Effect of a nurse-managed telemetry discontinuation protocol on monitoring duration, alarm frequency, and adverse patient events

Keisha Perrin, Neysa Ernst, Terry Nelson, Melinda Sawyer, Elizabeth Pfoh, Maria Cvach

Research output: Contribution to journalArticlepeer-review

Abstract

Telemetry monitoring is a limited resource. This quality improvement project describes a nursemanaged telemetry discontinuation protocol aimed at stopping telemetry monitoring when it is no longer indicated. After implementing the protocol, datawere 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.

Original languageEnglish (US)
Pages (from-to)126-133
Number of pages8
JournalJournal of nursing care quality
Volume32
Issue number2
DOIs
StatePublished - 2017

Keywords

  • Alarm fatigue
  • Alarms
  • Cardiac monitoring
  • Physiologic monitoring
  • Telemetry
  • Telemetry discontinuation protocol

ASJC Scopus subject areas

  • Nursing(all)

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