Phase 2 training manual
Contents
1. 41 To remove the call from the Calls screen the call must be cancelled at the location where the call was placed unless it is configured to be cancelled when voice communication is established Placing a Staff Assistance Call from a Room Station Use these instructions to request assistance with a situation that is not an emergency Note The result of placing a staff assistance call varies depending on how the facility is configured 1 Press the Assist button on the System Toolbar e The Dome Light covering your location signals staff in need of assistance with lights e The call annunciates at the Staff Console of the nursing unit as well as at any room station configured to annunciate staff assistance calls 2 Press Cancel to end the call If you placed the call from a GRS 5 make sure that the call is selected before you press Cancel Menu T J Emerg A Assist Cancel Q2. 41 requested speak with the family physician when family arrives via Blackberry Left for day please Physician off site shift Nurse to contact on call direct calls to on call MD ended physician via pager system locating I will be on floor shortly Physician will be onthe No action required unit within one hour Labs reviewed no Physician reviewed lab No action required further orders required results no other orders required for the patient minutes unit in 15 minutes minutes unit in 30 minutes Notification Manager Notification Definition What does Actions Required this mean Bathroom request Patient requesting to go PCA Nurse must to bathroom through respond via accepting pillow speaker through device and going to specified patient room Bathroom call Patientis in bathroom PCA Nurse must needs assistance respond via accepting through the device and going to specified room This call may be more urgent eg Patient fall in bathroom 41 Pain Meds Pat
3. 41 Once the staff enters the patient s room if they DO NOT contact the patient s zone they can pick up the device without hand hygiene but HH is required after using the device and before contact with the patient patient environment Once the staff exits the room standard practice is to wash hands then pick up device if required e When caring for patients with confirmed or suspected C difficile proper hand washing with soap and water is recommended NOTE Attached to the workflows below is the quick start guides as part of this review which can be found starting on page 24 Workflows for Messages on Mobile Devices Nursing Messages there is no escalation with the messages Message Definition What does Actions Required this mean Please assess patientfor Patient is ready for Physician will assess discharge discharge on the unit patient and write orders please assess and write discharge orders Family present on unit Patient s family is No action required present on the unit at this time Please review new There are laboratory No action required laboratory results back for the
4. 1 abnormalities patient with abnormalities Patient fell stable no Patient had a fall vital Nurse to document vital injuries noted signs are stable and no signs falls risk post fall injury noted and complete Safepoint report Notification of this fall to physician is already completed through the blackberry message nurse must document this in chart Non urgent issue please This may include No action required see note in chart pharmacy recommendations consult recommendations dietitian recommendations and family requests etc Urgent issue please This may include critical Assess patient if call laboratory results required consult CCRT patient fell with injuries if required and wait for and patient conditions physician to call back dramatically changes Coumadin order needed Coumadin required No action required until needs assessment and new orders received order by physician from the physician Physician Messages messages are sent to primary nurses and not escalated Message Definition What does Actions Required this mean New orders in chart Physician wrote new Nurse to check the new orders in patient chart orders and implement Family meeting Physician would like to
