No Pass Zone: Call Light Response and Interdisciplinary Teamwork
Dr. Vicki Voskuil, PhD, RN, CPNP, Nursing, Jeannette Pollatz, MSN, RN, Nurse Educator/CPM Coordinator Spectrum Zeeland Hospital
The No Pass Zone is a nursing intervention that focuses on patient call light use and nurse responsiveness to call lights, which affects patients’ safety and satisfaction. When a call light is activated, all staff should appropriately respond. The aims of the study examined what professions passed call lights and if more call lights were passed in the morning versus night shift. Ida Jean Orlando’s process discipline theory explains that the role of the nurse is to find out and meet the patient’s immediate needs for help. The No Pass Zone tool was used to record observations. A convenience sample of 59 call lights was observed at a community hospital in West Michigan. Descriptive statistics and a chi-square test were analyzed using IBM SPSS Version 22. Results showed that of the 20 call lights that were passed, 8 call lights were passed by more than one type of personnel. Nursing techs had the highest number of passed call lights. The chi square analysis showed that significantly more call lights were passed during the night shift versus the morning shift (p=0.02). Limitations include the potential for data collectors to influence staff behavior, small sample of call lights observed, and convenience sample of call lights. These results demonstrate that multiple personnel are passing activated call lights suggesting that the No Pass Zone might may serve as an interprofessional intervention to decrease response times and increase patient safety. Also, The No Pass Zone intervention could be emphasized on the night shift because of the increase in passed call lights, which can indicate a higher risk for falls. Implications include educating non-medical personnel how to respond to call lights, promoting good communication among the interdisciplinary team, and increasing patient satisfaction and safety.
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