BabyWatch User Manual - Homepages
Contents
1. CALM STROK NYSTATIN TOP amp TAIL APPLY OIL SUPINE PRONE AU 14 E L LATERAL R LATERAL SCULTATION ABDOM LA T T FO NAPPY VI gue AC SU NTANEL AR SUALLY E SUTUR A NAILS ONITOR ES CAP EN AXI P TONE PUL BABYWATCH SES ILLARY RETURN EARS EY ES MOUTH CORD SKIN BADGER M SAT O2 HR LEADS T TIV Fl PASSIVE PERF IC SKIN WO an EAD HEART ABDOM Q HE EST ABDO LAT S EMPERATURE TIME TEST EN HOOT T HROUGH SKULL LIMBS 19 December 2002 T EDING EDING EDING EDING T T Hr Hj Hq T LINES LINE LINE LINE LINE LINE LINE LINE LINE LINE ESPIRATIO ESPIRATIO ESPIRATION ESPIRATION ESPIRATIO ESPIRATIO ESPIRATIO ESPIRATION ESPIRATION ESPIRATIO ESPIRATIO ESPIRATION ESPIRATION EU OU QU X cU wj DD n uj MI nU ud SAFETY SAFETY COMMUNICATION COMMUNICATION NO ACTION Version 4 12 ASPIRATE GASTRIC TUB E ENTERAL FEEDING INTRAVENOUS F T EDING INSERT GASTRIC TUBE e m HANGE IV IA LINE T2. file actions txt e Bowels Crying Feeding Movement Skin Sleep Size These are all types of observation complete lists are in bowels txt crying txt etc e Observer Whether the observer was making observations on the baby in question the Observation field see below will always contain Present e Equipment The equipment that was used i e monitor ventilator incubator infant flow SpO2 monitor nitric oxide Alarm limits The limits set up for the monitor and the SpO2 monitor Settings The current settings on those pieces of equipment currently in use Gases The results of blood gas analysis Lab results the lab results on blood and urine Medication The drugs that are prescribed The values available for the remaining fields depend on the ObservationType see Table 1 Observation Details of the actual observation Text Field Size 30 VValue A numerical value associated with the observation if there is one Number Double TTime The date and time of the observation Number Double TimeType Most observations are made at a single point in time However most actions take place over an interval of time In the first case we have a time Point coded as O In the latter case the time can either be the time that the interval Starts coded as 1 or the time that it Stops 2 Number Long Integer Agent The person making the observation or taking the action the Nurse coded as 0 a Doctor 1 the Parent 2 or
3. for each day a record is automatically entered in the Days table for each baby Tables are written to an Access database file called Database mdb which is located within the main directory containing the BabyWatch software A good default directory would be C BABYWATCH A separate table is generated for those observations which start on a given day The names of the tables are Observations dd mmm yy e g Observations 11 Oct 01 where dd mmm yy is the day in question This is not to say that all the data in a table were collected on that day merely that the observational session started on that day For example the data from sessions running from at 8am Thursday to 1pm Thursday and 10pm Thursday to 4am Friday would appear in Thursday s tables The organisation into separate tables is for convenience and security each observation or comment has its own separate timing information Comments are handled similarly in Comments dd mmm yy 7 1 Observations Table ID Unique key identifying the record AutoNumber Long Integer Unique primary key PatientID The string which identifies the baby to the on ward data collection system Text Field Size 20 Version 4 12 19 December 2002 9 BABYWATCH ObservationType The general class of the observation Text Field Size 20 Chosen from the following list of values e Action The various actions that be can be taken by nurse doctor or parent involving the baby For a complete list see the
