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