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Telemedicine used in emergency rooms
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Telemedicine is now prevalent in most hospital emergency rooms, therefore the hospital wants to ensure proper training and use of the telemedicine equipment. The hospital has noted nominal use of the telemedicine equipment even though there has been a rise in neurology admissions through the emergency room. The hospital understands that simply providing telemedicine equipment in the emergency room does not necessarily guarantee proper use. There are concerns that the equipment may not be used due to emergency room personnel feeling uncomfortable and unfamiliar with the telemedicine equipment. The objective of this policy is to address the continuing education and training on the telemedicine equipment by emergency room personnel for patient consults and staff education. “It is imperative that we continue to train and educate our emergency room personnel on the telemedicine equipment, as the comfort level with the equipment increases, so does the usage” (Hess, 2010). In addition, this policy will identify the roles of emergency room personnel as it relates to the telemedicine equipment. The emergency room personnel should be able to demonstrate a basic skillset in order to reduce anxiety over use of new equipment and to assist in the workflow of neurology patients. The hospital will ensure that all emergency room personnel that have a responsibility to use the telemedicine equipment get continuing education at set intervals and on an as needed basis in order to utilize the equipment in a safe and effective manner. The hospital’s telemedicine equipment is designed to connect emergency room personnel with an on call neurologist for a patient consult so the neurologist may examine, diagnose and recommend treatment for patients that e...
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...a lottery chance based on the emergency department personnel, and more a standard of care for all patients. Telemedicine in the emergency room is a great tool for healthcare providers and with increased training and usage of the equipment the unknown will be removed from the equation decreasing the outliers. Training will diminish anxiety and promote a defined process for telemedicine consults.
References
Misra, U. K., Kalita, J. J., Mishra, S. K., & Yadav, R. K. (2005). Telemedicine in neurology:
Underutilized potential. Neurology India, 53(1), 27-31.
Talking with Hess, D. (personal communication, November 15, 2010) Georgia Health Sciences
University, Augusta, GA.
Zanaboni, P., & Wootton, R. (2012). Adoption of telemedicine: from pilot stage to routine delivery. BMC Medical Informatics & Decision Making, 12(1), 1-9. doi:10.1186/1472-
6947-12-1
Abstract: Telesurgery, or remote access surgery, is "the provision of surgical care over a distance with direct, real-time visualization of the operative field with the help of telepresence technology and force feedback" [Nair, 1]. This paper outlines the potential impact of telesurgery on medicine and analyzes the technical obstacles that hinder the pervasive use of this technology.
[20]Charles BL. (2000) Telemedicine can lower costs and improve access. Healthcare Financial Management. 54(4): 66.
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
Reimbursement policies prevent the total integration of telemedicine into health care practice (Prinz, 2008). Today, there is no overall telemedicine reimbursement policy in the federal health care system (HRSA, 2011 & OAT, 2003). As a result, reimbursement for telecare has been limited and somewhat haphazard. It’s up to each state to specify what telemedicine services, if any, are eligible for Medicaid reimbursement (HRSA, 2011 & OAT, 2003).
Telemetry nurses are RNs with advanced training who deal only with patients who have ongoing health conditions or experience sudden health services, such as those who have heart problems or those who recently had surgery. Telemetry nurses use various types of medical technology to monitor patients' vitals such as blood pressure, heart activity, breathing patterns and blood oxygen saturation. They record and interpret this data to assess their patient's recovery rates. They also share this information with physicians and other health care experts to determine treatment methods. Telemetry nurses must meticulously track all medications in order to avoid any negative drug interactions. Telemetry nurses are involved at the beginning of care when they assist doctors with procedures and diagnostics. They oversee patients until the end of care when they educate them how to avoid potential relapses or problems after they are released.
XIAO-YING, Z., & PEIYING, Z. (2016). Telemedicine in clinical setting. Experimental & Therapeutic Medicine, 12(4), 2405-2407.
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
Norbert, B., Bennett, L., Carnahan, L., Decker, V. B., Grady, B., & Holden, D. (2011). Evidenced-base Practice for Telemental Health. Telemedicine and e-health, 17(2), 131. doi:10.1089/tmj.2010.0158
Telenursing is the application of information and telecommunications technology to offer the nursing or healthcare services to the patients. The most advanced field of telehealth is in household telenursing healthcare. Telenursing devices like computers, telephones and videophones enable nurses to increase successfully the patient numbers seen daily while reducing the entire workload (Arnaert & Delesie, 2001). Nurses are capable of doing this without having to leave the doctor’s office or hospital hence saving a considerable amount of
Implementing telehealth. support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18. Epub 2006 Aug 24.
There are a myriad of concerns related to telemedicine due to the inherent risks involved, which relate to the more obvious reason that most people would think of when the concept of telemedicine arises. One of the most obvious concerns related to telemedicine relate to equipment breakdown. Equipment breakdown is a serious concern to patients and doctors when it comes to telemedicine because in order for telemedicine to function properly it requires that all of the equipment to function smoothly because of the sensitivity of the problems that relate to what is being performed. Examination cameras, remote monitoring devices, digital scopes, mobile telemedicine carts and even surgical robots are all working in tandem in order to prevent the passing along of inaccurate patient information that can seriously harm a patient’s health.
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
“Time is brain” is the repeated catch phrase when addressing the treatment and management of stroke (Saver, 2006). Access to prompt and appropriate medical care during the first few hours of stroke onset is critical to patient survival and outcomes. Recent changes in the guidelines for acute stroke care released by the American Heart Association (AHA) and the American Stroke Association (ASA) have improved patient access to treatment. Stroke treatment now follows the model of myocardial infarction treatment. Hospitals are categorized into four levels based on stroke treatment capability. The most specialized treatment is available in comprehensive stroke centers followed by primary stroke centers, acute stroke-ready hospitals, and community hospitals. The use of telemedicine now enables even community hospitals, with limited specialized capabilities, to care for stroke patients. Telemedicine puts emergency hospital personnel in contact with neurologists providing expertise in the evaluation of a stroke patient and determination of their eligibility for treatment with thrombolytic medication (Jefferey, 2013).
Telemedicine can also include the use of e-mail, smart phones, wireless tools, and other forms of telecommunications technologies (Wager, Lee, & Glaser, 2013, p. 156.)
The goal of this literature review is to increase our knowledge about technology use in practice and to identify where there is need for improvement. Information technology seems to be a widely discussed topic these days and most nurses have no clear idea how it can transform the way we do things on an every day basis. We will also look at the impact technology has on nursing, patients, and colleagues. We will then focus on a specific nursing setting, in this case the emergency room. This literature review is organized to grow on each independent section so that you, the reader, can form your own opinion, but take with you the universal understanding of how information technology will lead us down a new and exciting career path.