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Telemetry guideline awareness leads to a decrease in inappropriate telemetry use
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Guieb-Fernandez, Rasia. Telemetry guideline awareness leads to a decrease in inappropriate telemetry use. Retrieved from https://doi.org/doi:10.7282/t3-m63k-b697

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TitleTelemetry guideline awareness leads to a decrease in inappropriate telemetry use
NameGuieb-Fernandez, Rasia (author); Chao, Ying-Yu (chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-05 (degree)
SubjectPost-Master's DNP Practice, Telemetry, Biotelemetry -- Study and teaching
Extent1 online resource (81 pages) : illustrations
DescriptionPurpose: Unawareness of telemetry clinical guidelines leads to overuse, inappropriate usage of telemetry monitoring, and longer stays for patients in the emergency department (ED). Provider education on telemetry guidelines was executed to improve appropriate telemetry use.
Methods: A retrospective and prospective study using charts analyses of patients at least 18 years old admitted from the ED to three medical-surgical units at a northern New Jersey hospital was performed. Education sessions on the American Heart Association (AHA) telemetry guidelines were provided to the hospital's healthcare providers. Charts from three months before (n=64) and after (n=64) provider education were analyzed and compared for inappropriate telemetry indications and average ED boarding times.
Results: Forty-one cases in the pre-education group and 32 cases in the post-education group were guideline-inappropriate. There was no statistically significant difference in the frequency of inappropriate telemetry indications before and after provider education, x²(1, N = 128) = 2.58, p = .108. The average ED boarding times in the pre-education group was 92.92 ± 58.02 minutes and 137.16 ± 149.72 minutes in the post-education group. There was no statistically significant difference in the ED boarding times between the pre-education and the post-education groups (U = 1668, p = .07).
Conclusions/Implications for Practice: Inappropriate telemetry use decreased from 64% before education to 50% after education, reflecting a descending trend after increasing provider awareness of clinical guidelines. The average ED boarding time was longer in the post-education group due to multifaceted factors. Continued initiatives in increasing provider awareness on telemetry guidelines are needed.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-m63k-b697
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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