4. of equipment Version 4 12 19 December 2002 Table 1 ctd Detailed Content of Observations Records sti BABYWATCH ObservationType Observation VValue TimeType Agent Attribute Settings Mode CMV Not used 0 Point 3 Observer VENTILATOR SLE Florian Mode CPAP VENTILATOR Babylog Mode HFO See the list of ventilator settings The setting 0 Point 3 Observer VENTILATOR SLE Florian VENTILATOR Babylog See the list of incubator settings The setting 0 Point 3 Observer INCUBATOR Draeger See the list of infant flow settings The setting 0 Point 3 Observer INFANT FLOW See the list of SpO2 monitor The setting 0 Point 3 Observer SpO2 MONITOR Nellcor settings SpO2 MONITOR Omeda See the list of nitric oxide settings The setting 0 Point 3 Observer NITRIC OXIDE Alarm limits See the list of alarm limits The limit 0 Point 3 Observer Null Gases See the list of results The result 0 Point 3 Observer UA Peripheral A Capillery Vein Lab results See the list of results The result 0 Point 3 Observer Null Medication Comma separated list of drugs see The dose 0 Point 3 Observer IV Bolus the list of common drugs available IV Infusion 30 min drugs can also be entered as free l text IV Continuous Oral Skin Version 4 12 19 December 2002 12 BABYWATCH 7 2 Comments Table ID Unique key identifying the record AutoNumber Long Integer Unique primar
5. ALE STOOL CLAY STOOL BLOODY STOOL SOFT STOOL FORMED STOOL BREAST MILK STOOL FATTY STOOL STRINGY STOOL MUCOUSY STOOL FROTHY STOOL LOOSE STOOL EXPLOSIVE STOOL DRY STOOL LUMPY STOOL PELLETS STOOL CONSTIPATED FOUL SMELLING STOOL NORMAL URINE GOOD URINE STREAM BOYS DRIBBLING URINE BOYS NOT PASSING URINE URINE CONCENTRATED URINE DILUTE OLIGURIC SMELLY URINE STRAW COLOURED URINE ORANGE URINE BLOOD STAINED URINE RED URINE BROWN URINE CLOUDY URINE PROTEINURIA Version 4 12 16 Crying APPROPRIATE CRYING INTERMITTENT CRYING CONTINUOUS CRYING VIGOROUS CRY HIGH PITCHED CRY ANGRY CRY PAINFUL CRY HOARSE CRY WEAK CRY HAPPY SMILING RELAXED FACE WIDE EYED VACANT LACK OF FACIAL EXPRESSION GRIMACE PUZZLED ANXIOUS SAD STARTLED AFRAID TWITCHING FURROWED BROW ANGRY FACIAL EXPRESSION AGITATED BABYWATCH Feeding TOLERATING FEEDS MANAGING WELL WAKING FOR FEEDS ROUTING FOR FEEDS ESTABLISHING FEEDS STRONG SUCK SOCIAL SUCK SUCKING POORLY NO SUCK REFLEX TUBE FEEDING VOMITING BILE STAINED ASPIRATES 19 December 2002 Movement GOOD TONE RESPONSIVE ACTIVE FLEXED EXTENDED WRIGGLY STRUGGLING JITTERY FITS BACK ARCHING ASYMMETRICAL MOVEMENT HYPER EXTENDED PULLING KNEES UP HYPERTONIC IRRITABLE HANDLING POORLY FLOPPY LETHARGIC UNRESPONSIVE Version 4 12 17 Size NORMAL GAINING WEIGHT BIG FAT GOOD WEIGHT GAIN POOR WEIGHT GAIN LOSING WEIG
6. AUCS TRO0206 BabyWatch User Manual Jim Hunter Department of Computing Science University of Aberdeen jhunter csd abdn ac uk Abstract During an extended data collection exercise in a busy Neonatal Intensive Care Unit a research nurse observer was employed to collect data on neonatal state and care which were not acquired automatically by the computerised monitoring system in the unit The observer used a specially developed data acquisition tool called BabyWatch to enter these data However even though this software tool was designed for a specific project it was developed as a stand alone PC application that has more general use This report provides instructions for the use of the BabyWatch software and describes the structure of the input files and the output database tables 1 2 3 4 5 Table of Contents INTRODUCTION aao patere beso taa saz ee eese evo ue eo eheu sn else ed 1 INSTALLAT ON da aa san ssa awa de Ree US 1 MODIFICATION Bec 1 INPUS EIBESzAG 2 eret A eoe eoe t s teen b er voie a ma 1 32v PROGRAM iiie he a ia asientos E eid Ee UR E HE Ee s 1 COTS SCREEN EE 2 DATA ENTRY SCREEN 5 1 5 2 5 3 5 4 5 5 BOWELS CRYING FEEDING MOVEMENT SIZE SKIN SLEEP c cccccceccscccsesssseccessssseeesseseeeees 5 5 6 ALARMS Buc E Em 98 GASES ROMANS CER E 59 LAB i ae i ii 5 10 SETTINGS STRUCTURE OF INPU
