ACCOUNTABILITY AND AUTONOMY
B2/J7’s Alarm Management Project
Alarm fatigue is a well-known patient safety issue. If alarms are disabled, silenced, or ignored due to burnout from alarm frequency, patients are at risk for delay of identification and treatment.
Two RNs on B2/J7’s medical cardiac monitored unit, Daisy Mark and Annette Haynes, exemplified exceptional professional practice and identified this urgent patient safety issue. They then developed a quality improvement project to enhance recognition and response to alarms. Based on the principles of nursing autonomy and working within the full scope of nursing practice, B2’s staff completed a questionnaire about how comfortable they were with adjusting alarm settings to individualized patient’s needs with MD approval. The survey also asked questions about personal response time to alarms.
After the questionnaire, the project team was able to analyze the data they received and create an action plan for nursing education. Staff were re-educated with an emphasis on adjusting alarms based on patient’s unique needs and hospital guidelines. Throughout this project, B2’s nurses, their CNS, and the unit’s SLC were involved and case scenario discussions were created to further increase nurses’ understanding.
This quality improvement project was proudly presented at HealthcareCon 2019.
Fground’s Initiation of a Hematology/Oncology Care Cart
Action Request Form
Action Request Forms (ARF) highlight Stanford nursing’s ability to shape their work environment and proactively develop their clinical culture. ARFs can be submitted by any RN to spark innovative change or new evidence-based practices. In 2019 SHC had 244 ARFs submitted on the upgraded ARF platform, allowing for ease of submission. ARFs are submitted through the Shared Leadership Councils and are often managed on unit-based councils. Of the submitted ARFs, in 2019 only 4% escalated to the house-wide level, showcasing nursing’s autonomy of practice and ability to collaborate across the network of SHC.