2.50
Hdl Handle:
http://hdl.handle.net/10755/335568
Category:
Abstract
Type:
Presentation
Title:
Improving Alarm Profile Notifications and Responses
Author(s):
Wilson, Linda; Kane, Helen S.
Lead Author STTI Affiliation:
Nu Eta
Author Details:
Linda Wilson, RN, PhD, CPAN, CAPA, BC, CNE, CHSE, lbw25@drexel.edu; Helen S. Kane, RN, MSN, MBA, CCRN
Abstract:
Session presented on Sunday, July 27, 2014: Improving Alarm Profile Notifications and Responses. Background: The Joint Commission published a sentinel event alert in April 2013 related to alarm safety in hospitals. The Joint Commission report included 98 reported events and 80 patient deaths. The majority of these events and deaths occurred in telemetry units, intensive care units and emergency departments. The American Association of Critical Care Nurses (AACN) published a practice alert related to nurse expected practices with cardiac monitored patients. The AACN expected practices for nurses working with cardiac monitored patients include the following: 1) provide proper skin preparation for ECG electrodes; 2) change ECG electrodes daily; 3) customize alarm parameters and levels on ECG monitors; and 4) establish interprofessional teams to address issues related to alarms. Problem statement: There are multiple undesired effects for the nurses and technicians in the new process. There are many nuisance alarms (leads off; leads off & can see ECG complex; battery needs change). Alarm Profile Notifications and responses are not consistently followed. Project objective: The project objective is to increase the adherence to the Alarm Profile Notifications and responses as described in the Standard Operating Procedures for telemetry monitoring. Countermeasures implemented: The clinical nurse specialist coordinated a meeting with the nurses and technicians who work on the telemetry units. The telemetry monitor company representative also met with the nurses and technicians from the telemetry units. Focus groups were conducted to identify the perceived issues of the nurses and technicians. New practices were implemented on the telemetry units including the following: 1) all telemetry pack electrodes changed on the night shift every 24 hours; and 2) all telemetry pack batteries changed on the day shift. Education was provided to the nurses and technicians on the updated Alarm Profile Notifications in the Standard Operating Procedures. Data collection processes and content were revised to improve the ongoing data collection monitoring process. Results: Improved processes and responses to the alarm profile notifications. Data collection is ongoing to ensure adherence to the Alarm Profile Notifications and responses as described in the Standard Operating Procedures for telemetry monitoring.
Keywords:
Alarm Profile Notifications; Telemetry monitoring; Response to Alarms
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImproving Alarm Profile Notifications and Responsesen_GB
dc.contributor.authorWilson, Lindaen_GB
dc.contributor.authorKane, Helen S.en_GB
dc.contributor.departmentNu Etaen_GB
dc.author.detailsLinda Wilson, RN, PhD, CPAN, CAPA, BC, CNE, CHSE, lbw25@drexel.edu; Helen S. Kane, RN, MSN, MBA, CCRNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335568-
dc.description.abstractSession presented on Sunday, July 27, 2014: Improving Alarm Profile Notifications and Responses. Background: The Joint Commission published a sentinel event alert in April 2013 related to alarm safety in hospitals. The Joint Commission report included 98 reported events and 80 patient deaths. The majority of these events and deaths occurred in telemetry units, intensive care units and emergency departments. The American Association of Critical Care Nurses (AACN) published a practice alert related to nurse expected practices with cardiac monitored patients. The AACN expected practices for nurses working with cardiac monitored patients include the following: 1) provide proper skin preparation for ECG electrodes; 2) change ECG electrodes daily; 3) customize alarm parameters and levels on ECG monitors; and 4) establish interprofessional teams to address issues related to alarms. Problem statement: There are multiple undesired effects for the nurses and technicians in the new process. There are many nuisance alarms (leads off; leads off & can see ECG complex; battery needs change). Alarm Profile Notifications and responses are not consistently followed. Project objective: The project objective is to increase the adherence to the Alarm Profile Notifications and responses as described in the Standard Operating Procedures for telemetry monitoring. Countermeasures implemented: The clinical nurse specialist coordinated a meeting with the nurses and technicians who work on the telemetry units. The telemetry monitor company representative also met with the nurses and technicians from the telemetry units. Focus groups were conducted to identify the perceived issues of the nurses and technicians. New practices were implemented on the telemetry units including the following: 1) all telemetry pack electrodes changed on the night shift every 24 hours; and 2) all telemetry pack batteries changed on the day shift. Education was provided to the nurses and technicians on the updated Alarm Profile Notifications in the Standard Operating Procedures. Data collection processes and content were revised to improve the ongoing data collection monitoring process. Results: Improved processes and responses to the alarm profile notifications. Data collection is ongoing to ensure adherence to the Alarm Profile Notifications and responses as described in the Standard Operating Procedures for telemetry monitoring.en_GB
dc.subjectAlarm Profile Notificationsen_GB
dc.subjectTelemetry monitoringen_GB
dc.subjectResponse to Alarmsen_GB
dc.date.available2014-11-17T13:55:04Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:55:04Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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