7. BABYWATCH 5 5 Bowels Crying Feeding Movement Size Skin Sleep These pages are all used in a similar way By way of example the screen for Crying is shown below Actions Alarms Bowels Crying Drugs Feeding Gases Lab Settings Size Skin Sleep OBSERVATION N D O OBSERVATION NDO APPROPRIATE CRYING HAPPY INTERMITTENT CRYING SMILING ACCEPT CONTINUOUS CRYING RELAXED FACE VIGOROUS CRY WIDE EYED Patient HIGH PITCHED CRY VACANT ANGRY CRY LACK OF FACIAL EXPRESSION e Dim PAINFUL CRY GRIMACE 4 HOARSE CRY PUZZLED WEAK CRY ANXIOUS SAD Gary STARTLED AFRAID TWITCHING FURROWED BROW ANGRY FACIAL EXPRESSION AGITATED Comment Cots The columns have the following meanings OBSERVATION The name of the observation being made N The nurse is providing the observation D The doctor is providing the observation You the Observer are providing the observation Select an observation by clicking on its name the box will be coloured red Click in the appropriate box in the N D O columns to select the person making the observation You can select as many observations at once as you want If you want to de select an observation then just click on it again When you are satisfied click on ACCEPT and all the observations will be entered into the database 5 6 Alarms la x Actions Alarms Bowels Crying Drugs Feeding Gases Lab Movement Settings Size
8. HT EXTREMELY LOW BIRTH WEIGHT SMALL SCRAWNY SYMMETRICAL ASSYMETRICAL ABNORMAL SHORT SHORT LIMBED LONG AND THIN DISPROPORTIONATE SHAPE DYSMORPIC MICROCEPHALIC SQUASHED HEAD SMALL HEAD BIG HEAD FLAT HEAD SWOLLEN BABYWATCH Skin PINK GOOD CAPILLARY REFILL POOR CAPILLARY REFILL WASHED OUT POORLY PERFUSED PALE POOR COLOUR MOTTLED BLUE BLACK BRUISED RASH IRRITATED BLOTCHY DILATED VEINS PLETHORIC JAUNDICED WAXY APPEARS SHUTDOWN DRY MOIST CLAMMY GELATINOUS SHINY THIN TRANSPARENT FRAGILE SKIN TAUT BROKEN PEELING SKIN SHABBY PUFFY SMOOTH LOOSE SKIN DOWNY HAIRY 19 December 2002 Sleep COMATOSE SEMI COMATOSE DEEP SLEEP ROUSABLE ASLEEP LIGHT SLEEP SETTLED SLEEP INTERMITTENT SLEEP WAKING FOR FEEDS YAWNING REMOVING GAZE SETTLED QUIET AWAKE AWAKE ACTIVE AWAKE SLEEPLESSNESS INCONSOLABLE Version 4 12 18 Alarm limits Heart Rate MinLimit Heart Rate MaxLimit BP MinLimit BP MaxLimit PO2 MinLimit 2 MaxLimit 2 MinLimit 2 MaxLimit Resp Rate MinLimit Resp Rate MaxLimit SpO2 MinLimit SpO2 MaxLimit BABYWATCH Settings Ventilator Mode CMV CPAP HFO Peak P Mean P End P CPAP FiO2 Resp Rate Tinsp Frequency Amplitude Infant Flow Flow P 96 Flow O2 Incubator T air 96 Inc O2 96 humidity Nitric Oxide NO Flow NO NO2 MetHb 19 December 2002 Gases pH pCO2 pO2 HCO3 BE Na K Cl lonisedCa2P
9. NT COMMUNICATION NO ACTION a Cots 5 1 Patient The Patient radio box on the right of the screen lists the babies that vou have said are being observed When the screen is first displaved and more than one babv is being observed vou will be asked to select one If there is only one baby in the list it will be selected automatically You can switch between babies at any time The program will remember what you were doing when you were last working with any given baby so it can restore the screen accordingly 5 2 Comment At any time you can enter a comment using the keyboard The maximum number of characters is 250 and you will be warned if you go over that limit you should then delete characters You can use the Clear button to delete anything you have typed and the Cancel button to stop entering a comment When your comment is ready click on ACCEPT It will be time stamped and entered into the database Version 4 12 19 December 2002 4 BABYWATCH 5 3 Cots You can return to the Cots screen at any time by clicking the Cots button You need to go to the Cots screen in order to exit from BabyWatch 5 4 Actions The Actions page is shown above The columns have the following meanings ACTION The name of the action being carried out The action is being carried out by a nurse The action is being carried out by a doctor The action is being carried out by a parent Start of an action see below End of an actio
