Noise caused during daily work

Personnel are often unaware of the noise that they create, including private background conversation, laughter, therapy discussion, teaching rounds with students, pagers, and telephones. The patient's circadian rhythms should be respected. A moderate conversation during daytime can be calming and agreeable to the patient. Therapeutic discussions should not be held at the bedside, and teaching rounds with residents and students should be kept brief and preferably out of earshot of the patient. Any new findings can be discussed later in a conference room.

Instrument preparation and equipment checks for new patients can be noisy, as can incoming trolleys carrying supplies of materials ( Hodge and Thompson 1990). All work in the ICU must be analyzed with the aim of reducing noise pollution. If it is too noisy, efforts should be made to minimize the sound ( L§rcherj996).

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