Visitor silencing neighboring alarms

Nurses Safety

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I had patient B, another nurse had patient A. Our tech sucks so I answered a call light (as she sat there doing nothing) that had been going off for 10 minutes. When I go in patient B's visitor tells me patient A's IV pump alarm was going off so she silenced it. I told her not to do it again and checked on patient A. He was very upset, asking if she was authorized to touch pumps, did she do anything she shouldn't have. I assured him no harm came from touching her pump.

15 minutes later he called saying how uncomfortable he was, wanted his wife called. We ended up calling security, patient A was moved to a private room, doctors called, and the visitor was asked to leave and banned for the night. I even had to write a statement.

The next day the visitor told the RN that she was sorry and she didn't mean any harm. She has "medical training" which is never good. They always think they know best.

I at first didn't think it was a big deal but I do get that there are a lot of what ifs. What if she turned it off instead of silencing it, what if it was a critical drip, and so on.

Have you ever seen anything like this?

Specializes in Managed Care, Onc/Neph, Home Health.

Seems to me if an IV pump keep going off registering "occulusion", which many do, means THE SITE NEEDS TO BE CHANGED. The IV cath is bad, the tubing is no good, its been taped in all "witcha way" its just in a bad place. Many nurses just need to investigate the problem, instead of just shutting off the alarm. I have seen many walk in and just hit the button, without even seeing what the problem is. Get to the root of the problem already. Nobody want to just take the time. Yeah it may set you back, but thats nursing. I have hit the button on many occasions when my folx were in the hospital, many times the iv is down to KVO, and just need a new bag. I call the desk, and tell them...Do they bring a new bag?.....NOOOOOOOOOOO! THEN THEY LOSE A VEIN ANYWAY.....:banghead:

This is another nail in the coffin for the idea of semi-private rooms. When I was a patient at a fine Boston hospital, there were times when I felt endangered by my roommates huge family that visited at all hours (visiting hours were more a suggestion than a rule), and once, by the other patient himself — the one with sleep apnea, who would periodically step out for smoking breaks.

Specializes in PACU, pre/postoperative, ortho.

So happy my floor has private rooms!

On a side note, earlier this summer my mother was hospitalized (not my facility) & I happened to be there when her fluids were running low. The alarm went off & we used the call light. A CNA came in, silenced it, & added more volume to be infused! I was completely shocked. The alarm went off again & a 2nd CNA silenced it. A third time, the 1st CNA silenced it again, adding a little more volume. CNAs are written up for that type of thing where I work. I don't have as much issue with it being silenced once as long as the RN follows up to check it, but no one but the nurse should be adjusting the settings!

Specializes in Pediatric Cardiology.
Should she have been banned after removing the pt from the room? I don't think that was necessary, but you were upset.

It was out of my hands. The nurse supervisor and security was involved at this point.

Specializes in Pediatric Cardiology.
If the pump was locked, the visitor wouldn't have been able to do anything to it...including silence it. At least, those are the pump locks I'm familiar with: NOTHING works on the front; hitting the silence button does nothing to silence the alarm. And actually, if someone attempts to change the settings while in "lock" mode, an alarm DOES sound.

How was it your patient's pump was locked and yet it could still be silenced?

Our pumps can be silenced but that's it while in lock mode. We need pumps like your facility.

Specializes in Pediatric Cardiology.
I have and it's infuriating....not only pump alarms but bed alarms. A visitor at a place I used to work shut of a bed alarm on the other patient's bed. This other patient was an extremely high fall risk bit instead of calling for staff she shut the alarm off because (and I quote) "it's and annoying noise and it was bothering my mother" With the supervisor behin me I informed her (after I just happened on my rounds and found Tue woman in the other bed almost on the floor) in NO uncertain terms that she had NO business silencing an alarm of any kind, that she should summon staff in the future and that my nurse's note would reflect that she had stated that she silenced the alarm because it was "annoying" so that the family would know wher to look for liability if their family member fell before we could get to her. She never touched am alarm again AND later in the evening the visitor's mother told me that it wasn't her that was bothered it was her daughter and she had tried to call us and told her daughter not to touch it but she didn't listen. It happens unfortunately and you just have to be diligent in your rounds and keeping ane eye on your patients...oh and GET THAT TECH FIRED if she is that useless....good luck

We are working on it haha. She's in nursing school and will give all the advice in the world, girl loves to talk but ask her to do her job. OMG. I am not the only one that notices, I don't think she'll be there too much longer.