10. RANSFUSION LINES ps LONG LINE EMOVE LONG LINE PERIPH A T RIAL LINE T T RIAL LINE R E PERIPH AR PERIPH VENOUS LINE T RIPH VENOUS LINE UAC UVC LINE DH WH uj DHAOQ b R V R EMOVE P R V E UAC UVC LINE CPAP INITIATE VENTILATION ERMINATE GIVE INCUBATOR OXYGEN GIVE NITRIC OXIDE INITIATE GIVE NITRIC OXIDE TERMINAT HAND BAG BABY Lu INTUBATE NASAL CANNULA INITIATE NASAL CANNULA TERMINATE RESUSCITATE SUCTION SAFETY CHECKS MUTE ALAR ROUTINE COMMUNICATION COMMUNICATION TION HUHH Hi Hi Hi Hi Hi Hi Hi HH H HH o 2 ZZZZZZZZZZ 2 ZGZZZZZZZ 15 NGT OGT ORAL WINDING RCC PLATELETS PRONGS ETT PRONGS ORAL NASAL ENDOTRACHEAL MONITOR LIMITS FLUIDS OXYGEN SUCTION MONITOR VENTILATOR INCUBATOR I V NURSE PARENT SHO REGISTRAR CONSULTAN NURSE PARENT SHO REGISTRAR CONSULTAN 30 MIN 40 MIN 50 MIN 1 HR 1 HR 20 1 HR 40 2 HR BABYWATCH 19 December 2002 Bowels MECONIUM CHANGING STOOL SEEDY STOOL BROWN STOOL GREEN STOOL GREY STOOL P
11. Skin Sleep Alarm limits last entered on 16 Jul 02 21 20 ACCEPT Max Min Patient Heart Rate Jim BP 2 Resp Rate 5 2 These are used at the start of an observational period to enter the alarm limits set on various items of equipment Select a box by clicking in it and then type the value If a particular measurement isn t being made or alarm limits are not set just leave a blank You can enter Version 4 12 19 December 2002 6 BABYWATCH as many limits as you want before clicking on ACCEPT which enters them all at once into the database This page can be selected to update the alarm limits at any time The page tells you when you last set the limits in case you forget 5 7 Drugs Use this page to enter any medication administered Normally you will be able to select a drug by clicking the box opposite its name You will be able to select only one drug at a time If the drug isn t on the list then click in the box at the bottom and type its name Enter the dose by clicking in the dose box and typing a number Use the Route radio box to select a route When you are ready click on ACCEPT DATA ENTRY Actions Alarms Bowels Crying Drugs Feeding Gases Lab Movement Set ngs Size Skin Sleep No medication prescribed ACCEPT O Penicillin Gentamicin jizz I Erythromycin 2 Flucloxacill
12. T Control K Jim WCC APTT ci Neuts APTT Control Urea Platelets Creat Albumin Retics Calcium Total protein Phosphates Plasma osmo Glucose Urine Na Urine K Urine osmo Comment Cots 5 10 Settings Use this page to enter the settings for the various items of equipment which are in use You will only be shown the settings for those items that you have previously selected on the Cots form DATA ENTRY ala Actions Alarms Bowels Crying Drugs Feeding Gases Lab Movement Settings Size Skin Sleep ACCEPT MONITOR Siemens SpO2 MONITOR Nellcor r Patient VENTILATOR SLE Florian r Mode Gu 6 CMV CPAP HFO go INCUBATOR cms water r degC Mean P cms water End P cms water Inc O2 L3 humidity FIO2 Resp Rate per min Tinsp secs Comment Cots In general as before you will click on the appropriate box and enter the value You can enter as many values as you want before clicking on ACCEPT to enter them into the database For the ventilator you will need to select the mode of ventilation The settings shown will depend on the mode Version 4 12 19 December 2002 8 BABYWATCH 6 Structure of Input Files BabyWatch uses a number of input files to define the actions and observations available to the observer 6 1 Actions txt This is an ASCII file which defin
13. T FILES Gali XA TIONSEEXI iii wa ia ceo e a a ota Stee a 8 6 2 BOWELS TXT CRYING TXT FEEDING TXT MOVEMENT TXT SKIN TXT SLEEP TXT SIZE TXT 8 DATABASE TABLES PE 8 TAs OBSERVATIONS TABLE ii AI a A AD 8 7 2 COMMENTS TABLE 7 35 DANS TABLE aa l a ber er c ood 1 Introduction BabyWatch is an interactive system that allows an observer to enter in real time the actions performed on a neonate the results of blood gas analyses and laboratory tests medication administered equipment settings and various physical observations It is designed to run ona stand alone PC probably a laptop at the cotside It allows fast entry of data for one or more babies with a temporal accuracy of a few seconds 2 Installation Copy the following files to a suitable directory say C BabyWatch BabyWatch exe the Windows executable Database mdb an empty Access format database Actions txt a text file specifying the actions that can be recorded Bowels txt ditto for bowel movements and urine production Crying txt ditto for mood Feeding txt ditto for feeding Movement txt ditto for movement muscle tone etc Size txt ditto for size shape and weight Skin txt ditto for skin colour and appearance Sleep txt ditto for patterns of sleep and wakefulness When the program is run it will create a Registry key HKEV CURRENT USER Software BabyWatch The program is designed specifically to use a screen resolution o