5. 41 Phase 1 Review Description of Device The NaviCare Nurse Call NNC System is a comprehensive communication and information management system that helps caregivers provide the best possible care to patients in the most efficient manner The system facilitates communication within a nursing unit Caregivers have the ability to quickly locate and communicate with a fellow staff member and patients can easily communicate with caregivers the nursing station or directly to their primary caregiver Periodic checks and training should be performed to ensure that all components are working properly Hill Rom recommends that staff members ensure all call devices and other components are operational upon admitting a patient to a room and a quick tutorial be given to the patient to ensure the patient knows how to activate the nurse call system Good clinical practice dictates periodic patient assessments Hillrom user manual p 4 This is completed through hourly rounding on the unit Locating Standard Locating About Standard Locating Staff members wear locator badges attached to clothing on their upper torso a collar lapel shirt pocket or name tag facing out so that NaviCare 9 Nurse Call NNC System can track their location Each badge emits a silent infrared IR signal from two LEDs Passive infrared receivers in room stations and remote locator receivers
6. CC CCCII CCCII CC CC C ld WELCOME TO THE INNOVATION UNIT Phase 2 Mobile Devices YOUR TRAINING GUIDE August 2015 August 2015 Compiled by Madeline Logan John Baptiste amp Soma Persaud 41 Table of Contents Placing a Staff Assistance Call from a Room Station Manage Staff Assignments in Smart Client Bed Exit Alarms Phase 2 Mobile Devices Phase 2 Quick Start Guides and 2 References 10 11 12 Pillow Speakers 13 14 17 19 D 41 Welcome to the Innovation Unit Dear Staff Member Welcome to Mackenzie Health We are very pleased to extend a warm welcome to you as you begin your experience with us We would like to wish you every success and hope that you will have a fulfilling and rewarding experience on the Innovation Unit For more than 40 years Mackenzie Health has been a provider of increasingly
7. 41 Pillow Speakers e Staff will ensure that call devices are operational upon admitting a patient to a room quick tutorial will be given to the patient to ensure patient knows how to activate the nurse call system e There is now a patient education sheet available to help inform use of the pillow speaker available 4 language English Italian Russian and Chinese 41 The steps below will guide in you in how to manage staff assignments in the Smart Client System Hill Rom Smart Client Guide Staff Assignment gt New Tab Microsoft Internet Explorer provided by Mackenzie Health e e e http mrhhs08nnc smartclient AdminClient application http mrhhsO8nnc smartclient AdminClient application Click on the link and follow the instructions OR icon on the desktop if available Rom Smart Client User Password Hospital Admin Svstem views Domain yorkcentral local Patient Admin Patient Assignment Staff Admin Staff Assignment Staff Assignments Staff Login using MH login Choose the Staff Assignment Tab O Staff Assignment Hospital Admin Svstem views
8. 4306 1 PE a 4306 2 4307 1 Ww Pe 4307 2 m a A Ln Secondary amp other assignments Q when applicable Assign patients to nurse by clicking on check marks Click on 0 Save Double check You should see your assigned to a list of patients by going to the Staff Assignment tab from step amp Bed exit Alarms e Bed exit alarm indicates that a falls risk patient is exiting or has exited the bed and is considered an urgent call type e Dome light will flash red e Staff must physically respond to a bed exit alarm immediately e Staff must assess the patient and determine the need for further intervention Bed exit alarms must be reactivated when they have been silenced paused or disabled e Should be used in normal mode not in max inflate turn assist mode e During silence mode for 30 secs the system will try to arm itself at previously set bed exit mode 1 e Tosilence the alarm before it alarms press enable control until the indicator is on solid and then press the alarm silence control until the indicator is on solid e No Falls Protocol blue light when assisting a patie
9. RLRs detect the signals enabling NNC to locate staff members and then do the following e Forward calls to staff members at the nearest room station or at the staff member s wireless device e Cancel routine patient calls when a nurse enters the room where the call was placed 41 e Generate nurse activity reports Each patient room typically has at least one receiver built into the room station and one RLR For more reliable tracking of staff members additional receivers are usually placed in other locations in the room or in other areas of the nursing unit such as hallways or staff areas Signal Reception and Processing The straight line transmission range for locator badges is at least 20 ft The badges send their signals in pulses called packets about every 2 to 6 seconds depending on the badge type A slight random variation in the 6 second transmission prevents two or more badges from continually sending packets at the same time Staff consoles record a staff member entry when a locator receiver first receives a good signal packet from a staff badge The Staff Console determines that a staff member has exited a room or left an area when the loc
10. 0 4487
