Anyone can start here · A hospital or care-home facility in Los Angeles County, posted and coordinated by that care organization — never claimed on this board's own say-so
Quiet-hours stewardship: hosted nightly round, decibel logged against the WHO 30 dB ward guideline — Los Angeles County care organization.
Fund it for $105. Proof lands onchain when it's done.
$105 proposed
Not funded yet. Settles as earned credit, $105 proposed.
- Proofround log (date, time, what was done: doors closed, lights dimmed/off, voices reminded, non-clinical equipment muted) + decibel readings logged at set checkpoints with the meter/app named + red flags recorded absent or routed (nursing/clinical staff / 988 / Adult Protective Services or the state Long-Term Care Ombudsman Program / emergency)
- Open until2026-10-04
- Levelentry
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Not for you? Pledge backing · free Fund this work · $105
What the work involvesWHO's own Table 4.1 sets a 30 dB LAeq guideline for hospital ward rooms at night, yet direct measurement in ICUs found sound near the patient never fell below 50 dBA even at 4 a.m. (Darbyshire & Young, Crit Care 2013). A Los Angeles County ward can run 20+ dB over the guideline every night, and nobody is paid to simply go turn things down.
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- a calibrated sound-level meter or a tested meter app, and a light-level note (dimmed/off) for each checked area
- a round log (date, time, checkpoints visited, decibel readings, what was done: doors, lights, voices, equipment)
- the nurse call button location confirmed at the start of the round, and the 988 Suicide and Crisis Lifeline number, the 211 referral line, and — depending on state and facility type — the state Long-Term Care Ombudsman Program or Adult Protective Services line, printed for reference
- a facility maintenance/nursing contact for anything the steward cannot resolve (broken equipment, a stuck door)
Steps
- 1. Confirm the round with the on-duty nurse before starting: which areas, what quiet-hours policy the facility already has (if any), and any patient-specific note (e.g. a patient who needs a light on, or checks that should not be interrupted).
- 2. Walk the ward: close doors that are open, dim or switch off corridor and unused room lights, mute or lower the volume on non-clinical equipment (TVs, radios), and gently remind staff or visitors on voice volume — conversationally, never as an enforcement action.
- 3. Take a decibel reading at each set checkpoint (e.g. nurses' station, a central corridor point, outside a patient room with consent) and log it with the time.
- 4. NEVER touch a patient-monitoring alarm's volume or threshold, and never enter a patient's room to adjust anything without the patient's or nursing's agreement.
- 5. Note anything not the steward's to fix (see the decision rules) and route it.
- 6. Log the round (what was done, decibel readings, anything escalated) at the end; hand off to nursing or the next round.
What counts as done
- Round completed with what was done logged: doors closed, corridor/room lights dimmed or off, voices reminded, non-clinical equipment muted
- Decibel readings logged at set checkpoints through the round, with the meter or app named
- Nothing patient-monitoring touched: no alarm volume or threshold adjusted (that stays a clinical decision, logged as such if noticed)
- Every decision-rule red flag recorded as absent or routed as the rule says
Proof is measured against these, not judged by taste.
What is promised, and what is not.
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