14. es the actions that can be entered Each action occupies one line A formatted version of this file is attached The columns are tab separated and contain the following data e for the type of action these are there for convenience and are not copied into the database nor are they used by the BabyWatch program Blank lines are used to separate different types these are there to improve the readability of the actions screen in the BabyWatch program However there is a close linkage between the use of blank lines and the layout of the screen so do not insert or delete any without consulting the program maintainer e The action itself e One of the characters P or I P means that the action is considered to take place at a point in time I that it takes place over an interval see below e One of the characters M or M indicates that further attributes are present that there are none 6 2 Bowels txt Crying txt Feeding txt Movement txt Skin txt Sleep txt Size txt Each of these is an ASCII file which defines the observations that can be made There is one observation per line Blank lines are used to enhance the lavout of the observations in BabvWatch 7 Database Tables Each time the observer clicks the ACCEPT button an entry is generated in one of two database tables The most common entry is a highly structured record the Observation From time to time s he will want to enter a free text Comment In addition
15. expressed as Ticks 1 10 000 second since midnight Number Long Integer Version 4 13 19 December 2002 13 BABYWATCH OriginatorType Always set to Observer Text Field Size 50 OriginatorName Identifies the person making the observations Text Field Size 50 ContextDependentData Null Text Field Size 250 Version 4 13 19 December 2002 Actions CARE CHANGE LINEN CARE COMFORT CARE CONTAINMENT CARE CUDDLE KANGAROO CARE CARE EYE CARE CARE INCUBATOR OPEN CARE ASSAGE CARE OUTH CARE CARE NAPPY CHANGE CARE SKIN CARE CARE STIMULATION CARE TURN CHANGE POSITION CHEST DRAIN INSERT CHEST DRAIN CHEST DRAIN ONITOR CHEST DRAIN CHEST DRAIN WITHDRAW CHEST DRAIN COLLECT DATA EXAMINE BABY COLLECT DATA OBSERVE BABY COLLECT DATA OPTHALMIC EXAMINATION COLLECT DATA RE SITE PROBES COLLECT DATA WEIGH HERAPY PHOTOTHERAPY HERAPY PHYSIOTHERAPY INVESTIGATION BLOOD FROM CATHETERS INVESTIGATION ECG INVESTIGATION EEG INVESTIGATION HEEL PRICK INVESTIGATION LUMBAR PUNCTURE INVESTIGATION SPA INVESTIGATION SWABS INVESTIGATION USS INVESTIGATION VENEPUNCTURE INVESTIGATION X RAY Version 4 12 H Hd Hi HH H HH HH HH H H HHH FE HHHHHHHHhhh ZZZZZZZ
16. f 1024 x 768 pixels It will not work at lower resolutions and the display will look odd at higher resolutions 3 Modification 3 1 Input files It is possible to modify the actions and observations files but care is needed as the layout of information in the files is used to determine the layout of the input screens see section 6 3 2 Program BabyWatch is programmed in Borland Delphi Version 6 If more significant changes are to be made including different types of equipment this will involve editing the source code and recompiling Copy the following files from Source to a suitable directory say C BabyWatch Source BabyWatch the project files Actions handles the entry of actions Alarms handles the entry of alarm limits Cots allows the user to identify one or more babies and to say what equipment is in use for each DataEntry provides the main control over data entry Descriptors handles the entry of all observations bowels crying etc Drugs handles the entry of all medication FileAccessClass pas file handling utility Gases handles the entry of all blood gas results Input pas provides the parent form type for several other forms Lab handles the entry of laboratory results Settings handles the entry of equipment settings TSWQuery pas database query utility Utilities pas general utilities 2 BABYWATCH The executable will be placed in the main directory i e the parent directory to Sou
