Alarm Fatigue- peds specific


I'm working on an Alarm Fatigue group at my large hospital. I am the only rep from the peds side of things- and so much of the adult evidence is not applicable, given our unique patient diversity.

I've tried a lit search, but am coming up empty for the most part. Any of you working on this from a peds point of view? What have you found? Can you point me to ANY specific resources I can use for this?

Esme12, ASN, BSN, RN

4 Articles; 20,908 Posts

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience.

Wow peds specific....I'll look for you and check with some friends at the big children's centers I'll also check with a couple of pedi members here.

Lots of alarms in Peds I would think it is worse....I'll look

Specializes in NICU, ICU, PICU, Academia. Has 46 years experience.

The difficult things for us is this: A newborn's alarm low limit is generally 120. A 17 year old hulking football player, 40.

A newborn hypoplastic left heart low sat limit is 65, hulking football player, 92.

EVERYTHING must be customized, and the variation is enormous.

NicuGal, MSN, RN

2,743 Posts

Specializes in NICU, PICU, PACU. Has 30 years experience.

Our sat limits are set 88-93% for our low birth weight preemies to save their eyes from harm. Those alarms make us crazy... Wean oxygen 1% sat too low, increase by 1%, sat too high. All day we hear this... And we do get start to get immune to the sound after 8 hours. Six monitors constantly alarming is enough to make you scream.

Specializes in ICU.

This isn't peds-specific, but allowing the nurses to customize the monitor alarms limits alarm fatigue, period. I had a lot less problems with alarms when I worked somewhere that alarms were nursing-regulated. Now that we have to have a physician's order in the chart to adjust alarm parameters, it's different. So, for the love of all that's holy, don't implement only changing parameters based on physician orders. It's a nightmare.