1. Bringing Safety Back to the Bedside®
Hi my name is Lenore Henning, I am the nurse who invented the very product you hold in your hands.
My product is designed for use at the front line by nurses who will wonder how they every survived with out it,
And more importantly, it was designed with the patient in mind to “Bring Safety Back to the Bedside.

2. Bedside Entanglement Avoidance Tubing Apparatus
The Beata Clasp®
New medical device technology
Simple in design
Organizes and holds medical tubing
Latex-free
Disposable
Single patient use
The device is called “The Beata Clasp”. It is a new medical device technology which as you see for yourself is very simple in design.
It’s function is to simply organize and hold medical tubing in place, however as you will see it does so much more than meets the eye.
The product is light, harmless, latex-free and disposable meaning single patient use.
In short the name says it all: it is a Bedside Entanglement Avoidance Tubing Apparatus.
I stated earlier that nurses will wonder how they ever lived without it, well to explain why they have in the past was because the problem did not in the fashion that it exists now. HillRom, a hospital bed manufacturer, recently produced beds that have four independent bed rails to allow the patient less restriction. Along with this new freedom for the patient came the problem of elevating the head of the bed and tubing constantly following gravity and sliding down to become impinged or to the floor.
Nurses are quite the problem solvers and I have see medicine cups, and tongue depressors taped to the side of the bed rails to prevent this from happening, but tape leaves a residue which is not easily cleaned. And may keep MRSA on a bed rail for weeks!
That is why this product is disposable and single patient use.
Bedside Entanglement Avoidance Tubing Apparatus

3. Effortless to Use: Attaches to hospital bedrails in seconds
No adhesives needed
Tubing is aligned into grooves
Transfers to IV poles, wheelchairs, and walkers for ambulation
The Beata Clasp is so effortless to use, not to mention intuitive! In seconds you could figure out that all you need to do is wrap it around the top portion of the bedrail, with no adhesives needed, and then simply align the tubing thru the grooves.
As you can see the lady in the picture has her call light hap-hazardly tied in a knot to the bedrail in an effort to keep it there.
If you have more tubing you simply add another clasp to the same rail or opposing rail.
The beauty of this product is that is also allows for easy transfer to IV poles, wheelchairs, and walkers to allow for ambulation.
To maintain this benefit of the product we recommend that no tubing is permanently affixed to the Beata Clasp, or that the product is not permanently affixed to any medical equipment. This product is designed for passive restriction only.
Do not permanently affix tubing to Beata Clasp®
For passive restriction only

4. Benefits ↓ time spent untangling lines ↓ chance for contamination
↓ time & re-work from line reinsertions
↓ risk of tripping
↑ patient safety & satisfaction
↑ operational efficiency
↑ care team vitality & safety
Creates a culture of patient safety
The benefits are countless.
There is decrease time spent untangling lines by the nurses and staff
Decreased chance for contamination as cords are prevented from falling to the floor.
A decrease in time spent re-inserting lines that have come dislodged due to restriction and impingement.
Decrease risk of tripping by not only patients but staff, visitors, and family
Patient safety and satisfaction will increase. If you show you are providing the patient with extra products to make their stay safer and more comfortable they well feel more content and happy.
Increase in operational efficiency as lines are easier to trace and carry out nursing duties.
Increase in care team vitality and safety as different groups work with the patient.
All in all a culture of patient safety is created.

5. Tubing Misconnections:
Multiple medical devices connected to patients
Similar and often identical connectors
Care providers may connect two devices which have different intended purpose
Now you might have heard the latest buzz words going around…Tubing misconnections.
We all know that every patient that comes to the hospital has at minimum of one IV line. Most patients have a hand full such as oxygen lines, suction drains, pulse ox monitors, etc. These multiple lines are connected to a single patient.
The biggest issue this presents for possible tubing misconnections is “luers and connectors” are similar and often identical.
This is a problem that will not be eliminated quickly since there are a variety of manufactures for these items, so until these luers and connectors are designed to be physically incompatible, it is everyone’s responsibility to prevent the connection of two devices which have different intended purposes.

6. Efforts to Prevent Misconnections:
The World Health Organization
“Nine Patient Safety Solutions”:
Patient Safety Solution Topic #7:
Avoiding Catheter & Tubing Misconnections
The Joint Commission
April 3, 2006 “Sentinel Event Alert”:
Tubing Misconnections - A Persistent & Potentially Deadly Occurrence
There are currently several efforts being made to bring awareness to this issue of misconnections.
The WHO created their nine patient safety solutions and made topic number 7 “avoiding catheter and tubing misconnections” – this says it all.
Followed by the Joint Commission who in April of 2006 created the sentinel event alert “tubing misconnections- a persistent and potentially deadly occurrence.
And that’s how serious this issue is, it is potentially deadly to patients.

7. Prompts Intuitive Compliance
Directs user to take correct action
Limited training necessary
Easily involve patient and family in care
Encourage patients’ active involvement in their own care as a patient safety strategy (JCAHO Goal #13)
The Beata Clasp prompts intuitive compliance in preventing tubing misconnections.
It directs the user to take correct action, weather it is the patient or family member telling the nurse something doesn’t look right or the nurse or staff noting it themselves and rechecking the tubing.
There is limited training necessary it is all intuitive.
As I just mentioned this product easily involves the patient in their own care. When we encourage a patient to be actively involved in their own care we are taking one more step towards patient safety.
(Family poster)

9. Line Reconciliation Process
Visual prompt
Standard set of information is exchanged at every hand-off
Implement a standardized approach to hand-off communications, including opportunity to ask and respond to questions (JCAHO Goal #2E)
The nurses not only inform the patients and family to be a second set of eyes for them, but also practice a line reconciliation process.
When they see the Beata Clasp they will be reminded of this process which consists of “checking and tracing lines”. Oxygen to patient hooked up to 3L, IL left wrist to IV antibiotic.
This is just a standard procedure they can take during any tubing/line encounter.
It also creates a standard set of information that is exchanged at every hand-off. When doing walking rounds there may be so much information to keep track of that a single visual reminder will prompt the nurse to share vital information regarding tubing.

10. This is a poster to post in staff areas that covers the problem of misconnections, goals to bring awareness to the issue, and nursing interventions- the Line Reconciliation Process.
In short, one of the steps is to recheck and trace each line from the patient back to its origin. This has been noted by the Emergency Research Institute to be the single most important method to prevent tubing misconnections. Please note that the Beata Clasp makes lines more organized and untangled for easier, clean tracing.
To sum it up “Don’t be a misfit, and check before you connect”!

11. Liability Proactive risk reduction device
Inexpensive solution to address rising medical malpractice exposure
Demonstrates taking steps to create safety
Liability.
This may be the most important issue of my presentation.
The Beata Clasp is a proactive risk reduction device. Any time we can prevent one medical error incident from occurring it is an obligation to do so.
This is an inexpensive solution to address this rising issue of tubing misconnections.
Show that you are taking steps to create safety.

12. Conclusion Reduces medical errors Eliminates waste and rework
Eliminates problem of lost call lights
Eliminates the “spaghetti syndrome”
Decreases contamination
Involves patients and families in discussion of tubing safety
In conclusion, you can see that you will never want your hospital to be without the Beata Clasp again!
It reduces medical errors, & eliminates waste and rework.
It eliminates problems as simple as the lost call lights (which is actual very vital), because if you can’t breath you want to be able to call the nurse!
Eliminates the spaghetti syndrome, decreases contamination, and involves everyone in tubing safety.

13. Thank you for your time.