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Alarm Management in The NICU

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 .

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Alarm Management in The NICU

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  1. Alarm Management in The NICU

  2. 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,

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

  4. How We Started

  5. 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

  6. SMH NICU 2014

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

  8. Connecting Technology to the Bedside Caregiver and To the Patient

  9. September 2013 • Escalation Sequence • 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

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

  11. Alarm Report September 2013 January 2014 # 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 • # 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

  12. 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)

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

  14. Thank you

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