The accreditors of this session require that you periodically check in to verify that you are still attentive.
Please click the button below to indicate that you are.
Telesitters: The Supernova of the 21st Century Impacting Patient Care
The implementation of telesitter video machines has successfully contributed to a reduction in patient falls and reducing the need for one-to-one staff ratios following an increase of these event during and after the COVID-19 pandemic.
Purpose: A Magnet-designated community hospital within a greater hospital system increased resources for bedside staff, meeting the challenges to healthcare following the COVID-19 pandemic. To combat these challenges, this hospital implemented the telesitter video machines (TVM) to impact patient safety.
Relevance/significance: During and following the height of the pandemic, patient fall rates increased as the hospital was faced with several challenges including higher- acuity patients and staffing issues. The TVM is a 360-degree device that effectively communicates with patients needing additional support and were implemented to prevent patient falls and combat staffing challenges. The TMV contributed to both these challenges by providing one-to-one support for patients.
Strategy/implementation/methods: An interdisciplinary team, led by a nurse, collaborated with other hospitals within the healthcare system to adopt best practices tailored to this hospital’s specific qualities. This team started with broad, hospital-wide education and a call out for TVM champions at a division level. With a greater clinical team, they partnered with several hospital-wide groups such as the shared governance council, falls committee, and clinical informatics and technology sub-council. These partnerships help tailor future education and address gaps in awareness such as the development and easy access of the TVM dashboard.
Evaluation/outcomes/results: Since the successful implementation of TMV, 231 patients aged 70 to 79 have been monitored with over 11,000 observation hours logged. Of these patients, 6% were primary Spanish speaking, reporting no issues in their communication with the TMV. Since the implementation of TMV, the hospital’s fall rate has dropped from an average of 1.43 to 0.98, with zero of the 231 patients experiencing a fall while being monitored. Furthermore, pulling staff to provide one-to-one sitters for patients needing additional support has also dropped from an average of 1139 hours to 944 hours.
Conclusions/implications for practice: The TMV implementation has successful contributed to a reduction in patient falls and reducing the need for one-to-one staff ratios.
Learning Objective
After completing this learning activity, the participant will be able to assess innovations being used by other professionals in the specialty and evaluate the potential of implementing the improvements into practice.
Barcode medication administration (BCMA) has been the standard practice in the inpatient and infusion environments for many years, but implementation in the ambulatory care and procedural realms has lagged due to a lack of realized value…
Background/significance: Falls are major medical issues in healthcare, causing serious complications and potential death in the elderly, and injuries from falls can bring long-term mobility issues and severe medical bleeding issues…
To thrive in today’s digital climate, it is vital that organisations adopt new technology and prepare for rising digital trends. This proves more difficult in government where, traditionally, people lack change readiness…
Just an ordinary medical center in an extraordinary world, striving to standardize medication administration across the ambulatory care enterprise - including complex surgical and wound care clinics…
Privacy Policy Update: We value your privacy and want you to understand how your information is being used. To make sure you have current and accurate information about this sites privacy practices please visit the privacy center by clicking here.