Through my work as a nurse's aid, it has become apparent that it is the little things that make excellence in patient satisfaction. As an LNA and sophomore BSN nursing student, I keep these tasks close to me when I start a shift, and it certainly pays off.

Making the Patient's Bed

Although some nurses may be tempted to leave this task to a member of the nursing support staff, I urge you not to. Although this task seems menial in nature- to some degree it is- it can make a world of difference to a patient. A tidy bed makes the room appear more orderly, and can really send a message about the facility in which you work. When patients or visitors see an untidy bed, this makes the facility seem to be as disorderly as the crumpled sheets that envelop the mattress. As a patient, a tidy bed can signify that the care facility is a well-ordered one. It even implies that the facility is committed to making the patient as comfortable as possible while they recover. In a world where patient satisfaction is a big factor of the joint commission accreditation, take the extra moment to put the bed back in order.

Opening Shades and Windows per Facility Policy

It is really amazing what a little natural light can do for the human body! Not only does natural light help illuminate the room, but it actually helps the body produce serotonin- the waking "happy" neurotransmitter. You may even find that patients are alert and more receptive to your interventions with a good dose of sunlight. Opening the shades also helps the room feel a little larger, which helps alleviate the feeling of claustrophobia in your patient's room. If hospital policy permits, try opening a window slightly to allow your patient fresh air. Depending on the patient, these small actions can make them feel more at ease.

Providing Back Rubs

Although it is true that not all patients are receptive to touch, therapeutic massages may help lessen stress in your patient. This one can be a tad tricky I admit. Trying tofind the time to do this task can be a challenge, but it can also be extremely rewarding for your patient. Like most things that happen in the hospital, surgery can be an extremely stressful time for your patient. If not contraindicated, a nice back rub can help alleviate muscle tension and stress

Therapeutic Touch

As stated previously, touch is not always a welcomed advance for every patient. I have however found in my work as a nurses aide that the elderly population can be very receptive to things such as hand holding and shoulder rubs. A nurse who simply treats the disease process will not get very far. Holistic care is all you hear about these days, and there is certainly a good reason for it! By treating the patient as an individual with their own unique needs and idiosyncrasies, you show them the humanity that is easily lost in the clinical setting. In a profession where so much is complicated and regimented, don’t be afraid to go back to basics.

Keep an Adequate Supply of Fresh Water Within the Patient's Reach

It goes without saying that hydration is of utmost importance for proper recovery. Water is an essential nutrient that is near impossible to get too much of. In the dry hospital environment, water is a must. This will also save you later from making unnecessary trips for water in the midst of medication administration.

Sometimes it seems that as a profession we are constantly thinking about the big picture. The truth is, the small things always make the difference between adequate and excellence. Take the time to go above and beyond, your patients will not forget your care.