NURS 498LWest Coast University Integration of Nursing Practices Discussion

NURS 498LWest Coast University Integration of Nursing Practices Discussion NURS 498LWest Coast University Integration of Nursing Practices Discussion I have paper judst need to rephrase it keep the same references and concept I will attached the file ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS knowledge_assignment_alarm__ 1 Knowledge Assignment: Alarm Fatigue Lena Hiyrik West Coast University NURS 498L Integration of Nursing Practices 202011FAII 27 Professor David Osipov December 1, 2020 2 Knowledge Assignment: Alarm Fatigue With technology development, which is incorporated in healthcare, many devices’ alarms sound is becoming an issue to healthcare members, especially nurses. Clinical alarms are meant to grab the medical staff’s attention when something wrong is going on, or the patient’s condition worsens. However, too many alarms are causing a new hazard problem. According to previous studies, there were no more than six types of alarms from one critically ill patient in 1983; however, there were at least 40 types of clinical alarms in 2011(Cho et al., 2016). The constant sounds of alarms and noises from blood pressure machines, ventilators, and heart monitors causes a “tuning out” of the sounds due to the brain adjusting to stimulation. This issue is present in hospitals, home care providers, nursing homes, and other medical facilities. The Joint Commission’s sentinel event reports 80 alarm-related deaths and 13 alarm-related serious injuries over the course of a few years (The Joint Commission, 2013). The large number of alarms, especially false alarms, has led to several unintended outcomes. NURS 498LWest Coast University Integration of Nursing Practices Discussion Some consequences are a disruption in patient care, desensitization to alarms, anxiety in hospital staff and patients, sleep deprivation and depressed immune systems, misuse of monitor equipment, and missed critical events. One solution to this issue for the organizational level could be to use centralized alarms. In this approach, alarms do not fire at the bedside but fire at a central monitoring station where a trained healthcare provider for every unit evaluates each alarm and alerts the bedside clinician to intervene or evaluate the patient. As far as unit level, one strategy could help change alarm sounds to be softer and friendlier to improve the identification of alarms by sound alone. This could help nurses by alleviating the fatigue of hearing the same loud noises every time. Another strategy that could help individual caregivers is adjusting the parameters and delaying the alarms to match the patient’s traits and status according to their medical condition. 3 References Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses. Healthcare informatics research, 22(1), 46–53. https://doi.org/10.4258/hir.2016.22.1.46 The Joint Commission. (2013). Sentinel Event Alert Issue 50: Medical device alarm safety in hospitals. Retrieved from https://www.jointcommission.org/-/media/deprecatedunorganized/importedassets/jcr/assets/sea_50_alarms_4_5_13_final1pdf.pdf?db=web&hash=5E82688C2EB0B 3039476443B834CCF10 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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NURS 498LWest Coast University Integration of Nursing Practices Discussion

NURS 498LWest Coast University Integration of Nursing Practices Discussion NURS 498LWest Coast University Integration of Nursing Practices Discussion I have paper judst need to rephrase it keep the same references and concept I will attached the file ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS knowledge_assignment_alarm__ 1 Knowledge Assignment: Alarm Fatigue Lena Hiyrik West Coast University NURS 498L Integration of Nursing Practices 202011FAII 27 Professor David Osipov December 1, 2020 2 Knowledge Assignment: Alarm Fatigue With technology development, which is incorporated in healthcare, many devices’ alarms sound is becoming an issue to healthcare members, especially nurses. Clinical alarms are meant to grab the medical staff’s attention when something wrong is going on, or the patient’s condition worsens. However, too many alarms are causing a new hazard problem. According to previous studies, there were no more than six types of alarms from one critically ill patient in 1983; however, there were at least 40 types of clinical alarms in 2011(Cho et al., 2016). The constant sounds of alarms and noises from blood pressure machines, ventilators, and heart monitors causes a “tuning out” of the sounds due to the brain adjusting to stimulation. This issue is present in hospitals, home care providers, nursing homes, and other medical facilities. The Joint Commission’s sentinel event reports 80 alarm-related deaths and 13 alarm-related serious injuries over the course of a few years (The Joint Commission, 2013). The large number of alarms, especially false alarms, has led to several unintended outcomes. NURS 498LWest Coast University Integration of Nursing Practices Discussion Some consequences are a disruption in patient care, desensitization to alarms, anxiety in hospital staff and patients, sleep deprivation and depressed immune systems, misuse of monitor equipment, and missed critical events. One solution to this issue for the organizational level could be to use centralized alarms. In this approach, alarms do not fire at the bedside but fire at a central monitoring station where a trained healthcare provider for every unit evaluates each alarm and alerts the bedside clinician to intervene or evaluate the patient. As far as unit level, one strategy could help change alarm sounds to be softer and friendlier to improve the identification of alarms by sound alone. This could help nurses by alleviating the fatigue of hearing the same loud noises every time. Another strategy that could help individual caregivers is adjusting the parameters and delaying the alarms to match the patient’s traits and status according to their medical condition. 3 References Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses. Healthcare informatics research, 22(1), 46–53. https://doi.org/10.4258/hir.2016.22.1.46 The Joint Commission. (2013). Sentinel Event Alert Issue 50: Medical device alarm safety in hospitals. Retrieved from https://www.jointcommission.org/-/media/deprecatedunorganized/importedassets/jcr/assets/sea_50_alarms_4_5_13_final1pdf.pdf?db=web&hash=5E82688C2EB0B 3039476443B834CCF10 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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