Ventilator Alarms in Nursing Informatics
Ventilator Alarms in Nursing Informatics
This is a Master level paper. The professor want us to use the resourses he provided. APA format, in text citation, refernce page and 100% originalNo running head please .
Describe the project to be propose.
Be specific, what kind of project are we proposing?
For example
1. How to improve upon medical alarms system such as
2. IV pumps alarms
3. Ventilator alarms
4. Patient initiated call bells
5. Staff initiated code-alarms
Must be interface with electronic medical record and wireless communication devices for standardization.
Clearly define a project, something we want to invent to promote better nursing care and patient safety. It’s should be a technology. Not nurse ratio due to computer system
Identify the stakeholders impacted by this project.
Who are our stakeholders? You have to mention. Be specific
Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
Identify the technologies required to implement this project and explain why.
Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
SAMPLE ANSWER
Ventilator Alarms in Nursing Informatics
Introduction
Nursing informatics is a revolutionary health discipline that commits to adopting a data intensive approach to population health. By utilizing advances in information technology and computer systems, nursing informatics arms the nurse with tools that enhance her data gathering and processing abilities. This project proposal aims at installing ventilator alarms systems in the respiratory department of my health organization and interfacing the system with electronic medical records. Enhanced decision making from therapists is a key drive for this improvement program. Other discussion topics include the range of stakeholders involved, patient outcomes projected, and the relevant technologies for implementation.
Ventilator Alarms and Nursing Informatics
Project Description
Ventilators are life-critical systems employed by intensive care givers such as emergency care providers to aid patients who are at risk of respiratory failure (Korniewicz & Kenny, 2017). The equipment is comprised of air reservoirs that are pneumatically compressed to deliver a mixture of air and oxygen to the patient. To meet the different patient needs, ventilators can be adjusted to deliver the precise ventilation. Invasive and non-invasive approaches are adopted for different patients (Korniewicz & Kenny, 2017).
Ventilators play a life-saving role by ensuring care nurses are informed of the patient’s progress. This is achieved through a system of alarms that warn of any excesses in inhaled and exhaled volume measurements (Korniewicz & Kenny, 2017). Key alarms considered include: high airway pressure alarms, low airway pressure alarms, low and high rate alarms, high and low expiratory volume alarms, and high and low inspiratory volume alarms (Korniewicz & Kenny, 2017). The magnitude of the different causes that result in these ventilator alarms makes it challenging for intensive care nurses to exactly pinpoint the reasons for the alarms (Korniewicz, Clark & David, 2008). This hinders effective response from the care givers leading to relatively lower patient outcomes (Gazarian, 2014).
Ventilator Alarms in Nursing Informatics
Hence, the approach adopted by this project proposal will involve developing extensive interface networks with the electronic medical records and linking the alarm systems with remote wireless devices (Korniewicz & Kenny, 2017). This program envisions that ventilator alarms are effectively communicated to nurse informaticists and therapists in the respiratory department. In cases where several patients are on ventilation these improved systems will enable faster detection and response from care givers.
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Program Stakeholders
Critical respiratory care patients form the bulk of patients with a direct interest in the program. Long term dependence on ventilators is necessary for patients with conditions such as chronic obtrusive pulmonary disease (Korniewicz & Kenny, 2017). This may call for invasive ventilation methods making the patients a key target of the ventilation enhancement program. Non-invasive methods are also applicable to pulmonary patient who may only require ventilation during rest or sleep. Their reliance on ventilators marks them as a key target group. Ventilators are also necessary equipment to support patient breathing when under anesthesia.
As health reforms are increasingly geared towards a patient centric approach, considering pulmonary patients as key stakeholders’ means that more attention will be directed towards ensuring better outcomes for this patient population group. Ventilation in Intensive Care Units (ICU) is a process with life/death implications hence the need to consider pulmonary patients as vital stakeholders. This helps to channel efforts towards more efficient processes with better patient satisfaction scores.
Respiratory therapy staffs including clinical and nursing personnel form another important group of program stakeholders. This group should particularly be versed with information technology skills that will facilitate their effective handling of ventilators and the integrated alarms systems (Mamta, 2014). Setting the ventilator alarm parameters to suite individual patient needs is a highly technical skill that requires the direct participation of the interprofessional personnel in the quality program.
