Abstract: Moving to a Culture of Safety – An Organizational Decision to Convert to a Medical – Surgical Bed with Smart Bed Technology (WOCN Society 41st Annual Conference (June 6- June 10, 2009))

3328 Moving to a Culture of Safety – An Organizational Decision to Convert to a Medical – Surgical Bed with Smart Bed Technology

E. Ann Roney, RN, BSN, MS, CHCNS, CWOCN , Washington County Hospital, Program Manager, Wound, Ostomy, Continence Services, Hagerstown, MD
Genoveffa I. Devers, RN, BSN, MS, CCRN , Washington County Hospital, Interim Director Medical/Surgical Services, Hagerstown, MD
Problem:
From 2006 to 2007, we experienced an increase in falls and falls with fractures. A root cause analysis established that eight different styles of beds with varying degrees of technology were utilized. “Low beds” were obtained for patients identified at risk for falls, and at risk for skin breakdown. As patients were placed on low beds with specialty mattresses, falls increased, necessitating discontinuance of the mattress. This left the clinician with an ongoing dilemma – patient safety vs. the maintenance of skin integrity, in addition to navigating several models of beds with varying technologies.
Rationale:
We required a bed system which would keep our patients safe, both from falls and skin breakdown, and provided the nursing staff with a means of communication that would interface with our nurse call system.
Methodology:
A six month trial of a bed with “smart bed” technology and a non-powered elastomer pressure redistribution support surface was implemented. Patients were monitored for falls, pressure ulcer development and comfort. The bed was connected to our nurse call system. Nurses were notified via pager when bed parameters were compromised.
Results:
There has been a decrease in falls, rental of low beds, specialty mattresses, and hospital acquired pressure ulcers. Wounds present on admission did not progress. Patient satisfaction has improved significantly.
Conclusion:
Utilization of a bed system with “smart technology” provided a more time efficient, cost effective, safe method of management for our patients. Staff can now focus their time and energy on their ultimate priority- caring for patients.