Organizational Change in the Emergency Room

Paper Summary:

This paper explains that, due to the high incidence of needle sticks and hazards associated with blood borne pathogens, OSHA has revised the blood borne pathogen standard to meet the requirements of the Needlestick Safety and Prevention Act of 2000. The author points out that the organizational change in this specific hospital will be guided by Kurt Lewin's three-stage force field theory, which involves unfreezing, movement and refreezing. The paper relates that training the staff on the use of the new securement devices and the associated equipment, changing from current tape method to securement devices, is essential to monitoring; monitoring the involvement of the key people initiating the implementation of the changes is another key to success.

From the Paper:

"It takes an average of thirty minutes to troubleshoot and restart IV's. In the overcrowded busy emergency department thirty minutes is a lot of time, time nurses don't have to spare. Safety securement devices can also eliminate glove tears associated with tearing tape to secure IV catheters, thus protecting nurses and physicians from blood borne pathogens. This can save the healthcare facility money by reducing the cost of IV materials associated with IV restarts. It is less expensive to prevent needlesticks than treat them. The CDC has recently acknowledged that StatLock is superior to suture in reducing catheter-related blood stream infection, OSHA and the U.S. Congress have recognized StatLock as a needlestick safety device."

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