4 ms·
For having spent a long time in hospital (France), I can tell that the beeps of the machines are completely useless. It is maybe very ok for someone spending 2
by marcojx 8y ago
For having spent a long time in hospital (France), I can tell that the beeps of the machines are completely useless. It is maybe very ok for someone spending 2 or 3 days in the hospital, but for people spending 3 to 6 or even more months in hospital (this was the case here), it is completely terrible and the sleep deprivation goes against any good care practice.
Situation is the following:
- First you have beeps every few seconds in a floor with 20 or 30 rooms. The beeps, after a few days working in the hospital, is just a common noise for nurses and doctors. The human brain is wired to ignore repetitive noise in your environment. Basically no one cares about the beeps after a few weeks in the hospital, and the beeps turn into routine noise. They should be exceptional to be an alarm. Constant alarm is not an alarm anymore.
- Then there is no way to tell if the beeps are serious (dysfunction or else) or irrelevant. For example infusion pumps beep 2/3 minutes before ending as pre-alarm, then beeps when ending the infusion, and keep beeping until a nurse stops it. If you are in a room with 5 infusion pumps delivering medicines and one heart rate monitor with high and low alarms, you are guaranteed to get beeps in the room almost constantly, which kills the whole point for the beeps in the first place. They become useless. It is even counter productive. Not mentioning beeps of low-battery for infusion pumps or other devices which are plug into A/C. Very often the beeps cannot be de-activated, so the medical device vendor is safe for a legal point of view.
- children spending 3 or 6 months in hospital are seriously impacted by the 6 to 9 wake-ups during the night. Every kid with a leukemia or other form of cancer spends 3 to 6 months in hospital at least. This is a lot of kids (about 15 000 per year in the US). Nothing is done to help those kids sleep better during those months in hospital. they have a double burden: cancer and sleep deprivation.
It is obvious patients should be monitored, but today we must admit sleep is the least of worry for all caregivers and medical devices vendors. It is possible today to design sleep-friendly monitoring devices. Machines states can be displayed on a central deck, nurses and doctors can have a smartphone or smartwatch with alarms connected to the machines, machines could only beeps when a care giver is in the room thanks to NFC, blinking lights in the corridor could be used as well.Stupid questions that are in the patient file should be answered in front of the computer, not at 2 a.m. during the night.
In any case too much noise is bad for the patients and kills the whole point of an alarm.
- winchling 8y agoReminds me of the 'too many road signs' problem: https://www.safetysign.com/blog/too-many-traffic-signs/ https://www.safetysign.com/blog/too-many-traffic-signs/ It's hard to get staff working within a bureacracy to acknowledge this sort of thing, however. Only bureacratic procedures are real. Attempts to reform merely add to the bureacracy.