Oh and to the PP who mentioned 10 minutes is too long for an alarm to be going off, I agree that's why I answered the call light despite being busy myself.

Specializes in LTC,Hospice/palliative care,acute care.
Flame me if you want, but if I were visiting my child or spouse in the hospital and their roommate's IV pump was alarming *for 10 minutes*, I would silence it too. Especially when there's a little button that says "silence" so clearly marked. Imo, 10 minutes is WAY too long for a call to be left unanswered and for an alarm to be sounding.
Wow-even if you have NO idea what could be going on with the rest of the floor? I think tampering with someone's medical equipment should be a police matter.

I have cared for a resident who was sexually assaulted by another resident's visiting family member,have had to Heimlich a resident after another resident's visiting family member gave her an innapropriate snack and cared for a resident whose roomate cut his feeding tube with scissors (staff didn't get there fast enough when the pump "beeped") he had to go the the hospital for a replacement. In all of these cases management failed (IMHO) to protect the resident. What has to happen before this kind of thing is taken seriously.

Specializes in school nursing, ortho, trauma.

We've probably all been visiting a family member and been tempted to silence their beeping iv or pca. I will admit to silencing my mother-in-law's pump once while waiting for the nurse to return with a new bag of fluids (the nurse had already been in, checked it and must have gotten momentarily side tracked. MIL was anxious and the beeping wan't helping). but never never never would i dream of touching another patient's pump.

I don't even like to touch them when i am working my adn job - i don't know anything about the patients on the units usually.

The OP's scenario was handled appropriately and hopefully that visitor with "medical training" learned a lesson that day.

God, can you imagine being a patient and your roomie's visitor messes with your pump?! That had to be scary for the patient, especially if the patient didn't have "medical training"

Well I had a youngish woman patient who had a central line and when she decided to get up to use the bathroom she would disconnect the line! So it did not alarm as the pump thought it was still infusing into the patient but it was infusing into the bed or wherever she left it. Then she would come back and just plug her self back up. I told her she could NOT do that and her answer was "at the other hospital they let me".

that sounds familiar

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Flame me if you want, but if I were visiting my child or spouse in the hospital and their roommate's IV pump was alarming *for 10 minutes*, I would silence it too. Especially when there's a little button that says "silence" so clearly marked. Imo, 10 minutes is WAY too long for a call to be left unanswered and for an alarm to be sounding.

I sincerely hope you're just spouting off, because if you really INTEND to interfere with another patient's alarms, you're seriously in the wrong. Ten minutes really isn't that long if one of the patients on the other end of the hall just fell and everyone is in there trying to get him up, or if someone is trying to die. Especially if the IV that's alarming isn't a vasoactive drip.

Ok, I'm spouting. Lol. I wouldn't really mess with the pump, but I would raise hell. 10 mins of alarming (barring any emergency on the unit) is unacceptable and I applaud the OP for answering the call light.

I was also trying to point out that for non-medical professionals, being in a frustrating situation (imagine a child who just went to sleep and waking up bc of the alarm) I would probably push the "silence" button. I know better because of my training, but the average person doesn't. All they know is the alarm is bothering their loved one and there's that tempting "silence" button. I understand how it happens. And I don't blame the patient's visitor (who probably didn't know better), I blame the system for not being able to answer alarms in a timely manner. What's the visitor supposed to think if an alarm goes off for 10 minutes and no one comes other than it's not important? 10 mins is a LONG time if you're stuck in the room with the alarm.

I can only speak from the visitor/patient prospective atm....Those alarms do get annoying but I would never touch anything. When you are in a medical facility it is just expect that you will hear things such as alarms. Some people are so arrogant. I'm glad it wasn't anything fatal. I would have been so dumbfounded when she told me she silenced the alarm. I don't know how you stopped your eyes from jumping out of your head. I guess it comes with experience.

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