LOGIC March 2018 Vol 17 Vol 1 - Page 48

practice Business Manager worked on conferencing and connectivity with all members of the team. There were several key lessons learnt from this first trial. For example: Wi-Fi connectivity issues at the DHB required video conferencing to be disabled to enable a clearer audio for all; Skype had limited capabilities in terms of real time document sharing; Teleconferencing (audio only) was suitable as long as known clinicians were involved; Community Services staff need training on Skype use; Infrastructure investment is required such as camera, computer, monitor, television, speakers; Technical capability to manage hardware, software and troubleshoot is needed in General Practices; Travel time is saved with use of virtual MDT meetings. After review of the first virtual MDT meeting, the next steps were to continue the roll out and testing of the process with other practices. Further review and findings were reported to the HCH CSI committee with development of written guidelines for virtual Skype MDTs. In addition, with the organisational purchase of Zoom as a cloud platform for video and audio conferencing, it was planned to trial Zoom as an alternative. March 2018 L.O.G.I.C The trialling of Zoom did demonstrate the relative ease of use from a technology set up and application perspective and there were no major issues with connectivity. It was learnt that iPads need to be held at face level for maximum voice transfer through devices and staff are not able to refer to the patient management system whilst using Zoom. available. The challenge remains for nurses to embrace, immerse, update and be competent with the ever evolving landscape and resources of technology to assist practice. The overall review of using devises for staff to attend the increasing number of MDTs as the HCH model continues to expand remains positive. When space is limited in General Practice meeting rooms, having community staff join virtually can ease overcrowding. Excellent support from the DHB ICT team has made a much more successful outcome of the trials and a guide for the use of Zoom has been developed and will continue to help those new to its use. The use of technology to support health and healthcare practice is becoming an increasing feature for Primary Health Care and Community Nurses. Healthcare is changing with communication methods to enhance care being developed, technology to support assessment and diagnosis being advanced and self-care a nd information applications becoming 46