Alarm Management in The NICU

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Presentation transcript:

Alarm Management in The NICU

Sarasota Memorial Hospital Located in Sarasota Florida 806 acute care beds; regional medical center founded in 1925 The second largest public hospital in Florida, governed by a 9-member Board. Fully accredited by the Joint Commission, Received 3rd. Magnet Designation in 2014,

Click to edit Master text SMH NICU 2012 Level III 20 Bed unit 2 large open room layout Click to edit Master text Click to ad to text

How We Started “GE” “VOALTE” “Connexall” Select a new Cardio-Respiratory Monitor “GE” Integrate our current communication device “VOALTE” Select the appropriate Middleware “Connexall”

Voalte Communication System Apple I-Phone Able to receive Text Phone Calls both incoming and outgoing Alarm Management (Displayed) Code Alerts received Staff Emergency Delivery Team is needed

SMH NICU 2014

3 bed transition nursery SMH NICU 2014 Level III 33 Private Patient rooms 3 bed transition nursery

Connecting Technology to the Bedside Caregiver and To the Patient

September 2013 Escalation Sequence Alarm’s Nursing Staff Receive GE Monitor alarms After 15 seconds and infant does not “self-resolve” Primary RN receives alarm on Voalte If no action taken in 15 seconds Alarm escalates to Primary RN’s Buddy & RT (If infant on resp. Support) on Voalte If no action taken within 15 more seconds Primary RN and Charge Nurse receive alarm on Voalte Alarm’s Nursing Staff Receive Brady/High Heart Rate High/Lo Pulse Ox Apnea Leads Off Delivery Team Staff Emergency Code Blue

January 2014 Alarm’s Nursing Staff Receive Brady Lo Pulse Ox Apnea Leads Off Delivery Team Staff Emergency Code Blue

September 2013 January 2014 Alarm Report # of beds equipped with alarm mgmt. - 10 # of Days- 19 Total Activations- 23,810 Total time- 172:40:20 Primary Nurse- 13,776 Escalate to Secondary (Buddy) - 850 Escalate to Primary & Charge- 9184 # of beds equipped with alarm mgmt. - 31 # of Days- 31 Total Activations- 38,981 Total time- 286:56:05 Primary Nurse- 38,035 Escalate to Secondary (Buddy) - 527 Escalate to Primary & Charge- 419

Concerns/Issues/Solutions Too Many Alarms -Alarm Fatigue New Leads Trialed GE Monitor Software Recall Staff Provided Feedback Staff Leary Of Trusting Technology Collaborated With Similar Health Care Organization Connectivity Issues Appropriate Alarm Notification (Sound)

Opportunities for Improvement Software Update Decrease Alarms and Alarm Fatigue Reevaluate our Current Alarm Parameters Ensure Patient Safety

Thank you