13
Intelligent Hospital™ OR Script 2015 1 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium Revised: Updated Feb 7, 2015 PHF Table of Contents Use Cases to be added: .............................................................................................................................................................. 3 Introduction: ................................................................................................................................................................................... 3 OR1 Staff Identification: (Sponsor to be Determined) .............................................................................................. 3 OR2 OR Platform Infrastructure: (Skytron) ...................................................................................................................... 4 OR3 Temperature and Humidity Monitoring (Pending Sponsor) .......................................................................... 4 OR4 Integrated Management System (Extreme Networks) .................................................................................... 4 OR5 Environmental Metrics (Planned Removal) .......................................................................................................... 4 “Pre-op” Preparation: ................................................................................................................................................................. 5 OR15 Case Supply Management Integrated with ORIS (Omnicell) ................................................................... 5 OR9 Surgical Tray (Cardinal) .................................................................................................................................................. 5 Cardinal Health .......................................................................................................................................................................... 5 Start Procedure Patient Ready: ............................................................................................................................................... 5 OR6 Nurse Call communication and workflow utilization (ASCOM) ...................................................................... 5 OR7 Wireless Communications ( Vocera) ........................................................................................................................ 5 Ascom/Vocera ........................................................................................................................................................................... 5 OR10 RFID Personnel Tracking (Sponsor to be Determined) .............................................................................. 6 OR11 Wireless Messaging (Vocera) .................................................................................................................................... 6 OR8 Information System (TBD / Sunquest / Skytron) .................................................................................................... 6 Or12 Central Line Kit (Cardinal) (Update required supplies Dr Landa) ............................................................... 6 Cardinal Health .......................................................................................................................................................................... 6 Or13 RFID Tagged Equipment (Intelligent Insites) Should be with Hospira !! ................................................... 7 OR14 Infusion Pump: (Hospira) ............................................................................................................................................ 7 Hospira ......................................................................................................................................................................................... 7 OR16 Anesthesia Delivery System (Drager) ............................................................................................................... 8 OR17 Anesthesia Workstation and Narcotic Control in OR ......................................................................................... 8 Omnicell ....................................................................................................................................................................................... 8 OR18 Capnography monitoring in OR: (Nuvon **) .................................................................................................. 8 OR19 Remote Collaboration Platform (Intouch Health) ........................................................................................ 9 Intouch Health ........................................................................................................................................................................... 9 OR 19 A: Sample Collection Positive ID: (Sunquest) ........................................................................................... 9 Positive/Accurate Patient Identification and Container Labeling using Mobile Specimen Collection System .......................................................................................................................................................................................... 9 OR20 Pneumatic Tube System (Swisslog) ................................................................................................................. 10 Swisslog ..................................................................................................................................................................................... 10 OR21 Family Notification (ASCOM) ............................................................................................................................ 10 Ascom ........................................................................................................................................................................................ 10 OR22 Usage Capture Station (Cardinal) .................................................................................................................... 10 Cardinal Health ....................................................................................................................................................................... 10

Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

1 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

Revised: Updated Feb 7, 2015 PHF

Table of Contents Use Cases to be added: .............................................................................................................................................................. 3

Introduction: ................................................................................................................................................................................... 3

OR1 Staff Identification: (Sponsor to be Determined) .............................................................................................. 3

OR2 OR Platform Infrastructure: (Skytron) ...................................................................................................................... 4

OR3 Temperature and Humidity Monitoring (Pending Sponsor) .......................................................................... 4

OR4 Integrated Management System (Extreme Networks) .................................................................................... 4

OR5 Environmental Metrics (Planned Removal) .......................................................................................................... 4

“Pre-op” Preparation: ................................................................................................................................................................. 5

OR15 Case Supply Management Integrated with ORIS (Omnicell) ................................................................... 5

OR9 Surgical Tray (Cardinal) .................................................................................................................................................. 5

Cardinal Health .......................................................................................................................................................................... 5

Start Procedure Patient Ready: ............................................................................................................................................... 5

OR6 Nurse Call communication and workflow utilization (ASCOM)...................................................................... 5

OR7 Wireless Communications ( Vocera)........................................................................................................................ 5

Ascom/Vocera ........................................................................................................................................................................... 5

