living with call lights
DESCRIPTION
Living with Call Lights. What makes a patient happy?. Seeing someone who cares every hour!. What happens if your patient doesn’t see you every hour?. They push the call light!. I’ll answer your call light …. … when you answer my chocolate light. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/1.jpg)
Living with Call Lights
![Page 2: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/2.jpg)
What makes a patient happy?
![Page 3: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/3.jpg)
Seeing someone who cares every hour!
![Page 4: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/4.jpg)
What happens if your patient doesn’t see you every hour?
![Page 5: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/5.jpg)
They push the call light!
![Page 6: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/6.jpg)
I’ll answer your call light …
… when you answer my chocolate light.
![Page 7: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/7.jpg)
What’s the last thing you want when you’re scanning a pile of
meds?
![Page 8: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/8.jpg)
The phone ringing for a call light.
![Page 9: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/9.jpg)
![Page 10: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/10.jpg)
The Answer is
Purposeful Rounding
![Page 11: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/11.jpg)
In 2006, Christine Meade studied the effects of hourly rounding on call light use, falls, and patient satisfaction.
Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds on patients
call light use, satisfaction, and safety. American Journal of Nursing,106, 58-70.
About 5,000 fewer calls after rounding
![Page 12: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/12.jpg)
OK – What else did she find?
The number of falls (in 27 nursing units) was cut in half.
Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds on patients
call light use, satisfaction, and safety. American Journal of Nursing,106, 58-70.
![Page 13: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/13.jpg)
Is that it?
After one year, the percentage of patients who rated their care as ‘excellent’ was doubled.
!
Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds on patients
call light use, satisfaction, and safety. American Journal of Nursing,106, 58-70.
![Page 14: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/14.jpg)
Anyone else looking at this?.
Jennifer Woodard confirmed these good results on a 40 bed unit when the charge nurse rounded every hour. Results confirmed decreased call light use, decreased number of falls, and increased patient satisfaction. And here’s a bonus: After rounding, almost all patients were “certain”, or “somewhat certain”, that help would be there when they needed it.
Before rounding was started, more than half “were not sure if a caregiver would come to help if needed”.
Woodard, Jennifer (2009). Effects of Rounding on Patient Satisfaction and Patient
Safety on a Medical-Surgical Unit. Clinical Nurse Specialist, vol 23 Number 4.
![Page 15: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/15.jpg)
Do half of your patients think that you won’t be there when they need you?
![Page 16: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/16.jpg)
they probably don’t know.
Deritrick, Bokovoy (2006). Dance of the Call Bells. J Nurs Care QualVol. 21, No. 4, pp. 316–324.
Show them which button to push,
![Page 17: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/17.jpg)
When you want your CNA
Show them your phone. Explain that the button calls us directly. Would intercom work for this patient?
When you want your nurse
When you need help now.
![Page 18: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/18.jpg)
I can’t answer it now!
Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: The National Academies; 2001:337.
Roszell, Jone (2009). J Call Bell Requests, Call Bell Response Time, and Patient Satisfaction. Nurs Care Qual .Vol. 24, No. 1, pp. 69–75
Patient satisfaction is not related to response time. 5 seconds and 5 minutes are the same.
Patient satisfaction is dependent on how you respond to their request.
![Page 19: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/19.jpg)
Help out your team
Answer a light for your neighborTell the patient that you’ll get the nurse.
Make the pump stop beepingPatients hate that beeping pump.
Nurses can answer routine lightsCNAs can answer pain lights
![Page 20: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/20.jpg)
You can answer the call light from your phone.
Press the start button twice
• It may or may not ring – you will be connected to the room speaker, or “open air”.
• Choose which patients can benefit from this• Be careful to disconnect before starting another
private conversation.
![Page 21: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/21.jpg)
• Stick your head in the door• Answer by intercom• Send a message that you’ll be there• Build a good track record through
the day• Apologize for delays
Patients want to know that you will be there for them.
![Page 22: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/22.jpg)
It’s not about answering the light quickly,
Look in on them,
That’s called purposeful rounding.
it’s about being there when your patient needs you.
if they can reach their things.if they hurt,
if they’re comfortable,
ask if they need to use the toilet,
![Page 23: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/23.jpg)
“Rather than adding to the nurse's workload, rounding takes less time than answering call lights and dealing with repeated requests.”
Ring for the Nurse! Improving Call Light Management Medscape Education (2008). Downloaded from http://www.medscape.org/viewarticle/570242_2 on 12/16/2012.
![Page 24: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/24.jpg)
Purposeful rounding works
Not because it’s required -
But because it’s the right thing to do.
![Page 25: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/25.jpg)
Question:
How many of our patients get help to the bathroom as quickly as they want?
![Page 26: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/26.jpg)
About half of them – 52%
RiverBend, 8 Medical HCAHPS (Hospital Consumer Assessment of Healthcare Providers & Systems) report 12/31/12.
![Page 27: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/27.jpg)
Are you willing to look in on your patients at least
once an hour?
![Page 28: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/28.jpg)
Are you willing to answer a call light for
someone else’s patient?
![Page 29: Living with Call Lights](https://reader035.vdocument.in/reader035/viewer/2022070407/568142ea550346895daf4677/html5/thumbnails/29.jpg)
Papers cited here are available at the 8 Medical education web page http://crossroads/SC_8Medical_PHOR/