SPS 2017 Program SPS 2017 Program - Page 40

my team has been successful in reducing hospital acquired pressure injuries across both campuses including a rehab fa- cility over the past two years. Because the campuses are separated there was a need to support the WOCN’s, particularly in the Community Medical Center Campus. Telemedicine has been in place since 2016 to provide for wound assessment and the initiation of patient care protocols across the continuum. Methods: Telemedicine is the exchange of information in health care with a goal of improving health status. This is a curative model. Telehealth in nursing care is using informatics to provide service over distance. (Telehealth and Telemedi- cine are often use interchangeably) (McKnight, 2012). This process fit the wound ostomy department well. The team chose a review, store and forward method of observation for care. Staffing was a concern and the group used the program to assist in patient care. Complex patients were cared for quickly, with expertise. Why wasn’t the system used more frequently? This is what the team sought to find out. Results: The team met to discuss reasons for limited use. Why the program wasn’t accepted freely. The most common reasons noted were the fear of technology; also that the pro- cess took too long. Nurses were also concerned about assess- ment and documentation. Conclusions: A plan was put in place to develop the pro- gram, provide for additional education, focus on patient doc- umentation and in general create a supportive environment. It is hoped with this intervention that the Telemedicine pro- gram will be more widely used. This can only enhance patient care. Reference McKnight, S. Telehealth: Applications for complex care. On Line Journal of Nursing Informatics (OJNI) 16 (3) available at http://ojni.org/issues. 14. Will Telemedicine Connectivity at Remote Location with Transport Coordination Add Value to Patient Care? Kathy Farrell, MD, Lisa Pruitt, BSN, RN, C-NPT, Natalie Masters, MSN, RN, CPN, Chad Stotler Children’s Mercy Hospital Kansas City Background: Children’s Mercy Hospital Kansas (CMK) is a 50 bed inpatient pediatric hospital with transfers arriving from multiple outside facilities. Patients arrive to inpatient CMK via private vehicle, Children’s Mercy Hospital (CMH) Transport Team or local EMS. Patients may arrive sicker or worsen, es- calating need for transfer from CMK to CMH 25 miles away. Common handoff is via phone with provider describing pa- tient’s bedside condition and need for transfer. Transport Shift Coordinators (TSC), prior to Telemedicine, are often una- ware of deteriorating CMK patients until decision to transfer is made. TSC have PICU RN/RT expertise, dispatches CMH Transport Teams to outside hospitals, as well as CMK. Tele- medicine offers opportunity to see the patients, monitors, IV sites, medications at the bedside via Virtual Meeting Room (VMR) and use USB medical devices. The TSC, Charge Nurse, Bedside Physician, Medical Command, and Transport Team can all visualize the patient at the same time via VMR. This communication tool offers interventions to the bedside team real time, adding value to patient care. Telemedicine can serve as a tool for the Transport Team en route, bedside nurse handoff information, and assess patient equipment needs. This provides “eyes” (video), and “ears” (audio) as a communication tool for coordination of patient care to over- see, guide, and provide expertise in real time. Methods: TSC and Charge Nurses require Telemedicine train- ing, credentialing and practice utilizing the Telemedicine equipment. TSC/CMK Safety Huddle connection occurs twice daily at 12:30 pm and 8 pm. This allows CMK Charge Nurse to communicate patient status changes and needs for potential transfer. Results: Practice with equipment twice daily improved con- nectivity time by fifteen minutes. Conclusions: Telemedicine helps with real time inpatient care communication, provides awareness of potentially dete- riorating patients, and improves work flow with practice. 15. Opting In: Exploring Veteran’s Satisfac- tion and Perceptions of Telecardiology Brooke A. Finley, BSN, RN-BC DNP/PhD Student The University of Arizona and The Southern Arizona Veterans Administration Healthcare System Background: Telehealth, in general, has demonstrated time and cost savings while promising non-inferior care to in- person treatment [1-5]. Specifically, telecardiology has re- duced readmissions and improved health outcomes, becom- ing a promising treatment modality [4,5]. While the Veterans Administration (VA) is a recognized leader for telehealth, there remains limited VA telecardiology empirical research; therefore, the purpose of this study is illuminating Veteran patients’ telecardiology satisfaction and perceptions [6,7]. Methods: Sixty-nine VA telecardiology clinic patients from rural Arizona completed an anonymous survey, answering the free-hand question “Would you recommend cardiology tele- medicine clinic visits to a friend? Why or why not?. tI̴)́ݕɔ镐ͥՅхѥ͍ٔɥѥٔѡ)ݥѠq٥ٿtѡѥѕЁͥ́ȁɅ)ѥɴեѼչхYѕɅϊdѕɑ)ɍѥ͕́٥ͅѥ͙ѥlܴt)IձYѕɑѥϊdɕ͕́奕)ѡĤ!AɅ͔؁ɕ͕̤ݥѠɅ)хՍ̃qፕӊtȃqɕЁ͕٥tȤ (A