Creating Safety Strategies for Cardiac Monitored Patients: A Multi-System Integrated Approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/153941
Type:
Presentation
Title:
Creating Safety Strategies for Cardiac Monitored Patients: A Multi-System Integrated Approach
Abstract:
Creating Safety Strategies for Cardiac Monitored Patients: A Multi-System Integrated Approach
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Tankel, Nancy, RN, MN, CNN-BC
P.I. Institution Name:Kaiser Permanente
Title:Nurse Executive
Co-Authors:Yolanda Ramirez, RN, MPH
[Evidence-based Practice Session Presentation] Purpose:  The purpose of this project was to take a multi-system approach to develop safety strategies for cardiac monitoring.  An increased demand for telemetry beds for sicker and older patients along with evolving technology with its competing noises and different architectural design caused us to reassess the implications and practice of providing safe telemetry monitoring.  Methods: A group of physicians, nurse managers, front-line staff, and union leaders formed three teams to develop safety strategies for: 1) clinical practice, 2) technical support equipment and 3) staff education with ongoing EKG competencies. After review of the literature and the best practices of our staff nurses, our team designed a collaborative and comprehensive program.  Key elements include standards for alarm settings, daily assessment of patient's need for monitoring, a transportation trip ticket, communication handoffs and EKG competencies and education.  We also designed safe systems to support staff through technology.  IT provided education on new technology and shared how to assess one?s unit to select the best configuration for a safe telemetry system.  Results:  We developed a comprehensive telemetry monitoring safety program that standardizes our delivery of care to telemetry patients across our health care system.  And, all of our medical centers in Southern California are adopting these safety strategies. Future research is needed to evaluate whether one safety practice is more effective than other, i.e., monitor technicians vs. beeper system, or on site telemetry vs. remote telemetry. Conclusion:  Based on current research of this topic and our completed committee work, we strongly recommend that health care systems move telemetry monitoring from a single diagnostic activity to a comprehensive program approach, which is multidisciplinary and collaborative, to best meet the needs of our monitored patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCreating Safety Strategies for Cardiac Monitored Patients: A Multi-System Integrated Approachen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153941-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Creating Safety Strategies for Cardiac Monitored Patients: A Multi-System Integrated Approach</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tankel, Nancy, RN, MN, CNN-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaiser Permanente</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Executive</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Nancy.S.Tankel@kp.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yolanda Ramirez, RN, MPH</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Purpose:&nbsp; The purpose of this project was to take a multi-system approach to develop safety strategies for cardiac monitoring.&nbsp; An increased demand for telemetry beds for sicker and older patients along with evolving technology with its competing noises and different architectural design caused us to reassess the implications and practice of providing safe telemetry monitoring.&nbsp; Methods: A group of physicians, nurse managers, front-line staff, and union leaders formed three teams to develop safety strategies for: 1) clinical practice, 2) technical support equipment and 3) staff education with ongoing EKG competencies. After review of the literature and the best practices of our staff nurses, our team designed a collaborative and comprehensive program. &nbsp;Key elements include standards for alarm settings, daily assessment of patient's need for monitoring, a transportation trip ticket, communication handoffs and EKG competencies and education.&nbsp; We also designed safe systems to support staff through technology.&nbsp; IT provided education on new technology and shared how to assess one?s unit to select the best configuration for a safe telemetry system.&nbsp; Results:&nbsp; We developed a comprehensive telemetry monitoring safety program that standardizes our delivery of care to telemetry patients across our health care system.&nbsp; And, all of our medical centers in Southern California are adopting these safety strategies. Future research is needed to evaluate whether one safety practice is more effective than other, i.e., monitor technicians vs. beeper system, or on site telemetry vs. remote telemetry. Conclusion:&nbsp; Based on current research of this topic and our completed committee work, we strongly recommend that health care systems move telemetry monitoring from a single diagnostic activity to a comprehensive program approach, which is multidisciplinary and collaborative, to best meet the needs of our monitored patients.</td></tr></table>en_GB
dc.date.available2011-10-26T12:37:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:37:38Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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