- News & Events
- About Us
- Find a Physician
- Make a Gift
Hospitals are just noisy places – there’s no doubt about it! Physicians and employees are hard at work and at times seem to be unaware of how they are contributing to the noisy environment. We’ll always have an endless parade of visitors creating noisy activity. When I walked the halls of our hospital this morning I listened to the noise buzzing around me - medical equipment beeping, cell phones, pagers, people talking loudly– some were visitors, but most were staff and residents talking loudly to one another as they hustled up and down the hallway. There was the sound of carts rattling and “clanging” over thresholds and as I closed my eyes I could still hear elevators dinging, a patient moaning and even a helicopter hovering above … no wonder it’s so hard for patients to get decent rest!
But I’m elated to find us involved in a “H.U.S.H” (Help Us Support Healing) movement to change some of these things and by instituting “quiet time” from 9 p.m. to 7 a.m. we will further promote healing and provide a time for less interrupted sleep. Knowing that high sound levels affect patients' sleep, raises their anxiety levels and lowers their ability to manage symptoms, noise reduction in our hospital has been a patient experience improvement goal for more than three years now.
In 2008 we initiated “Silent Hospitals Help Healing” (SHHH), and those early efforts had initially helped decrease noisy conditions all over the hospital. We even worked with the City of Fresno to implement quiet zones outside the hospital preventing trains from sounding horns in specific zones unless in an emergency. Other efforts included posters in hallways and at nurse stations featuring employees with a finger to their lips reminding employees and visitors to be quiet, carts and equipment with squeaky wheels were lubed or changed out, and ear plugs were made available to patients to help them sleep better.
We were pleased that patient satisfaction survey results had improved as a result of SHHH, but we’ve seen a steady increase of noise at night again - just over the past year. To help refresh our noise management efforts, another multi-disciplinary noise reduction workgroup has prepared a new kind of SHHH initiative to increase awareness of how noise levels can affect patient healing and progress. The committee has been working with staff and leaders to hardwire daytime and nighttime quiet practices and provided tools and handouts that will aid staff, physicians, patients and visitors in keeping noise levels down.
Our “hush” initiative includes reminder signage that has been installed at the entrances to patient unit hallways, stating “You are entering a quiet zone.” New “hush” posters replace the old, asking all staff, physicians and visitors to help by setting cell phones on vibrate mode or off if required to do so in specific areas, using quiet voices when talking, not socializing in the hallways, and adhering to visiting hours and guidelines. I believe that two of the biggest challenges we face will be “habitually” related. First, getting staff out of the habit of yelling down the hall at one another and second, not socializing in the hallways. Now staff, and physicians – more particularly our residents who round in groups, are guilty of this. Okay, and I’m guilty too – I round with associates regularly and I think I’ve violated this practice on more than one occasion. These reminders, along with additional training and staff awareness will cause us (staff, physicians, residents and visitors) to think about where and how loudly we are having these conversations.
Even though we are a 24-hour-a-day operation, our patients need a little peace and quiet – it’s essential to their recovery. Hopefully, we'll see improvement reflected in our inpatient surveys that come back over the next few months. And until then, please work on hush … our patients deserve it!