S.C. Hospital Uses Innovative System to Keep Patients Safe


[MUSIC PLAYING] TWANNA PRETTY: Our
TeleSitter program was brought about
because we need to find a way to keep our
patients safe as they are here in the hospital. One way prior to our
TeleSitter program we used were one-on-one sitters. Our one-on-one sitters were
staff members that would come, sit in the patient room. And they would
ensure the patient didn’t fall, they don’t get up,
they don’t pull out equipment. In the hospital setting
and in health care, we just don’t have
enough resources to continue to provide
one-on-one care for each and every patient. So we started to look at
different programs of how we could still provide
safety for our patients within the resources
that we have. Hello? Ms. Richardson? Yes? Hi, I’m Charley. Hi, Charley. I brought you a friend today. Oh. This is a TeleSitter. TelesSitter, hmm. I tell people it’s a person. But it’s about six feet
tall, has an antenna on the back of it and a big
gray box on the front of it, works off the Wi-Fi
system in the hospital. We have a monitor room that
we call the TeleCenter. There’s somebody
24/7 in the room. There’s three
people in the room. There’s a tech for
each monitor system, which is up to 12 cameras. And the TeleSitter transmits
the information or the picture that we see to the
TeleCenter itself. And we can do
conversations back and forth between the TeleCenter
and the patient themselves so that
we can monitor what’s going on in the room. Ms. Richardson? Can I help you? I want to order lunch. And my phone fell down. Let me get somebody to come
in and help you with that. I can get it. GWEN LEE: I think that this is
a tool that any nurse can use. Ms. Gwenn? Can you go in room 6450? Yeah, she needs some help. She’s trying to
get out of the bed. You know if I’ve got a
patient that I am worried that is going to trip
and fall getting out of bed that’s maybe not
confused but forgets, and I can’t get up. I can’t get up
like I was at home. I’m not feeling as well. That gives me an extra set of
eyes watching that patient. A little bit more
security to say OK, I feel comfortable getting
tied up in this room right now because I know Susan
is watching Ms. Lee for me. She’s not going to let her fall. Or she’s going to notify
me if something’s going on. And the neat thing about it is
that if they try to reorient me and I’m not paying attention,
we have a stat-alarm that we can set off. It’s like no other alarms. And that can only be turned on,
initiated by the person seeing the incident and can only
be turned off by that person as well. Ms. Richardson? Yes? You need some help? No. I’m just going to the bathroom. Where are you going? I’m just going to
go to the bathroom. I’ve got to go. [BEEPING NOISE] How about you stay in the
bed until they get there? I’ve got to go now. Ms. Richardson. Hi. Hi, what’s going on? I’ve got to go. You need to call us. You can’t be getting
up on your own. But I’ve got to go now. Okay. We have different
languages that we can use. Those are preset alerts
that will say things like, attention please do not
get out of the bed.” Atencion, por favor no
se levante de la cama. The patients get
real tickled when we talk to them in their language. They usually start laughing. GWEN LEE: When the
doctor comes in or the nurse comes
in, if there are things that they
want to discuss, we can do audio
and visual privacy. The other piece that’s
really neat with it is they build a relationship. And they talk to the patient
so that somebody that’s here all day because their
families are working, they have some interaction
with some other. CHARLEY STYLES: I’ve actually
sang with my patients. We have people that go around
and play guitars or harps. And they’ll play songs that the
patient knows and that I know. And so we’ll get on the box,
and we’ll sing together. And I do rounding. So I do come up and
visit with the patients. I think it’s easier if they
can put a face to the voice. Some of the floors call
me the voice as a joke when they see me
because they can hear me talking to the
patient throughout the day. TWANNA PRETTY: You definitely
still need a person to interact with the patient. This does not substitute taking
personal care of the patient. You need to go to the
restroom or anything before I go back out? One of the biggest
things I think that’s a fear of patients or
family members with the camera is they think, oh my
gosh, I’m being recorded. It does not record. What we see is what we see. What we hear is what
we hear at that time. And we can’t go back and
pull anything else out. There are some things
that the camera cannot do. We cannot use that camera for
a suicide patient to make sure that they don’t harm themselves. That’s always going to have
someone sitting with them. You can’t ever get rid
of that human element. CHARLEY STYLES: It’s
not for everybody. Maybe 80% to 90% of the
patients we have it works for. But we do have patients
that fail the camera. So if you have to redirect
them too many times, then the camera system
itself is not working. TWANNA PRETTY: We
wanted to trial it to see if this actually works
and if it would be beneficial. And we have seen that
it is beneficial. We have had some
near misses that we were able to prevent a patient
from falling because we were able to sound the alarm. Staff was able to
get here in time. And when we look at the
savings that this has helped save the organization
from one-on-one care. And being able to
take those people and put them back
into circulation to be able to take care
of a group of patients, we’ve saved I would say
almost $2 million in a year. If my mother was up here,
and she was a little confused, I would feel comfortable leaving
and going home and taking care of business at home
knowing that my mother was watched and cared for. And I could sleep and rest easy. [MUSIC PLAYING]

4 thoughts on “S.C. Hospital Uses Innovative System to Keep Patients Safe

  1. Does a patient have the right to refuse this? I feel it is an invasion of privacy. I for one think this is something g you hospitals should have to explain and get total consent from patient.

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