11. Patient Admin Patient Assignment Staff Admin Staff Assignment Staff Assignments Patient Last Name Select the nurse name Click on Edit Assignments Staff Assignment a Edit Staff Assignments of x Har RN Patient Roles Device Available Patients Select Unit AII Nursing Units z SSeS SE 4300 1 NG X 4300 2 TID 4301 1 c te La bd 4301 2 exul c sa U nassign 4302 1 erp tx 4302 2 ven E patie nts to 4303 1 at w m 4300 2 7 E nurse by 4203 3 104 Th w 4303 4 V E v 7 removing 4304 1 YAAN coe Ag meii bi 43061 EX EE v check 4306 1 C 190 v 4306 2 11 8 wei a marks Unassign Al Save Cancel Patient Roles Device Assign Available Patients Select Unit Nursing Units imi Cl patients 4306 1 am a i 4307 1 ur au F si Y by clicking aor PI E on check e HAM MET n zi 4308 2 Li Pu X marks 4309 1 Laem peor 1 Staff Assignment Patient Roles Device Available Patients Select Unit Nursing Units Room EE
12. al locator receiver has not received any packets for a predetermined number of seconds The receipt of one bad packet between two good packets or even a missing packet between good packets is not interpreted as an exit condition NNC has several configurable options that determine how the location features operate 41 F j 1 Entry Signal KAN Good Good Good Good Good Good Packet Packet Packet Packet Packel Fackel gnal Assigned Staff When staff members are actively on shift assigned to a room patient or to the nursing unit their names always appears on the Staff tab for that nursing unit When a nurse is assigned to a unit their name will appear on the staff tab and will indicate the name of the location where they are being detected If the location where the nurse is detected does not have an audio station e g a hallway with no audio station the nurse s name will have a status of Uncallable If the location where the nurse is detected has an audio station e g a patient room the nurse s name will appear in black and they will be callable If the locating badge assigned to the nurse is not currently detected then the staff ta
13. b will indicate Not Located Once the nurse stops being detected in a location e g they enter the bathroom to help a patient an internal timer will start in the system After 5 minutes of not being detected by the system a timer will display next to the nurse s name on the Staff Tab The timer will start at 5 minutes and continue counting until 10 minutes is reached If the nurse is not detected for 10 minutes their name will indicate 41 Not Located At any time if the nurse is detected in another location their name will indicate the new location and the timer logic starts over Unassigned Staff If a nurse is not currently assigned to a patient or room their name will only be displayed on the unit if they are currently detected or have recently been detected by the system that is it is not display by default as is an assigned staff member When an unassigned nurse first walks onto the unit their name will appear on the staff tab and will indicate the name of the location where they are being detected If the location where the nurse is detected does not have an audio station e g a hallway with no audio station the nurse s name will have a status o
14. ciates in the room indicating that the call was processed If the call is not processed ensure you follow the facility s backup procedures It is recommended to periodically check code calls to ensure proper operation The result of triggering a code depends on the call type configuration for your facility Contact your administrator to learn the results of triggering a code 41 Manage Bed System Info System Alerts H Emerg A Assist 9 T Cancel Q The screenshot above shows the functionality embedded on the mounted consoles both inside and outside the patient rooms of the Innovation Unit To view an incoming call follow the steps below 1 Press the Calls icon to go to the Calls screen 2 Press the incoming call in the list and press Answer The Answer button is not enabled unless a call is selected 3 Press the Acknowledge button to acknowledge a call that contains a Safety Alert a call that returned from the Wait List or a Call Device Disconnect Bed Call Cord and Pillow Speaker call 4 Conduct your call Press Hold button to put the call on hold press Resume to continue 5 Press Hang Up to end the call
