Effect of a Nurse-Managed Telemetry Discontinuation Protocol on Monitoring Duration, Alarm Frequency, and Adverse Patient Events. Issue 2 (April 2017)

• Record Type: Journal Article
• Authors: Perrin, Keisha; Ernst, Neysa; Nelson, Terry; Sawyer, Melinda; Pfoh, Elizabeth; Cvach, Maria
• Is Part Of: Journal of nursing care quality. Volume 32:Issue 2(2017)
• Publication Date: 2017-04
• Subjects: alarm fatigue -- alarms -- cardiac monitoring -- physiologic monitoring -- telemetry -- telemetry discontinuation protocol; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000230
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Telemetry monitoring is a limited resource. This quality improvement project describes a nurse-managed telemetry discontinuation protocol aimed at stopping telemetry monitoring when it is no longer indicated. After implementing the protocol, data were collected for 6 months and compared with a preintervention time frame. There was a mean decrease in telemetry monitor usage and a decreased likelihood of remaining on a telemetry monitor until discharge. A nurse-managed telemetry discontinuation protocol was effective in decreasing overmonitoring and ensuring telemetry availability. Abstract : Supplemental Digital Content is Available in the Text.