Sept. 20, 2020
|Week of Sept. 14, 2020||https://respiratory.blog/week-of-sept-14-2020/|
|Patient Experience in Patient Care||https://respiratory.blog/sept182020/|
|The Forgotten Piece||https://respiratory.blog/sept152020/|
|Anxious Coming To The Hospital||https://respiratory.blog/sept142020/|
|Look after yourself||https://respiratory.blog/sept112020/|
Sept. 20, 2020
In my opinion, patient care and patient experience are closely intertwined, especially in highly structured, organized and timed clinical settings such as Pulmonary Function Testing (PFT) labs. I must emphasize that even at PFT labs, patient-focused care is still at the core.
There are a few simple ways that I try to improve the patient experience at the lab.
What are some of the ways that you optimize customer service in your patient care?
Sept. 18 2020
From the conversations initiated by yesterday’s post, a few points came to surface. If you want to check out yesterday’s post, click on the following link: https://respiratory.blog/sept152020/
Firstly, we do many things to keep our equipment and clothing clean that we don’t even realize. For example, we use pens all the time and we tend to subconsciously clean them between patients rooms but not even realize it.
Secondly, there are always little and simple steps and hacks that we can adopt to help us along the way. For example, when I was deployed to the ICU, some of my responsibilities, besides patient care, included the preparation and cleaning of some equipment. Here is one simple trick: put a few cleaning wipes in a sample bag and place it beside the intubation kit/glidescope, or even inside/outside of the “procedure” room. This way, the bag is ready to go, and by closing the sample bag, the wipes will not dry out. I recall the number of times I had walked in the isolation room and I use the LAST cleaning wipe in the container! By taking the required items with me, life became more efficient and safe.
Here is an example for the PFT lab setting: I have left a little marker on the countertop so I can easily identify the ‘clean’ and ‘dirt’y side. After using the equipment I put them on the dirty side and that way I don’t have to ever doubt if the item has been wiped clean or not. I have noticed that patients also feel more comfortable and safe knowing that there is a clear cleaning system in place. Yes, a very simple step but on a busy day, it can go a long way.
What are some of the easy step, systems, or tricks that have helped you along the way?
Sept. 16, 2020
When I think about my routines… Hands are washed frequently throughout the shift. Gloves are thrown out. Gowns are deposited in the basket. Scrubs are returned to the scrubs-unit. The shield is returned to the soiled utility room. “Hospital” shoes are changed and left in the locker room. The rest of the clothing is changed and washed at home. Cellphone screen is wiped clean. One item that I tend to forget about is the lanyard! I need to remind myself to wash the lanyard more frequently. This started a whole list of questions…
How often you wash your lanyard? How frequently do wipe the outside of your bags, including the lunch bag? Any other items I have forgotten about?
September 15th 2020
“I am surprised you are doing breathing tests!”
“Is it safe to do this test?”
“It must be very difficult for you to work at this time!”
“Is this clean?”
“Do you reprocess those?”
Roughly once a week, I have a patient who has shown up for their pulmonary function testing (PFT) despite their anxiety about being inside a hospital. They tend to register early in the hospital however won’t come to the waiting area until a minute or two before the required time. They also prefer to stand as they don’t want to sit in a ‘hospital’ chair.
When I guide them to the PFT lab, they seem anxious and need to ask a few questions before they are comfortable enough to do the test.
I know that I wouldn’t be able to start the test until they have the answers and they feel okay to start. Also, it is more difficult to establish rapport with someone who is tense. Performance, accuracy and reproducibility of values are also greatly influenced by an anxious mindset. What I have tried to do is listen and answer as many of their questions as possible. I spend a few minutes talking about the transition of our hospital’s PFT lab, which includes how our hospital shut down the lab until the local rates were low. I also explain that the hospital actively books fewer tests per day so waiting areas don’t get busy and that there would be more time between the tests for cleaning. Inside the body box and all the surfaces that people have touched or been near have been wiped with appropriate solutions. Mouthpieces are not reprocessed and are tossed out after each use.
I understand that we all get busy with our schedules and there is always lots to do. But we need to put in the time and effort to slow down and to actively listen. It is important to not take things personally. The patient is not questioning your care and ability to clean. They are worried about their health and need honest answers and reassurance. Although we spend a lot of time cleaning, the patient doesn’t see that.
I really hope that ordering physicians and clinicians take the time to explain the test, the reasoning, the cleaning process that hospitals and labs perform, and to answer any questions the patients may have. If the ordering clinician is unsure or unfamiliar, I strongly recommend that they contact the PFT labs for more information. I would be more than happy to have clinicians visit the lab so they better understand the process.
What are your thoughts? What steps do you take to make your patients feel more at ease?
Sept. 14, 2020