17. in Patient O Netilmicin O Vancomycin Route 0 Ampicillin Amoxycillin IV Bolus O Nystatin Cefotaxime IV Infusion 30 min Jim EI J Morphine IV Continuous O Phenobarbitone 0 Cimetidine Oral Caffeine Skin 0 Dopamine 0 Dobutamine 0 Indomethacin 1 Frusemide O Spirolactone m J Sytron OVits Calciferol r Comment Cots 5 8 Gases DATA ENTRY Actions Alarms Bowels Crying Drugs Feeding Gases Lab Movement Settings Size Skin Sleep Gases not entered yet ACCEPT Site SUA Peripheral A Capillery Jim Patient Vein lonised Ca2 Hb Met Hb YSI glucose Lactate Version 4 12 19 December 2002 7 BABYWATCH Use this page to enter blood gas results Click on the Site from which the blood sample was taken Click on the appropriate box and enter the value You can enter as many values as you want before clicking on ACCEPT to enter them into the database 5 9 Lab Use this page to enter the results of laboratory tests Click on the appropriate box and enter the value You can enter as many values as you want before clicking on ACCEPT to enter them into the database F DATA ENTRY 3 Actions Alarms Bowels Crying Drugs Feeding Gases Lab Movement Settings Size Skin Sleep No lab data entered yet ACCEPT Blood Haemoglobin PT Na Phos Patient Haematocrit P
18. lus Hb MetHb YSIGlucose Lactate Version 4 12 19 Lab results Haemoglobin Haematocrit WCCLabel Neuts Platelets Retics PT PTControl APTT APTTControl Mix Fib FDPs Na K Cl Urea Creat Calcium Phosphates Glucose AlkPhos SBR ALT GGT Albumin TotalProtein PlasmaOsmo UrineNa UrineK UrineOsmo BABYWATCH Drugs Ampicillin Amoxycillin Caffeine Calciferol Calcium resonium Cefotaxime Cimetidine Curosurf Dobutamine Dopamine Erythromycin Flucloxacillin Folic acid Frusemide Gentamicin Glycerine chip Hypermellose Indomethacin KCI Morphine Neopain drug Netilmicin Normal saline Nystatin Pancuronium Paracetamol Penicillin Phenobarbitone Phosphate Sodium bicarbonate Spirolactone Sytron Triclofos Vancomycin Vecuronium Vitamin K Vits 19 December 2002
19. n see below UOZ Record an action as follows e When a specific action is about to be performed click on the box containing the name of the action The box will change colour to dark blue If you want to de select the action just click on it again e Then click in one of the columns labelled N D or P to indicate who is going to carry out the action Since most actions are carried out by nurses the N box will already be coloured and if the nurse is the person concerned you need do nothing However if this is not so click one of the others The system tries to cut down the amount of work you have to do so the next time you select this action it will remember who carried it out last and select that box automatically e Most actions take some time to perform You therefore have to tell the system when the action starts and when it stops Click in the lt box to say that the action is about to start and in the gt box if it is about to end Most actions will be performed while you are observing so when you click on the Action box the lt start box will be coloured and you need do nothing If however you are indicating the end of an action which started before you started observing e g a phototherapy session then click in the gt box to show this The system remembers which box was chosen last time and will pre select the other the next time the action is selected This means that for most actions you will not need to click in ei
