Alarm Management in the NICU - Sarasota Memorial
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Transcript Alarm Management in the NICU - Sarasota Memorial
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 9member Board.
Fully accredited by the Joint
Commission, Received 3rd. Magnet
Designation in 2014,
SMH NICU
2012
Level III
20 Bed unit
2 large open room
layout
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How We Started
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
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
• Alarm’s Nursing
Staff Receive
Brady/High Heart
Rate
High/Lo Pulse Ox
Apnea
Leads Off
Delivery Team
Staff Emergency
Code Blue
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
January 2014
• Alarm’s Nursing
Staff Receive
Brady
Lo Pulse Ox
Apnea
Leads Off
Delivery Team
Staff Emergency
Code Blue
Alarm Report
September 2013
January 2014
• # 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