15. f Uncallable If the location where the nurse is detected has an audio station e g a patient room the nurse s name will appear in black and they will be callable As long as the nurse is detected in this location and they have not been in the same location for more than 20 minutes their name will be displayed with this location Once the nurse stops being detected in the location e g they enter the bathroom to help a patient an internal timer will start in the system After 5 minutes of not being detected by the system a timer will display next to the nurse s name on the Staff Tab The timer will start at 5 minutes and continue counting until 10 minutes is reached If the nurse is not detected for 10 minutes their name will drop off of the list At any time if the nurse is detected in another location their name will indicate the new location and the timer logic starts over 1 Smart Badges staff on the Innovation Unit are required to wear their RTLS badges along with their Mackenzie Health identification badge while on shift at all times Staff Emergency Call First 6 Bulbs will light up WHITE Staff Duress Call First 6 Bulbs will
16. ient requires pain Nurse only responds to meds this notification Nurse responds to patient p verbally by going to the room or communicating via smart client to patient and accepts through the device Normal call Patient needs assistance PCA Nurse must respond via accepting through device and going to specified patient room Staff assist Urgent assistance PCA Nurse presses their required by staff need badge or staff assist another pair of hands through the console now This does not initiate a CODE Staff members must attend to this notification urgently Clinical Message The messages sent to Dependent on message nurse or physicians as as outlined above seen above If I require assistance what do I do 1 Consult colleague or superuser on the unit 2 Try another phone log out of the Thoughtwire app before logging in another phone 3 Call x 3333 to log ICT ticket with the helpdesk if the issue persists and remains unresolved 41 If you have further questions please contact Soma Persaud RN BScN MN Ed CON c Nurse Educator Medicine Program Mackenzie Health Hospital 905 883 1212 X 7560 Pager 416 79
17. light up WHITE 1 A Staff Console is a GRS 10 used to monitor a nursing unit Each nursing unit must have one Primary Staff Console that acts as the head of nursing unit communications This Primary Staff Console is located in the central nursing station on the Innovation Unit 1 The Standard Room Station SRS is a room station that has a touchscreen display and the ability to annunciate and place calls This Standard Room Station is located in each patient room mounted on the wall Placing a Code Call Use these instructions to request immediate assistance with an emergency that is life threatening A code is the highest level of emergency and can be triggered from any room station Contact your administrator for guidelines regarding codes e Pull the Code lever on top of the room station WARNING When pulling a code lever ensure that the code tone annun
18. nt out of bed press enable control until the indicator is on solid and then press the alarm silence control until the indicator is on solid Alarm Silence 22 41 Dome Lights Dome lights provide signals for the following events e Normal call from a patient bed e Bathroom call e Staff emergency e Code Blue call placed e Staff member in the room e Patient Request Pain Medication amp Help going to Bathroom e Patient safety alert i e Bed Exit Phase 2 Mobile Devices Launch on August 25 2015 Hand Hygiene with Mobile Devices Mobile devices will be an extension to the existing technology on 4South The mobile devices will be cleaned per shift and as required e g direct indirect contact with the patient environment by the staff with Clorox wipes Standard practice stays as is with washing hands as per the 4 moments and our policy Once the staff enters the patient s room if they are in contact with the patient s zone they must wash clean their hands before touching the device
19. progressive and innovative health care services to our community As the health care system changes to better meet the needs of those it serves Mackenzie Health will continue to help lead change in the way that many health care service providers work with each other to lead change in its unique and comprehensive range of services and to help lead change in providing more services closer to home Mackenzie Health is transforming care through the creation of an Innovation Unit a first in Canada project which features a unique integration of advanced technology that transforms the delivery of care Mackenzie Health is transforming care through the creation of an Innovation Unit a first in Canada project which features a unique integration of advanced technology that transforms the delivery of care Once again we would like to take this opportunity to wish you every success in your clinical experience at Mackenzie Health and thank you for your commitment to patient care With best wishes Nancy Coulis RN BScN MN Manager of Innovation Unit amp TCU Soma Persaud RN BScN MN Ed CON c Nurse Educator Medicine Program Madeline Logan John Baptiste RN BScN MBA ENC C Professional Practice Leader Nursing
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