Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
Tsang HS(1), Lui WK(1), Cheung YL(1), Lam KM(1), Ng WY(1), Wong YY(1), Chung YY(1), Mok WY(1), Yick HY(1)
Affiliation :
(1)Department of Medicine and Geriatrics Rehabilitation Block, Tuen Mun Hospital
Introduction :
Hearing loss is a prevalent issue, particularly among the elderly population, with age-related hearing loss, or presbycusis, being a common condition. To address this, hearing aids are widely used to enhance hearing capabilities and improve communication for individuals with hearing impairment. However, the lack of consistent logistics for handling hearing aids in wards often leads to misplacement or loss. This not only disrupts communication between patients and healthcare professionals but also affects the rehabilitation process. It also results in cost inefficiencies, such as high compensation fees for lost or damaged hearing aids. Searching for misplaced hearing aids consumes valuable time for healthcare professionals, diverting their attention from patient care. To overcome these challenges, this project aims to establish a standardized logistics system in wards. By implementing a systematic workflow and providing designated storage solutions, healthcare professionals can ensure that patients with hearing aids receive optimal care and support during their hospitalization.
Objectives :
Established standardized and well-documented workflow for the handling of hearing aids in the ward. Promote effective communication between healthcare professionals and patients by ensuring the availability and proper functioning of hearing aids. Facilitate the active participation of patients in daily rehabilitation activities by providing them with access to functional and well-maintained hearing aids.
Methodology :
Record: Indicate the use of hearing aids on the Patient Assessment and Appointment Record to ensure comprehensive documentation of the patient's assistive device needs. Record the use of hearing aids on the discharge record to ensure accurate information is provided to the patient and future healthcare providers. Storage: Provide a designated storage box for each patient to securely store their hearing aid. Utilize proper labeling on the storage box, using designated labels such as "Right Ear," "Left Ear," or "Amplifier," along with the patient's name label for easy identification. Signage: Display a bedhead signage stating "Please use hearing aid for communication" to remind healthcare workers to utilize the hearing aid when interacting with the patient. Place a table stand with the message "Please use hearing aid for communication" in prominent locations to reinforce the reminder. Checking: Nursing staff should check the location of the hearing aid during every shift to ensure it is properly stored and readily accessible. Record the location of the hearing aid on progress notes using the designated chop, indicating whether it is in the "Right Ear," "Left Ear," or the storage box. Return: Prior to discharge, ensure that the hearing aid is returned to the patient as per the discharge reminder. Record the return of the hearing aid on the progress notes to maintain accurate documentation. Evaluation and Follow-up: Develop evaluation questionnaires for nursing staff, supporting staff, and patients to assess the effectiveness of the logistics system.
Result & Outcome :
The hearing aid logistics system received high agreement and satisfaction from 18 nursing staff and 10 supporting staff. They agreed on patient differentiation, providing hearing aid boxes, clear workflow, ease of use, eye-catching design, and effectiveness in preventing hearing aid loss. Similarly, 11 patients expressed satisfaction, consistently using the box, finding it user-friendly and effective in preventing loss. Most patients would recommend and continue using the system. Loss rate: 0%.