20. ntry Screen Most of the DataEntry screen is occupied by a set of tabbed pages which allow rapid entry of the actions observations settings etc However before considering these we will describe the other functions of this screen 21815 Actions Alarms Bowels Crying Drugs Feeding Gases Lab Movement Settings Size Skin Sleep ACTION gt lt ACTION lt CHANGE LINEN ASPIRATE GASTRIC TUBE COMFORT ENTERAL FEEDING CONTAINMENT INTRAVENOUS FEEDING ma ACCEPT CUDDLE KANGAROO CARE INSERT GASTRIC TUBE EYE CARE INCUBATOR OPEN BLOOD TRANSFUSION l MASSAGE CHANGE IV IA LINES mi Patient MOUTH CARE FLUSH LINES NAPPY CHANGE INSERT LONG LINE SKIN CARE REMOVE LONG LINE Jim STIMULATION INSERT PERIPH ARTERIAL LINE TURN CHANGE POSITION REMOVE PERIPH ARTERIAL LINE INSERT PERIPH VENOUS LINE INSERT CHEST DRAIN REMOVE PERIPH VENOUS LINE MONITOR CHEST DRAIN INSERT UAC UVC LINE Gary WITHDRAW CHEST DRAIN REMOVE UAC UVC LINE EXAMINE BABY ADJUST VENTILATION estes OBSERVE BABY CPAP INITIATE OPTHALMIC EXAMINATION CPAP TERMINATE RE SITE PROBES EXTUBATE WEIGH GIVE INCUBATOR OXYGEN GIVE NITRIC OXIDE INITIATE PHOTOTHERAPY GIVE NITRIC OXIDE TERMINATE PHYSIOTHERAPY HAND BAG BABY INTUBATE BLOOD FROM CATHETERS NASAL CANNULA INITIATE ECG NASAL CANNULA TERMINATE EEG RESUSCITATE HEEL PRICK SUCTION LUMBAR PUNCTURE SPA SAFETY CHECKS EHE SWABS MUTE ALARM esi USS VENEPUNCTURE ROUTINE COMMUNICATION Comment X RAY URGE
21. rce 4 Cots Screen On startup the user is presented with the following screen ii COTS Agi xi NAME BABYID OBS JMONITOR VENTILATOR INCUBATOR INFANT FLOW Sp02 MONITOR NITRIC OXIDE Jim 1111 Yes Siemens SLE Florian Draeger Nellcor Gary 2222 Yes HP SLE Florian Open Cot Lindsey 3333 Siemens Babylog Draeger Yes Fu E I University of Aberdeen 2001 Context Badger Each row of the grid is used to record information on one baby and the cot in which it is located NAME this is used to enter an easily recognised name for the baby so that the observer can identify the baby quickly and easily It is not recorded in the database so anonymity is not compromised Click in the cell before using the keyboard to enter the name BABY ID this is used to enter the code which is used by the ward information system to identify the baby Again the ID is entered using the keyboard OBS use the mouse to toggle the value in this cell between Yes and blank A blank cell means that the data has been set up for the baby in advance but the baby is not going to be observed Yes means that the baby is about to be observed MONITOR use the mouse to toggle between the various values which have been set up for this A blank means that the baby is not being monitored VENTILATOR ditto for the ventilator INCUBATOR ditto for the incubator INFANT FLOW ditto for infant flow SpO2 MONITOR di
22. the Observer 3 Number Long Integer Attribute Optional further information depends on the nature of the observation Text Field Size 30 Version 4 12 19 December 2002 For each ObservationType we give details of the possible values of each field The PatientID and TTime fields will not be described as they do not vary 10 Table 1 Detailed Content of Observations Records BABYWATCH ObservationType Observation VValue TimeType Agent Attribute Observer Present Not used 1 Start 3 Observer Null 2 Stop Action See the list of actions Not used 0 Point 0 Nurse See list of possible attributes 1 Start 1 Doctor 2 Stop 2 Parent Bowels Crying See the list of observations Not used 0 Point 0 Nurse Null Feeding Movement 1 Doctor Skin Sleep Size 3 Observer Equipment MONITOR Not used 0 Point 3 Observer VENTILATOR Not used 0 Point 3 Observer SLE Florian Babylog INCUBATOR Not used 0 Point 3 Observer Draeger Open Cot INFANT FLOW Not used 0 Point 3 Observer Yes SpO2 MONITOR Not used 0 Point 3 Observer Nellcor Omeda NITRIC OXIDE Not used 0 Point 3 Observer Yes The values for the equipment used e g monitor ventialator etc and their values e g Siemens HP etc are built into the program It would be simple to modify the possible values e g to add a different type of ventilator but less easy to alter the types
