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Field Observation

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

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  1. Field Observation • Busra Ergun • Ran zhou • Grace Shin

  2. Intensive care unit's equipment Send heart rate,blood pressure,respiratory rate Monitor continuously displays patient’s information

  3. Intensive care unit's Recording Method 1) 2) Computer Documentation Record medical information to computer and paper

  4. Intensive care unit's Recording Method 3) PDA Nurse in Piedmont has PDA to record information

  5. Intensive care unit's Recording Method 4) MCA(Mobile clinical assistance)

  6. 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

  7. Nurse Station Clearance

  8. Nurse work space

  9. Nurse Station

  10. Nurse station

  11. Hallway Computer Storage

  12. 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

  13. Entrance/Lobby • Elevators • named as flower and butterfly • goes different departments • natural feeling (wooden walls and green leaves on the ceiling) • coffee shop

  14. 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

  15. 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

  16. Neonatal ICU • Each incubator has a nurse working desk, information board and family armchair • Average 2 patients/ nurse

  17. 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

  18. Pediatric ICU • Natural lighting • Wireless phones for nurse • 4 nurse pods: screen to follow each room

  19. 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

  20. 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

  21. Thank you

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