Day: May 11, 2005

Day Two at AACN/NTI

More interesting news dug up at the show today. Ventilator vendors don't seem to get the whole connectivity thing yet. I think they're spoiled by only having to serve up a serial interface to monitoring vendors in the ICU. Even a non invasive vent for use outside the ICU had no more than a serial port. I went by the LifeSync booth today. They've gotten some adoption for their wireless ECG electrode system. They have a very interesting implementation that shows the basic requirements for wireless sensor based monitoring. You can see the electrode harness that provides reduced noise and false positive alarms, and the patient transceiver (on the right arm). This wireless rig connects over Bluetooth (1.1, class 2) with a monitor transceiver that is connected to the monitor. As I took his photo, one of the many female bystanders told him to smile. I cut his head off, to which he said, "I'm used to that." I saw some pretty cool examples of device and software integration today. At the Philips booth, I got two very interesting demos. First was an alarm management and notification demo (using Emergin again). There was a software client that managed caregiver-patient assignments (with 3 levels of escalation). Patient alarms were distributed to VoIP wireless phones from Cisco. And here's the cool part, the handset displayed a 6 second ECG waveform (along...

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Patient Flow Unplugged: JCAHO Guidelines and the Flexible Unit

Cheryl Batchelor and I gave our NTI Sunrise Session presentation this morning to a crowd of 300 critical care nurses -- an excellent turn-out for 7am in New Orleans. Most were managers, with a smattering of staff nurses, educators and students. Cheryl and I tag teamed; I addressed the JCAHO patient flow standard, ways to improve patient flow and introduced the variable acuity care model, while Cheryl described her specific experience at FirstHealth Moore Regional Hospital. After the introductions I lead off with 3 questions to the group: How many of you are in ICUs that are at or near capacity most of the time. The vast majority raised their hands. How many have patients in your ICU that don't require 1:2 or 1:1 nurse/patient ratios, but can't be monitored elsewhere. I didn't even finish the question before hands started to go up, again a heavy majority. How many spend a substantial amount of time looking for rooms to discharge your patients, and fielding calls from the ED and other feeder units. Again, I got as far as "discharge" and the hands shot up -- a bit fewer on this question than the first two. If you (or your customers) answered yes to any of these questions, check out the presentation.  You can download it here (right click and Save Target As... or Save Link Target As...). If you have...

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