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Field Observation. Busra Ergun. Ran zhou. Grace Shin. Intensive care unit's equipment. Send heart rate, blood pressure, respiratory rate. Monitor continuously displays patient’s information. Intensive care unit's Recording Method. 1). 2). Computer. Documentation.
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Field Observation • Busra Ergun • Ran zhou • Grace Shin
Intensive care unit's equipment Send heart rate,blood pressure,respiratory rate Monitor continuously displays patient’s information
Intensive care unit's Recording Method 1) 2) Computer Documentation Record medical information to computer and paper
Intensive care unit's Recording Method 3) PDA Nurse in Piedmont has PDA to record information
Intensive care unit's Recording Method 4) MCA(Mobile clinical assistance)
Intensive care unit's Recording Method MCA(Mobile clinical assistant): Enable nurses to spend more time with patients, do their jobs on the move while remaining connected Wireless connectivity: to access patient information and physician’s order. RFID: to identify patients, medications and assets Integrated bar code reader: to manage medicines or costly supplies
Nurse Station Clearance
Hallway Computer Storage
Entrance/Lobby • Design: in general, interaction points are circled • Waiting room with colorful design • Aquarium • Big screen ocean view • Attractive for children • To make the waiting times less boring
Entrance/Lobby • Elevators • named as flower and butterfly • goes different departments • natural feeling (wooden walls and green leaves on the ceiling) • coffee shop
Families • Shower • Laundry • Exercise room • Private sleeping room • Chapel: most silent place • Business center and library: help the families to follow their daily routines and to learn more about their children’s illness
Neonatal ICU 35 beds (incubator) Low lighting Warm environment to support the growth of the babies • ALOS: 28 days • Signal system • orange: alarm • yellow: family need • blue:crisis
Neonatal ICU • Each incubator has a nurse working desk, information board and family armchair • Average 2 patients/ nurse
Window dashbord restroom Bed Working desk for nurse PC Glass Door Pediatric ICU • 26 beds • 28 CICU beds • ALOS: 4 days • Individual rooms • Design: movie star feeling
Pediatric ICU • Natural lighting • Wireless phones for nurse • 4 nurse pods: screen to follow each room
Restroom & Bathroom Window Couch Chair TV and DVD unit Bed Window to hall door REHAB • Visitation policy looser than ICU, because support of family and friends is important in Rehab • ALOS depends on the situation of patient, around 10 days but deviation is high Nurse Working Area
Challenges • Patient privacy vs. Transparency • Sometimes 3patients/nurse • How nurse spend time in POD system? • Infection control • No special bathroom in PICU rooms • Cell phone usage restrictions for families • Limited family visit in NICU • Families affect each other • Psychology of families