23. ther of these boxes as the correct box will already be selected for you e Some actions are judged to have no measurable duration they take place at a single point in time e g Mute Alarm In this case the lt and gt boxes are blanked out and are not used e When the action is completely specified click on the ACCEPT button If the action takes a finite time to carry out and you have just started it then colour of the box will change to a pale blue to remind you that it will need to be ended at some point When that time comes click on the action again its colour reverts to dark blue check that the gt box is selected and click on ACCEPT e Some actions have a number of attributes which you can use to provide further information on what is going on For example the Examine Baby action allows you to specify what is being examined ears eyes etc These attributes appear as a list of check boxes on the right hand side of the screen For actions which occur over an interval the attributes will not appear until the action has started Click on as many boxes as you need to before clicking on ACCEPT For those actions which have no duration the attributes will appear immediately and should be checked before you click on ACCEPT Note that you can start and stop actions completely independently of any other actions that are taking place So one action may start before another and finish afterwards Version 4 12 19 December 2002 5
24. tto for the SpO2 monitor NITRIC OXIDE ditto for nitric oxide There are two other pieces of information needed Observer Use the keyboard to enter an identifier for the observer The program will remember the previously entered value so that in the case where there is only one observer once this is entered for the first time nothing need be done on subsequent executions Context This means the name of the study or project to which this series of observations contributes Again the previous value is remembered and this value will normally only have to be entered once at the start of the project OK When the set up is complete click on the OK button to enter these values into the database Notice that no entry is made until this button is clicked When you stop observing a baby it is not enough to click in the OBS column you will also need to click this button to Version 4 12 19 December 2002 3 BABYWATCH record the fact Clicking also takes you to the data entry screen If no baby is being observed then nothing will happen All babies that are being observed must have a NAME and a BABY ID At any time during data entry you can return to the Cots screen to change the data for a given baby Most often this will be to change the observation status but if the equipment is changed this can be reflected here Exit The Exit button provides the correct way to quit BabyWatch you will be asked for confirmation 5 Data E
25. y key PatientiD The string which identifies the babv to the on ward data collection svstem Text Field Size 20 TTime The date and time of the comment Number Double Comment A free text comment of up to 250 characters Text Field Size 250 7 3 Days Table Note that this table has the structure of the Intervals table in the Time Series Workbench ID Unique key identifying the record AutoNumber Long Integer Unique primary key ContextName The string which identifies the study project to which this data collection exercise belongs This will change very rarely if ever Text Field Size 50 SourceName The string which identifies the baby to the on ward data collection system the same as the field PatientiD in the other two tables Text Field Size 50 ChannelName Always set to None Text Field Size 50 FullDescriptor Always set to OBSERVER DAYS Text Field Size 50 VValue Always set to null Text Field Size 250 StartTimeDays The integer part of TTime i e the number of days since the reference day Number Long Integer StartTimeTicks Always set to zero Number Long Integer EndTimeDays Always set to StartTimeDays 1 Number Long Integer EndTimeTicks Always set to zero Number Long Integer CreatedTimeDays The day that the record was created Always set to StartTimeDays Number Long Integer CreatedTimeTicks The time within the day that the record was created
Download Pdf Manuals
Related Search