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A Learning  Module 1 Clinical Alarm Systems A Learning  Module 1 Clinical Alarm Systems

A Learning Module 1 Clinical Alarm Systems - PowerPoint Presentation

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A Learning Module 1 Clinical Alarm Systems - PPT Presentation

NPSG Goal 6 2 Purpose To e nsure there is a process for safe medical device alarm management and response in high risk areas Objective After reviewing the module the staff will be able to identify medical devices that are high priority clinical risk alarms and how to re ID: 722647

clinical alarms alarm medical alarms clinical medical alarm risk critical staff patient documentation chsb condition safety care high equipment

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Presentation Transcript

Slide1

A Learning Module

1

Clinical Alarm Systems

- NPSG Goal # 6 -Slide2

2

Purpose:To ensure there is a process for safe medical device alarm management and response in high risk areas.

Objective:After reviewing the module, the staff will be able to identify medical devices that are high priority clinical risk alarms and how to respond appropriately and timely to these alarms.

Purpose and Objective:Slide3

3

Medical DeviceA piece of equipment designated by the Food and Drug Administration (FDA) as a medical device.

High Risk Clinical Alarms Condition A medical condition that is considered life threatening to a patient if actions are not taken

.

Critical Alarms

Alarms on medical equipment are designed to alert staff to the presence of a life-threatening condition.

Definition of Terms:Slide4

4

Non-Critical Alarms Alarms on medical equipment are designed to alert staff to the presence of a non-life

threatening condition. Low Risk:

Non-life threatening need attention and may cause a delay in care.

Moderate Risk:

Potential for harm if the issue causing the alarm is not acted upon.

Definition of Terms:Slide5

5

Critical Areas - continuationHigh risk areas at CHSB are identified

below:Cardiac Catheterization LabPeds Sub Acute

Emergency Department (ED

)

Intensive

Critical Care Unit (ICCU

)

Interventional RadiologyLabor and Delivery

Medical/Surgical Units

Definition of Terms:

Medical/Surgical Units

Neonatal Intensive Care Unit (NICU)

Neurocare

Unit (NCU)

Pediatrics

Perioperative Services

TelemetrySlide6

6

National Patient Safety Goal # 6

- Reduce the harm associated with clinical alarm system -

Clinical alarm systems are intended to alert caregivers of potential patient problems, but if they are not properly managed, they can compromise patient safety.

Alarms are

meant to call the attention of caregivers to patient or device conditions that deviate from “normal status.” They are generally considered to be a key tool in improving the safety of patients

The purpose of ALARM SYSTEM is related to “communication information that requires a response or awareness by the operator.”

Background:Slide7

7

When caregivers rely on alarms, it becomes essential that the alarms perform to their expectations. When alarms do not perform well, patients may not receive the care they need, with potentially serious adverse consequences.

This NPSG focuses on managing clinical alarm systems that have the most direct relationship to patient safety. It is the policy of CHSB to ensure safe operation of all medical devices and the appropriate and timely response to all clinical alarms particularly critical alarms.

Background:Slide8

8

It is the responsibility

of all CHSB staff to ensure the safe operation

of all medical devices and to ensure the appropriate and timely response to all clinical alarms particularly critical alarms.

Staff Responsibility:Slide9

9

Cases Related to Alarms:A family in Boston recently accepted an $850, 000.00 settlement in a case where alarms were defeated, which underscores the tragedy and costs associated with technology hazard.

Recent survey by Healthcare Technology Foundation (2011) one in five respondent hospitals identified an avoidable adverse event due to alarms in the past two years. Review of the FDA Maude database for 2011 for the class of arrhythmia-detecting monitors indicated 550 reported alarm hazards, resulting in 35 deaths.

Implications of Clinical Alarms on Patient CareSlide10

10

Critical alarms on clinical monitoring and intervention systems will be maintained in the “on” position and will be sufficiently audible to the staff

.

Non-critical

alarm parameters will be set either to the default settings established by the manufacturer or as clinically warranted based on the patient’s condition.

Operational functionality of medical device alarms will be checked in according to the manufacturer instructions as part of the equipment’s biomedical preventative maintenance and repair program.

CHSB Policy and Procedure on Clinical AlarmsSlide11

11

Staff training on proper operation of medical devices will include the identification and verification of critical alarms and settings

.

A cross-disciplinary team that includes representation from clinicians, clinical engineering, information technology, and risk management will meet as

needed.

CHSB Policy and Procedure on Clinical AlarmsSlide12

12

Higher Priority Clinical Risk Alarms have been identified as follows:

BiPap

Cardiac Monitor

Fetal Monitors

Hugs

IV Pumps, syringe pumps, PCA

Pulse

Oximetry

Ventilators

High Priority Clinical Risk Alarms:Slide13

13

DocumentationSlide14

14Med/

Surg and Telemetry Documentation

Document all alarms in IView/I&O/Graphs

Under Med

Surg

Flowsheet

Under Section ADL’sSlide15

15Adding Comments with Your Documentation

Adding comments with your documentation can be done by RIGHT Clicking on the section to access the other screen

Document your comments on the screen provided Slide16

16NICU Documentation

Document

all

alarms

in IView/I&O/Graphs

Under NICU Assessment PCM

Under Section Alarm Safety & EquipmentSlide17

17

Appendix:

Staff will be provided with a booklet of the Prioritized High Clinical Risk AlarmsSlide18

18

Sample of Booklet:Slide19

19Sample of Booklet:Slide20

20Sample of Booklet:Slide21

21

Thank You