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BabyView: Real Time Monitoring of NICU Patients. Erin Lynne Scott Dr. Bill Walsh. Vanderbilt NICU. 42 Feeding Hospitals 500+ Transports a year Distance of 100+ Miles 44 Patient Beds Cost in the NICU is ~$2000/day Average stay is 17 days. What is the problem?.
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BabyView: Real Time Monitoring of NICU Patients Erin Lynne Scott Dr. Bill Walsh
Vanderbilt NICU • 42 Feeding Hospitals • 500+ Transports a year • Distance of 100+ Miles • 44 Patient Beds • Cost in the NICU is ~$2000/day • Average stay is 17 days
What is the problem? • Parents and Families of babies in the Vanderbilt NICU are often 100+ miles away from child
Incumbent Technologies Web Babies • Provide Digital Images of newborn • Often part of a prenatal information website at hospital • Used in both NICU and regular nursery http://www.st-margarets.com/WebNursery.asp http://www.infantxpress.com/depot/20061
Estimated Hospital Costs(1 year – 30 Beds – 5 New Patients/Day) *Development of BabyView (4 years of tuition?) **Growing Family requires the family to purchase pictures ***Based on M-F Schedule
Customer Requirements • No Interference w/ Other Equipment • Minimum Development and Deployment Costs & Schedule • Easy to use • Limited Maintenance Cost & Effort • Secure Connections • Meets HIPAA Regulations
Suggested Uses • Live Image Feed of Child fed to • Nurses Station • Doctor’s Offices • Requiring Secure ID for each doctor • Home Computers • Requiring Secure ID for each patient • Mother’s Room in Hospital • Via portable computer w/ wireless access • Paid for by the hospital, free service to the patient • HIPAA Regulations • Secure Internet/Password Protected • Parent Consent for participation in BabyView
Logon Screen Accesses HTML PAGE JAVA Applet Database Runs the Applet on Server
Baby Info Website Structure Parent/Family Logon Screen Hospital Staff Admin Page Administrator
Baby Info Hospital Server Internet Camera Family Home Baby Info Nursery Mother’s Hospital Room Baby Info Hospital A Mother’s Hospital Room Hospital B
Name My Team Attending Fellow(s) Residents Intern(s) NDP(s) Social Worker Case Manager Room # Baby Info Information already collected and posted visibly in each patient room
Protocol • Patient must be in NICU for at least 3 days • No patients currently on ventilators • Medical Team Approval • Dependent on health level of patient • Parent sign off for participation
Safety Concerns • Program Failure • Down Server or connection • Error in the program • Electrical Malfunctions • Surges • Fuses • Mechanical Failure • Camera Falling Off? • Interference during HealthCare Procedures • Protocols for NICU use
Work to Date • Visit to NEW NICU • Patient Protocol Decided • Camera Arrived and “Setup” • Camera Wireless Issues Solved • Final Story board Created • Websites completed • JAVA Program finished • Database • Caspio Bridge
Future Work • Finish Database • Debug Program • Program Testing • Install In NICU
Acknowledgements • Dr. Walsh • Professor of PediatricsAttending Neonatologist, Chief of Nurseries • Dr. King • Associate Professor of Biomedical EngineeringAssociate Professor of Mechanical Engineering • Ray Erlandson • Department of Biomedical Engineering • Dr. Dan Lindstrom