Bold Voices - August 2013 - (Page 11)

PRACTICE ALERT Alarm Management Expected Practice and Nursing Actions* Provide proper skin preparation for ECG electrodes. (Level B) Scope and Impact of the Problem Alarm fatigue develops when a person is exposed to an excessive number of alarms. This situation can result in sensory overload, which may cause the person to become desensitized to the alarms. Consequently, the response to alarms may be delayed, or alarms may be missed altogether.1 Although studies show it is difficult for humans to differentiate among more than 6 different alarm sounds,2,3 the average number of alarms in an ICU has increased from 6 in 1983 to more than 40 different alarms in 2011.4,5 Patient deaths have been attributed to alarm fatigue.6,7 In addition, 80% to 99% of electrocardiographic (ECG) monitor alarms are false or clinically insignificant.8-13 Several strategies for alarm management have been suggested to reduce alarm fatigue and improve patient safety. wipe the electrode area with a rough washcloth or gauze, and/or use the sandpaper on the electrode to roughen a small area of the skin. the skin. Change ECG electrodes daily. (Level E) Customize alarm parameters and levels on ECG monitors. (Level E) patients. a patient and as the patient’s condition changes. AACN BOLD VOICES AUGUST 2013 11

Table of Contents for the Digital Edition of Bold Voices - August 2013

Bold Voices - August 2013
Another Angle
Seamless Staff Leadership Transition Is Goal of AACN's CEO Search
A Pool of Exceptional Talent
Progressive Care Nurses: A Conference, Las Vegas and CNEs Just for You
Communication Is Critical to Avoid Readmissions
Hospital Deaths Decrease Slightly Over 10 Years
Leapfrog Rates Hospital Safety Performance
Patient Safety Threatened by Insufficient Nurse Staffing, Fatigue
Number of Americans With Dementia, Cost of Care to Double by 2040
Updated HHS Standards Support Improved Cultural and Linguistic Competency
Decrease Noise Levels to Improve Patient Outcomes
Alarm Management (AACN Practice Alert)
Survey Reports High Levels of Burnout, Job Seeking
New HIPAA Rule Seeks to Balance Patients' Privacy Protection
Pet Ownership May Be Heart-Friendly
Hospitals Better at Preventing CLABSIs
Online Program Helps Military Service Members, Veterans Become Nurses
Clot Busters Safe for Patients With Stroke Who Take Aspirin
Updated Stroke Definition Reflects New Knowledge, Advances
In Our Journals
Antibiotics May Relieve Back Pain in Certain Cases
Certification Capsules
AACN Members, Friends Inducted as AANP Fellows
Empowered ED Case Managers
New CCN Resource Expands Reader Access to Nursing Care Studies
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
Nurse Leaders, Aspiring Nurse Leaders: Get Ready for Las Vegas, Sept. 18-20
AACN Scholarships Support Your Learning Journey
What Is Your Wake? (From the President)

Bold Voices - August 2013