Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

1.1K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.1K
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

187
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
187
Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

206
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
206
Angina V: Nursing Management01:20

Angina V: Nursing Management

144
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
144
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias01:25

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

248
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
248
Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

184
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
184

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Externally validated deep learning model to identify prodromal Parkinson's disease from electrocardiogram.

Scientific reports·2023
Same author

Using the consolidated framework for implementation research to evaluate clinical trials: An example from multisite nursing research.

Nursing outlook·2020
Same author

Models of Discharge Care in Magnet® Hospitals.

The Journal of nursing administration·2015
Same author

Quality Improvement Project: analysis of efficiency of current order set for the diagnostic workup used to evaluate neurogenic stress myocardium in aneurysmal subarachnoid hemorrhage.

Journal of the American Association of Nurse Practitioners·2013
Same author

Factors associated with nurses' perceptions of patient safety culture in China: a cross-sectional survey study.

Journal of evidence-based medicine·2013
Same author

Methodology issues in implementation science.

Medical care·2013

Related Experiment Video

Updated: Nov 12, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.0K

Reducing Cardiac Telemetry Nuisance Alarms Through Evidence-Based Interventions.

Eleftheria T Karapas1, Kathleen Bobay

  • 1College of Nursing and Health Sciences, Lewis University, Romeoville, Illinois (Dr Karapas); and Niehoff School of Nursing, Loyola University, Chicago, Illinois (Dr Bobay).

Journal of Nursing Care Quality
|March 18, 2021
PubMed
Summary
This summary is machine-generated.

Reducing cardiac telemetry nuisance alarms through staff education and protocols improved awareness and workflow but did not significantly decrease alarm frequency. Further interventions are needed for alarm reduction.

More Related Videos

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
04:58

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation

Published on: August 25, 2022

2.4K
Analyzing Long-Term Electrocardiography Recordings to Detect Arrhythmias in Mice
06:07

Analyzing Long-Term Electrocardiography Recordings to Detect Arrhythmias in Mice

Published on: May 23, 2021

4.1K

Related Experiment Videos

Last Updated: Nov 12, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.0K
Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation
04:58

Reduced Procedure Time and Variability with Active Esophageal Cooling During Radiofrequency Ablation for Atrial Fibrillation

Published on: August 25, 2022

2.4K
Analyzing Long-Term Electrocardiography Recordings to Detect Arrhythmias in Mice
06:07

Analyzing Long-Term Electrocardiography Recordings to Detect Arrhythmias in Mice

Published on: May 23, 2021

4.1K

Area of Science:

  • Nursing
  • Healthcare Quality Improvement
  • Medical Technology

Background:

  • Cardiac telemetry nuisance alarms disrupt staff workflow, erode trust in technology, and pose patient safety risks.
  • High rates of false alarms necessitate targeted interventions to improve efficiency and patient care on telemetry units.

Purpose of the Study:

  • To implement and evaluate interventions aimed at reducing nuisance alarms on a non-intensive care cardiac telemetry unit.
  • To assess the impact of staff education and a daily care protocol on alarm frequency and staff adherence.

Main Methods:

  • A nursing staff education module focusing on evidence-based practices for nuisance alarm reduction was developed.
  • A daily care protocol for patients on cardiac telemetry monitoring was implemented.
  • Daily audits were conducted over 7 weeks to monitor protocol adherence.

Main Results:

  • Staff knowledge regarding nuisance alarms and the evidence-based protocol significantly increased by a mean of 3.02 points.
  • Average staff adherence to the protocol reached 58.46% over the 7-week audit period.
  • A 16% reduction in telemetry technician call volume was observed, but nuisance alarms did not decrease significantly.

Conclusions:

  • The rapid-cycle quality improvement initiative enhanced staff awareness and reduced workflow interruptions.
  • While alarm reduction was minimal, the process highlighted areas for further improvement in managing cardiac telemetry alarms.