solve the sound problem!!

Because in semiprivate rooms it's considered to be incidental or some other BS that lets management make twice the money on the room. It absolutely violates the spirit of the rule, but doesn't violate the wording of the rule.

Besides, didn't you know hospital curtains are soundproof? Hey! We should hang those up in patient doorways, it would solve the sound problem!!

:lol2::lol2::yeah::yeah::cheers::hpygrp::bdyhdclp:

Specializes in Post Anesthesia.

We have to agree to disagree. If you have something important that needs said- no one has ever said you couldn't shout out for help when your patient is slipping down the tubes or even slipping down the stairs, but to sit at the desk outside of an 80y/o womans room and talk in a normal conversational voice about what your husband(wife) did/didn't do , what the current crop of docs is doing that gets your goat, that rash on your whatever that keeps oozing..... Your patient is paying $2000., $3000., or more per night for this fine hotel, and you cannot even be as courteous as you expect your family, visitors, trash guy, mail person..... to be to you when you go home in the morning and want to get a little sleep. The rub is YOU AREN"T SICK. Would you put up with the next door neighbor shouting outside your sick 5 year old window at 3 in the morning- No you would call the cops. Unfortunately the 80y/o little old lady isn't going to get much attention from the cops if she makes the same complaint but about the noise outside her hospital room. We are supposed to educated in the healing arts, but it is always amazing to me how selfish some staff members are. When they are at work they expect to have a good time and the needs of those whining patients aren't going to stop them from treating every night like it is a RAVE. The attitude seems to be " if they don't like the noise they can go some place else for thier care" , and that is just what a lot of people are doing. If your hospital loses 10% of it's patients because some loud-mouthed nurses (and others) wouldn't let people sleep- are you willing to take a 10% pay cut to make up for the lost revenue? Maybe a 10% staff cut and there would be less people making noise to disturb my patients!!!

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