Login
Try for Free
Home
Quiet Time Unit Assessment
Quiet Time Unit Assessment
Copy Link
Created by Qualaris Staff
Inpatient Nursing
Learn more about managing Nursing data with Qualaris
Table of Contents
Audit Form
Audit Form
Quiet Time Unit Assessment
Description
Show More
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Primary source of obvious noise
Select an Option
Quiet Time Unit Assessment Checklist
Mark all as...
Does the Unit have DAILY quiet times designated?
Yes
No
Are quiet times posted and clearly communicated to patients and visitors?
Yes
No
Are quiet times discussed regularly at huddles/staff meetings?
Yes
No
Lights dimmed on the Unit?
Yes
No
Non-emergency overhead pages minimized?
Yes
No
Cell phone noise minimized?
Yes
No
Intercom not used in semi-private rooms?
Yes
No
Telephone ringer in the nursing station turned down?
Yes
No
TVs turned off or headphones in use?
Yes
No
Quiet voices being used by staff?
Yes
No
Headphones or ear buds being used by patients on the unit?
Yes
No
N/A
During hours of sleep rounds, did staff offer earplugs, earbuds or headphones?
Yes
No
N/A
Did staff offer Quiet Pack/Kit?
Yes
No
N/A
'Yacker Tracker' in use?
Yes
No
N/A
Absence of obvious sources of noise on unit?
Yes
No
