Home Raceway, Duct, Conduit Desk Organizers Cord Caddy Cord Management System for Optimal Patient Safety
Utilization of Evolution Medical Products, Inc. Cord Caddy in the clinical setting is imperative to positive patient outcomes. A patient who has a delay in their monitoring cables being attached due to a lost, broken, tangled or cracked cable may have potentially serious, detrimental results. In the clinical environment ensuring pat t safety at all times is essential and a requirement of JCAHO. Whether the patient is in the Emergency Department with Unstable Angina needing their telemetry cables attached for assessment of cardiac function, Post-Op from Mitral Valve surgery being placed in the Post Anesthesia Unit for SpO2 monitoring, needing hemodynamic assessment post PCI with IABP, A-Line, Pulmonary Artery Catheter and telemetry cables being attached, or directly admitted from a Heart Failure Unit for 24 hour observation the time to assessment, implementation of treatment and evaluation is based on quick, accurate data from the cables utilized.
Equipment availability and ease of use is effortless with the Cord Caddy cord management system. To decrease the valuable time of the Registered Nurse or Health Care Provider spent untangling cords means ore time available for caring for the patient. The result of this fluid, easy-to-use system is a positive outcome for cable hook-up.
A 46 year-old female arrives to the ED via EMS with vague chest pain, shortness of breath, cold, clammy skin and “feeling dizzy.” While assisting her onto the cart in the Chest Pain Center she states the “dizziness is getting worse.” The RN goes to grab the 5-lead cable for monitoring attachment and notices the brown lead i crushed and lying on the floor. Suddenly, the patient’s eyes roll back and she loses consciousness. The RN calls for assistance to initiate emergent procedure for cardiopulmonary arrest. No telemetry is available for assessment.
Issue - No baseline heart rhythm is known since the EMS monitoring of normal sinus rhythm could not be performed. This is critical to clinical decision for treatment.
An 81 year-old male arrives into SICU post-op from surgery with a nasal cannula of two liters and an line in place needing immediate cable attachment for SpO2, B/P and cardiac monitoring. The SpO2 cable is found cracked and dangling from the monitor. Once attached, the RN notices the reading of Sp02 doesn't work. The RN doesn't leave the patient until all the other cables are attached. Upon returning to the room, the patient has dusky nail beds, cyanotic lips. The Sp02 is attached and reveals a result of 81%. The patient’s heart rate has dropped from his initial rate of 112 to 52.
Issue - Immediate 5p02 monitoring is vital during the post-op period especially in the elderly patient. Delay in assessment caused that patient to have serious post-op complication of hypoxia, alteration in cardiac output and tissue hyperfusion.
A 33 year-old female arrives from Cath Lab post PCI needing immediate hemodynamic monitoring. Her IABP, A-line, B/P cuff are in place and functioning. The RN goes to hook up the Pulmonary Artery Catheter and notices the cable is missing. The physician is in the unit wanting an immediate cardiac output do e, and the hemodynamic readings. No other PA cable can be found after 10 minutes of looking. Another leaves the unit to MICU to continue the search and isn’t very happy.
Issue - Critically ill patients post PCI need to have all cables ready for attachment to ensure hemodynamic stability assessment. Not being able to attach the PA cable caused the RN to lack valuable data, thus unable to assess and provide results to the physician. In addition, a second RN was taken away from his patient assignment to join the search.
A 66 year-old male is transferred from the Heart Failure Unit for 24 hour observation after worsening rales and shortness of breath during his treatment. Upon initial assessment the RN finds his B/P and cardiac monitor cables are tightly tangled with the other cables, taking over five minutes to untangle. Once the B/P is tamed the patient is running 74/30 mm Hg, is diaphoretic and is “feeling sick to his stomach.”
Issue - In the busy environment of the hospital setting transfers of patients should result i proper room cleaning and equipment set-up for the next patient as per JCAHO to ensure patient safety. Disconnecting the cables from the previous patient and leaving them hanging or piled in a mess doesn't ensure they are cleaned properly or stored for the next patient. The immediate assessment of blood pressure wasn't performed and intervention was delayed.