Vital Signs Workflow Without and With ViSi Mobile®

ViSi Mobile streamlines the vital signs monitoring workflow, helping improve both accuracy and outcomes.

visi-mobile-workflow

Access Patient Data and Trends

Access to data, including vital sign trends over time, can significantly improve the ability and confidence of a nurse to identify patients at risk.3

With trend data and through data analysis, organizations can identify accurate markers of deterioration to proactively notify clinicians within the context of care delivery, thus improving safety and quality outcomes.

Effective Surveillance

Surveillance is a nursing intervention intended to identify and prevent medical errors and adverse events. The definition of surveillance proposed by the Nursing Intervention Classification is the purposeful and ongoing acquisition, interpretation, and synthesis of patient data for clinical decision making.

Henneman E, Gawlinski A, Giuliano K: Surveillance from Critical Care Nurse

Monitoring is a key activity in the surveillance process, but effective surveillance requires new skills and processes as well.4

The proactive use of continuous vital signs are more likely to detect physiologic changes that can indicate, and perhaps predict, deterioration episodes.2

Keeping an eye on life, even during sleep.

We know that sleep can mask the evidence of patient deterioration, and yet if clinicians wake the patient to take vital signs, sleep is disturbed. There is now a better way. Asleep or awake, ViSi Mobile will continuously monitor a patient’s vital signs, including their blood pressure, and alert the nurse if there is a reason to assess the patient. Additionally, ViSi Mobile helps to reduce noise and light in clinical care areas.

Love that I can go to sleep and know that the nurses are watching out for me.

Actual ViSi Mobile Patient

Continuous Non-Invasive Blood Pressure (cNIBP)

The ViSi Mobile patented cNIBP technology is cleared by the FDA to be accurate within 5 mmHg (+/-8mmHg standard deviation) to a radial arterial line. The ViSi Mobile device detects changes in blood pressure, including orthostatic pressure changes. Continuous cNIBP readings allow the patients to get restful sleep, without being awakened for routine blood pressure checks.

Vital Signs Record

Higher levels of efficiency are possible when continuous vital sign data is interfaced to the EHR system, enabling correlations with other patient data.

ViSi Mobile supports the “Five Rights of Clinical Decision Support”6 to improve patient care:

  • The right information
  • To the right person
  • In the right intervention format
  • Through the right channel
  • At the right time in workflow

Improve Access to Vital Patient Information while Minimizing Additional Workload

I saved time by 20 minutes taking floor vital signs.

Actual ViSi Mobile Customer

Patient Mobility

ViSi Mobile lives up to its name, allowing patients to get out of bed to ambulate, use the bathroom, participate in physical therapy or any activity needed. The patient can also be continuously monitored during transport.

Barely felt it on me. It feels like I’m wearing a wristwatch. Good advancement.

Actual ViSi Mobile Patient

Alerts that Matter

Integrating continuous monitoring into routine practice and clinical decision-making only makes sense if the system detects patients at risk without adding to the alarm burden. Alerts must be viewed as highly meaningful and actionable.

Using Data to Maximize Value and Reduce the Number of Alerts: Based on the experience and big data derived from customers’ use of ViSi Mobile, the current performance benchmark is less than 6 alarms per patient, per day. At that level, nursing workflow required for continuous surveillance monitoring is equivalent to checking vital signs every 4 hours.

Simulation Tools To Set Alarm Thresholds: Sotera® Wireless has crafted simulation tools that allow individual hospitals to predict and compare their alarm performance against the national benchmark.

Setting Alarm Policies And Practices to meet Joint Commission Requirements: Sotera Wireless works with each customer to conduct a complete analysis of current clinical workflow, and then engages with the customer at the policy, as well as the practice, level.7

Nursing Leadership is Essential

Adopting continuous monitoring into surveillance practices requires a leadership commitment to ensure that appropriate resources, evidence-based protocols, and education are available to medical-surgical nurses. In that way, nurses are supported as they adjust to new technology and information and learn to respond to abnormal vital signs and trends.

Sotera Wireless will collaborate with nurse leaders within each hospital to define a customized plan to incorporate continuous data into surveillance practices, augment practice standards, identify best practice workflows, and define quality outcome measures.

CEU-Based Education

Preventing adverse events by successfully responding to rescue situations requires strong nursing expertise and skills. Traditionally, general care unit patients have not been continuously monitored, and their nurses have not been equipped with technology to alert them to signs of physiological instability. As a result, these nurses have not had the opportunity to learn and apply the skills needed for rapid intervention.

Sotera Wireless provides comprehensive CEU-based education on surveillance management, and education on alarm management to meet the safety needs of each individual patient.

Alarm Management Partnership

Continuous surveillance monitoring requires a new approach to alarms. Our goal is to enable actionable alerts to the appropriate clinician without increasing the alarm burden. Sotera conducts a complete analysis of current clinical workflow and then engages with the customer at the policy, as well as the practice, level. We will help you to develop policies and practices to support alarms management, as well as to comply with The Joint Commission Requirements.

Read more about our data driven approach to managing alarms.

Vital Signs Workflow Without and With ViSi Mobile®

ViSi Mobile streamlines the vital signs monitoring workflow, helping improve both accuracy and outcomes.

visi-mobile-workflow

Access Patient Data and Trends

Access to data, including vital sign trends over time, can significantly improve the ability and confidence of a nurse to identify patients at risk.3

With trend data and through data analysis, organizations can identify accurate markers of deterioration to proactively notify clinicians within the context of care delivery, thus improving safety and quality outcomes.

