Cerrahi Yoğun Bakım Ünitelerinde Alarm Yorgunluğu ve Alarm Yönetimi

Abstract

Cerrahi yoğun bakım üniteleri hem hastalar hem de hemşireler için oldukça karmaşık birimlerdir. Bu karmaşıklık içerisinde hastaların güvenilir bir şekilde izlenmesi ve takip edilmesi önemlidir. Bu takipler de hasta başı monitörler ve diğer cihazlar aracılığıyla yapılmaktadır. Kullanılan her bir cihaz farklı alarm ve uyarı sistemlerine sahiptir. Hepsinin amacı hastanın klinik durumunda normalden sapmalar olduğu zaman hemşire ve diğer sağlık personellerine durumu bildirmektir. Aynı anda birden fazla cihazın uyarı vermesi, boş ve yanlış alarm oranının yüksekliği ve farklı monitörlerden çıkan yüksek seslerin gürültü yaratması sebebiyle hemşireler alarm yorgunluğu yaşamaktadır. Hemşirelerin yaşadığı bu alarm yorgunluğunun önüne geçebilmek için alarm yönetimini doğru şekilde yapmak önemlidir. Bu derlemede amaç, cerrahi yoğun bakım ünitesinde alarm yorgunluğuna neden olan durumları ve alarm yönetimini incelemektir.

Keywords

• Alarm yorgunluğu
• alarm yönetimi
• hasta güvenliği
• monitör alarmları
• yoğun bakım ünitesi.

Alarm Fatigue and Alarm Management in Surgical Intensive Care Units

Abstract

Surgical intensive care units are very complex units for both patients and nurses. Within this complexity, it is important to monitor and track patients reliably. This is done through bedside monitors and other devices. Each device has different alarm and warning systems. The purpose of all of them is to notify nurses and other healthcare personnel when there are deviations from the normal clinical condition of the patient. Nurses experience alarm fatigue due to multiple devices alerting at the same time, high rate of empty and false alarms, and loud noises from different monitors creating noise. In order to prevent this alarm fatigue experienced by nurses, it is important to perform alarm management correctly. The aim of this review is to examine the conditions that cause alarm fatigue and alarm management in the surgical intensive care unit.

Keywords

• Alarm fatigue
• alarm management
• intensive care unit
• monitor alarms
• patient safety.

References

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