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Further, different units will have equipment that may have different levels of interoperability despite being designed to perform the same task. We can't yet say how much better it would be if you didn't have this issue. One of the reasons that medical devices don't talk to one another is because of the way the FDA approves the technology.
Historically, the FDA process has focused on isolated systems rather than integrated suites of devices. Smith says West Health Institute has asked the agency to contemplate how it would approve a suite of equipment, and the FDA has promised to issue guidance, but nothing has been released as of yet. Additionally, since providers are not demanding interoperability, vendors are not necessarily motivated to create it. Smith argues that this is because many healthcare providers don't realize that it's an option.
However, Smith believes providers can be the catalyst for change. In April, the Center for Medical Interoperability, which was started by West Health Institute in , announced its board of directors, including executives from large, well-known U.
Smith hopes this new board will help get the attention of vendors and manufacturers regarding the need for device interoperability. Some hospitals have taken steps to add hardware and software to certain devices, allowing them to import data to the hospital's electronic health record, but that doesn't necessarily create an automatic fail-safe in which a device would know to stop a morphine drip when a patient's oxygen saturation falls. Smith admits this is one step in integrating, synthesizing, and interpreting data on a larger platform; however, internal IT resources will be required to make those adjustments.
Smith says he remains optimistic about the future of device interoperability, but recognizes that as medical device technology moves forward, the gap between various medical devices will continue to grow. Each one can be singularly life-saving, but when clustered together in an uncoordinated fashion you get unanticipated perils. See questions and answers.
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Amazon Inspire Digital Educational Resources. Amazon Rapids Fun stories for kids on the go. Hospitals are educating staff to keep them up to date on new monitors and equipment. Where I work we trial a new piece of equipment, the company comes in to service it, then we institute super-users to continue to be resources for the staff. Unfortunately in Massachusetts we currently have no set ratios for safe staffing, and we desperately need them.
How do nurses interact with medical devices? - media-aid.com ©
Research shows that when a nurse is assigned too many patients to care for, it potentially increases your risk as a patient to suffer a complication or even death. Poor staffing ratios is a major contributor to the problem of alarm fatigue. When a nurse has the time to care for all his or her patients and monitor them properly there is less chance of those alarms sounding. We can assess the problems before they arise.
In Massachusetts, my professional organization, the Massachusetts Nurses Association has filed legislation which would establish specific limits on nurse's patients assignments.
This would ensure safe staffing based on acuity, or intensity of your illness. Local Search Site Search.
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Dealing with hospital noise Hospitals can be noisy places, with many patient monitor alarms sounding. How do hospital staff learn to tune out the noise when they have to, but also listen closely for alarms that signal a possible emergency? Two nurses answered your questions, below. Sawtelle, RN, has worked at Boston Medical Center for 23 years, caring for patients in the medical, surgical, surgical step-down and surgical intensive care units. She is a member of the hospital bargaining committee for Massachusetts Nurses Association and a member of the MNA political action committee.
She is married to a Braintree deputy fire chief, and has one son and two stepsons. It is very important for technology to continue to hone their products, these are patients lives, no one wants to be pulled from a patients bedside for a false alarm, but it happens repeatedly and often. The thing to remember is you can not substitute a nurse with technology. The monitor should enhance our jobs, not eliminate them.
I breath a sigh of relief knowing that my patients are on a monitor.