Blood Pressure Cuff Usage: Disposable vs. Reusable

Monday, July 11, 2011

Sheila Montgomery, RN, BSN
Neurosurgical Intensive Care Unit, UAB Hospital, Birmingham, AL

Learning Objective 1: Identify two ways that value analysis is related to evidence based nursing practice.

Learning Objective 2: Recognize two ways proper cleaning techniques in reusable equipment can create a cost saving effect and support patient safety.

In the past, hospitals have used both disposal and reusable blood pressure cuffs for patient care. This process is costly and leads to fragmentation in the system. In 2009, one hospital spent $380,000 on disposable blood pressure cuffs. Identifying this as a problem, the director of value analysis submitted the issue to the nursing practice congress, within the institution, for resolution. The congress voted to accept the opportunity to resolve the issue. Utilizing evidenced based nursing concepts, a staff nurse congressional representative coordinated a collaborative and interdisciplinary team to answer the question: “Can the hospital incorporate re-usable blood pressure cuffs in the place of disposable cuffs?” The answer has a potential to save the hospital over $250,000 dollars, support evidenced based practice and streamline care across the continuum.