Patient Outcomes and Efficiencies
An essential component of the ventilator program is the management of the alarm systems. Establishing some of the industry’s best practices within the respiratory department will mean that the department’s nurses will respond more effectively to the demands of the patients. Clearly establishing the alarms for the different parameters such as minute volume, respiratory rate, and exchanged tidal volumes implies that the nurse will have an upper hand in decision making that facilitates effective responses (Korniewicz & Kenney, 2017). The result of this improved efficiency implies that patients will have better satisfaction scores from the improved patient outcomes.
Critically also, nurses working with patients under ventilator care will have less burden occasioned by the analysis of the different ventilator alarms. Ventilator alarms typically vary depending on the manufacturer making it difficult for the therapists to identify which conditions are leading to the alarm (Korniewicz & Kenney, 2017). Standardizing the alarm systems goes a long way in ensuring that nurses are only left with the critical task of attending to the patient’s needs (Saeed, Villarroel, & Reisner, 2011). These improvisations imply that nurses will be better satisfied with their contributions thereby lowering their turnover rates.
Integration of the ventilator alarm systems with electronic patient records and related databases contributes to collaboration of clinical services including analysis of patient data from remote locations (Saeed et al., 2011). This technology considers that clinicians may not always be available on site but remote tools such as phone applications enable their contribution in decision making. This effectively tackles the challenge of physician shortage experienced in respiratory departments.
Relevant Technologies
An essential technological boost to the ventilator alarm systems will involve the adoption of alarm notification through applications on Wi-Fi phones. These notifications will help therapists to pinpoint the locality of the alarms in instances where a number of patients are on ventilators. Remotely analyzing the patient conditions from their phones also saves nurses the time required to make rounds by the patient bedsides (Mamta, 2014). This quality improvement promises rapid action from the clinicians and nurses for enhanced outcomes.
Applying advanced heuristics such as AI means that ventilators will be able to assist nursing informaticists and other interprofessional in decision making. This is achieved by the computational abilities of the ventilators to determine the appropriate course of action from the knowledge base acquired throughout their service period as well as information made available by informaticists from other ventilator databases (Saeed et al., 2011).
Specifying the alarm priorities of the ventilators will be substantial since nurses will be able to work more effective by reacting to high priority calls first. This technology contributes to lessening nurse fatigues by appropriately determining the course of action. Ventilator auto correction systems will be in place to effectively resolve the challenge of false alarms which are common in the respiratory intensive units (Korniewicz & Kenney, 2017).
Project Team
Clinical and nursing staff form an essential core required to ensure the sustainability of the ventilator program. Keeping track of the various signals and alarms is essential to the health of the patient making the decision making input from the respiratory therapy staff invaluable. Administration of treatment contributes to improved respiratory outcomes. The nurse informaticists also play a critical role of data management. This is achieved primarily through data gathering, and analysis frameworks that enable a harmonious interoperability of the different technologies necessary for quality respiratory care (Mamta, 2014). Informaticists also contribute to information decision making by prioritizing vital information from the multitude of data collected by the electronic health systems. The biomedical technologist is also a vital component of the staff. By effecting maintenance services for the ventilators, he ensures that the systems are reliable enough for highly accurate decision making (Saeed et al., 2011).
Conclusion
The enhanced ventilator alarms program is a quality improvement initiative aimed at higher pulmonary patient satisfaction rates. Allowing ventilators to access patient databases enhances record keeping and decision making capabilities of the therapists. Providing nurses and clinicians with remote monitoring systems such as mobile phones immensely reduces the workload of the nurse who can now dedicate more time to decision making.
References
Gazarian, P. K. (2014). Nurses’ response to frequency and types of electrocardiography alarms in a non-critical care setting: a descriptive study. Int J Nurs Stud, 51(2), 190–197.
Korniewicz, D. M., Clark, T., & David, Y. (2008). A national online survey on the effectiveness of clinical alarms. Am J Crit Care, 17(1), 36–41.
Korniewicz, D. M., Kenney, B. D. (2017). Preventing Ventilator Alarm Fatigue. Retrieved from http://respiratory-care-sleep-medicine.advanceweb.com/Features/Articles/Preventing-Ventilator-Alarm-Fatigue.aspx.
Mamta, A. (2014). Nursing Informatics: The future now. IOSR Journal of Nursing and Health Science. 3(2). Retrieved from www.iosrjournals.org.
Saeed, M., Villarroel, M., & Reisner, A. T. (2011). Multiparameter intelligent monitoring in intensive care II: A public-access intensive care unit database. Critical Care Medicine, 39(5), 952–960.
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