Published Mar 24, 2014
bsn-bridge-student
3 Posts
I am working on the final project of my RN-BSN bridge program. If you are a hospital nurse who regularly has patients on cardiac telemetry and pulse-oximetry monitors, would you be willing to do me a huge favor by completing a short anonymous 10-question survey? Thank you so much! Feedback on this thread is also welcome. I am working with my hospital to develop clinical alarm management practices that will reduce the risks of alarm fatigue. I'll post survey results on this thread in case you're interested.
Here is the survey link:
https://www.surveymonkey.com/s/CBFXPHK
A definition of alarm fatigue from Ulrich (2013):
Alarm fatigue occurs when nurses or other caregivers, overloaded by being exposed to an excessive number of alarms, become desensitized or immune to the alarms. As a result, the response to alarms can be delayed, alarm limits may be adjusted outside the limits that are safe, and the alarms may be muted or turned off altogether - all of which can create an unsafe situation for the patient.
Ulrich, B. (2013). Alarm fatigue: A growing problem. Nephrology Nursing Journal, 40(4): 293, 346.
Christy1019, ASN, RN
879 Posts
Consider it done. I'm a huge proponent of preventing alarm fatigue, good subject!!
scifispam
117 Posts
Done!
emtb2rn, BSN, RN, EMT-B
2,942 Posts
Done.
chare
4,322 Posts
TU RN, DNP, CRNA
461 Posts
Excellent topic, consider it done!
blondy2061h, MSN, RN
1 Article; 4,094 Posts
Good survey! I'd say alarm fatigue is a huge problem on my unit. I try to adjust my alarm limits so that they're not always going off, but I find a lot of nurses don't, and some don't even know how. When I've offered to help adjust alarm limits to limit alarms, I'm often met with resistance. On the flip side, I once had a nurse turn off alarms on my patient without asking my permission.
sandyfeet
413 Posts
Done! You may want to add to your data the department of the nurses who took this survey; some of your questions I answered "daily" because I get new patients every day being in the ED. Someone who has the same patient for 12 hours straight would answer that question differently.
I think a large problem is family pressing silent on the monitors--then I may have no idea that a patient is alarming unless I am physically looking at their monitor. Usually if I hear someone else's room alarming, I will walk in and adjust/retake a BP/etc, and then tell the nurse. IE: "Room 24's BP was 88/56 but when I took it again it was 94/72", " I adjusted the ST alarms in Room 30 for you", etc.
Anona-mouse
18 Posts
Myrtle1061RN, BSN
22 Posts
Done! Good luck!
Thanks everyone!! I'm getting lots of great feedback. I'll be sure to share the results when I'm done :)
Stcroix, ASN, PhD, RN
450 Posts
Great idea and topic, glad to participate