Effective Surveillance

Surveillance is a nursing intervention intended to identify and prevent medical errors and adverse events. The definition of surveillance proposed by the Nursing Intervention Classification is the purposeful and ongoing acquisition, interpretation, and synthesis of patient data for clinical decision making.

Henneman E, Gawlinski A, Giuliano K: Surveillance from Critical Care Nurse

Monitoring is a key activity in the surveillance process, but effective surveillance requires new skills and processes as well.4

The proactive use of continuous vital signs are more likely to detect physiologic changes that can indicate, and perhaps predict, deterioration episodes.2

Keeping an eye on life, even during sleep.

We know that sleep can mask the evidence of patient deterioration, and yet if clinicians wake the patient to take vital signs, sleep is disturbed. There is now a better way. Asleep or awake, ViSi Mobile will continuously monitor a patient’s vital signs, including their blood pressure, and alert the nurse if there is a reason to assess the patient. Additionally, ViSi Mobile helps to reduce noise and light in clinical care areas.

Love that I can go to sleep and know that the nurses are watching out for me.

Actual ViSi Mobile Patient

Continuous Non-Invasive Blood Pressure (cNIBP)

The ViSi Mobile patented cNIBP technology is cleared by the FDA to be accurate within 5 mmHg (+/-8mmHg standard deviation) to a radial arterial line. The ViSi Mobile device detects changes in blood pressure, including orthostatic pressure changes. Continuous cNIBP readings allow the patients to get restful sleep, without being awakened for routine blood pressure checks.

Vital Signs Record

Higher levels of efficiency are possible when continuous vital sign data is interfaced to the EHR system, enabling correlations with other patient data.

ViSi Mobile supports the “Five Rights of Clinical Decision Support”6 to improve patient care:

  • The right information
  • To the right person
  • In the right intervention format
  • Through the right channel
  • At the right time in workflow

Improve Access to Vital Patient Information while Minimizing Additional Workload

I saved time by 20 minutes taking floor vital signs.

Actual ViSi Mobile Customer

Patient Mobility

ViSi Mobile lives up to its name, allowing patients to get out of bed to ambulate, use the bathroom, participate in physical therapy or any activity needed. The patient can also be continuously monitored during transport.

Barely felt it on me. It feels like I’m wearing a wristwatch. Good advancement.

Actual ViSi Mobile Patient

Alerts that Matter

Integrating continuous monitoring into routine practice and clinical decision-making only makes sense if the system detects patients at risk without adding to the alarm burden. Alerts must be viewed as highly meaningful and actionable.

Using Data to Maximize Value and Reduce the Number of Alerts: Based on the experience and big data derived from customers’ use of ViSi Mobile, the current performance benchmark is less than 6 alarms per patient, per day. At that level, nursing workflow required for continuous surveillance monitoring is equivalent to checking vital signs every 4 hours.

Simulation Tools To Set Alarm Thresholds: Sotera® Wireless has crafted simulation tools that allow individual hospitals to predict and compare their alarm performance against the national benchmark.

Setting Alarm Policies And Practices to meet Joint Commission Requirements: Sotera Wireless works with each customer to conduct a complete analysis of current clinical workflow, and then engages with the customer at the policy, as well as the practice, level.7

Nursing Leadership is Essential

Adopting continuous monitoring into surveillance practices requires a leadership commitment to ensure that appropriate resources, evidence-based protocols, and education are available to medical-surgical nurses. In that way, nurses are supported as they adjust to new technology and information and learn to respond to abnormal vital signs and trends.

Sotera Wireless will collaborate with nurse leaders within each hospital to define a customized plan to incorporate continuous data into surveillance practices, augment practice standards, identify best practice workflows, and define quality outcome measures.

CEU-Based Education

Preventing adverse events by successfully responding to rescue situations requires strong nursing expertise and skills. Traditionally, general care unit patients have not been continuously monitored, and their nurses have not been equipped with technology to alert them to signs of physiological instability. As a result, these nurses have not had the opportunity to learn and apply the skills needed for rapid intervention.

Sotera Wireless provides comprehensive CEU-based education on surveillance management, and education on alarm management to meet the safety needs of each individual patient.

Alarm Management Partnership

Continuous surveillance monitoring requires a new approach to alarms. Our goal is to enable actionable alerts to the appropriate clinician without increasing the alarm burden. Sotera conducts a complete analysis of current clinical workflow and then engages with the customer at the policy, as well as the practice, level. We will help you to develop policies and practices to support alarms management, as well as to comply with The Joint Commission Requirements.

Read more about our data driven approach to managing alarms.

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1. Haraden C. Diagnostics for Patient Safety and Quality of Care. Patient Safety Executive Development Forum, Institute for Healthcare Improvement. 2014 Available from www.ihi.org/education/conferences/APACForum2012/Documents/I2_Presentation_Diagnostics-Haraden.pdf

2. DeVita M, Smith G, Adam S et al.: “Identifying the hospitalised patient in crisis”—A consensus conference on the afferent limb of Rapid Response Systems. Resuscitation 2010; 81:375-382

3. Subbe C, Welch J: Failure to rescue: using rapid response systems to improve care of the deteriorating patient in hospital. Clinical Risk 2013; 19:6-11

4. Henneman E, Gawlinski A, Giuliano K: Surveillance: A Strategy for Improving Patient Safety in Acute and Critical Care Units. Critical Care Nurse 2012; 32:e9-e18

5. Patients and customers surveyed during a 4-week study of ViSi Mobile at an acute-care facility in Southern Utah.

6. Osheroff, et al. (2012) Improving Outcomes with Clinical Decision Support, an Implementor’s Guide. Retreived from: http://ebooks.himss.org/product/improving-outcomes-clinical-decision-support