Jeanine Maine, Tyah Haro; Green Valley Hospital, Green Valley, AZ

This project was conducted to reduce the number of nuisance physiological alarms in the intensive care unit within 1 month by following evidence-based policies and procedures for alarm management. The policies address proper techniques for electrode placement and management to decrease poor signals and nurse-driven alarm-limit adjustments according to patient condition.

Baseline alarms were analyzed to determine if they were true, false, or inactionable. Data on physiological alarms were collected from 3 patient rooms over 1 week. The inactionable alarms couplet, bigeminy, and trigeminy produced an audible alarm; these alarms duplicated the premature ventricular contraction limit alarm. Other inactionable alarms based on the patient condition were found to indicate that nursing staff were not customizing alarm limits for patient needs. False alarms were commonly associated with artifact found on electrocardiogram strips. The project...

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