CEASE Bundle to Reduce Alarm Fatigue in Nurses on Cardiac Intensive Care Units

Presenter Information

Kiersten K. SchultzFollow

Advisor(s)

Jamie Hunsicker, RN, DNP

Confirmation

1

Document Type

Poster

Location

ONU McIntosh Center; McIntosh Activities Room

Start Date

21-4-2023 11:00 AM

End Date

21-4-2023 11:50 AM

Abstract

Abstract

Problem:

One piece of technology that is found in every Cardiovascular Intensive Care Unit (CVICU), and contributes to the most alarms, is the cardiac telemetry system. Though this piece of technology is very beneficial, it is very sensitive and generates an abundance of false alarms causing nurses to ignore them which can lead to missed emergent alarms and death.

Aims:

The purpose of this project is to investigate whether CVICU nurses’ level of alarm fatigue decreases in facilities where the CEASE Bundle is implemented.

Methods:

This is a quasi-experimental, mixed-methods study that uses pre-implementation and post-implementation surveys and data reports, following an educational session and CEASE Bundle implementation on a 36-bed CVICU. Researchers investigate the relationship between the CEASE Bundle and the total number of alarms, the duration of alarms, nurses’ perception of alarm fatigue, and the number of adverse effects related to alarms.

Conclusions:

By increasing the knowledge of how and when to use the cardiac telemetry device and implementing measures to ensure accurate readings, the number of “nuisance” alarms decreases, leaving most alarms to be indicative of an important patient condition change. Not only does this improve nursing satisfaction and performance, but it also improves patient outcomes and patient satisfaction.

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Apr 21st, 11:00 AM Apr 21st, 11:50 AM

CEASE Bundle to Reduce Alarm Fatigue in Nurses on Cardiac Intensive Care Units

ONU McIntosh Center; McIntosh Activities Room

Abstract

Problem:

One piece of technology that is found in every Cardiovascular Intensive Care Unit (CVICU), and contributes to the most alarms, is the cardiac telemetry system. Though this piece of technology is very beneficial, it is very sensitive and generates an abundance of false alarms causing nurses to ignore them which can lead to missed emergent alarms and death.

Aims:

The purpose of this project is to investigate whether CVICU nurses’ level of alarm fatigue decreases in facilities where the CEASE Bundle is implemented.

Methods:

This is a quasi-experimental, mixed-methods study that uses pre-implementation and post-implementation surveys and data reports, following an educational session and CEASE Bundle implementation on a 36-bed CVICU. Researchers investigate the relationship between the CEASE Bundle and the total number of alarms, the duration of alarms, nurses’ perception of alarm fatigue, and the number of adverse effects related to alarms.

Conclusions:

By increasing the knowledge of how and when to use the cardiac telemetry device and implementing measures to ensure accurate readings, the number of “nuisance” alarms decreases, leaving most alarms to be indicative of an important patient condition change. Not only does this improve nursing satisfaction and performance, but it also improves patient outcomes and patient satisfaction.