OR10 RFID Personnel Tracking (Sponsor to be Determined) .............................................................................. 6

OR11 Wireless Messaging (Vocera) .................................................................................................................................... 6

OR8 Information System (TBD / Sunquest / Skytron) .................................................................................................... 6

Or12 Central Line Kit (Cardinal) (Update required supplies Dr Landa) ............................................................... 6

Cardinal Health .......................................................................................................................................................................... 6

Or13 RFID Tagged Equipment (Intelligent Insites) Should be with Hospira !! ................................................... 7

OR14 Infusion Pump: (Hospira) ............................................................................................................................................ 7

Hospira ......................................................................................................................................................................................... 7

OR16 Anesthesia Delivery System (Drager) ............................................................................................................... 8

OR17 Anesthesia Workstation and Narcotic Control in OR ......................................................................................... 8

Omnicell ....................................................................................................................................................................................... 8

OR18 Capnography monitoring in OR: (Nuvon **) .................................................................................................. 8

OR19 Remote Collaboration Platform (Intouch Health) ........................................................................................ 9

Intouch Health ........................................................................................................................................................................... 9

OR 19 A: Sample Collection Positive ID: (Sunquest) ........................................................................................... 9

Positive/Accurate Patient Identification and Container Labeling using Mobile Specimen Collection System .......................................................................................................................................................................................... 9

OR20 Pneumatic Tube System (Swisslog) ................................................................................................................. 10

Swisslog ..................................................................................................................................................................................... 10

OR21 Family Notification (ASCOM) ............................................................................................................................ 10

Ascom ........................................................................................................................................................................................ 10

OR22 Usage Capture Station (Cardinal).................................................................................................................... 10

Cardinal Health ....................................................................................................................................................................... 10

Page 2: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

2 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

OR 22a Eliminating Transfusion Errors and Increasing Efficiencies using Sunquest Transfusion Manager (Sunquest **) ..................................................................................................................................................... 11

OR23 Housekeeping Update (ASCOM) ..................................................................................................................... 11

Ascom ........................................................................................................................................................................................ 11

OR24 Surgical Instrument Management ................................................................................................................... 11

Cardinal Health ....................................................................................................................................................................... 11

OR25 Track Low Value Assets ........................................................................................................................................ 11

DeRoyal ..................................................................................................................................................................................... 11

DeRoyal: Automated Usage Capture of OR Materials ........................................................................................... 12

Conclusion ..................................................................................................................................................................................... 12

Business Intelligence - Room Utilization Reporting (Intelligent Insites) .............................................................. 12

Intelligent InSites ................................................................................................................................................................... 12

Page 3: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

3 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

Use Cases to be added: HID Global Use Cases:

1: ActivID Tap: NFC Tablet and Mobile Phone authentication with ID Badge In our ever increasing mobile environment heighten security with two factor authentication to cloud-based or Microsoft ADFS services. Staff can simply Tap their Seos enabled ID Badge to any Windows 7 or Android phone or tablet. It is simple and convenient, while elevating security with authentication. 2: HID supports compliant Electronic Prescriptions for Controlled Substances (EPCS) DEA requires identity proofing, identity binding, a FIPS 140.2 certified credential to authenticate a second time within a certified e-prescribing module for class 2 - 5 narcotics. Support this authentication with PKI and your digital certificate, the One Time Password, bound to your PKI credential, or a Biometric. It is simple and quick allowing the opportunity to prescribe your narcotics on line in a telemedicine session or to elevate the patient's customer centric experience. This solution also heightens audit trail and saves paper!

To Be determined (Dr Landa) Name: Robert Grant Age: 62 years Condition: Mid-sternal chest pain radiating to his left jaw Aortic Stenosis Type II Diabetes, Hypertension, Hypercholesterolemia, Obesity[HML1]

Introduction: Welcome to the Intelligent Hospital Pavilion Advanced Perioperative Suite developed by the Intelligent Health Association. This advanced perioperative environment is supported through our partnerships with industry leaders in perioperative and healthcare solutions. Through our collaborative efforts, we share with you today a modern vision of an integrated OR environment that offers seamless connectivity and communications. Both quality of care and patient safety are enhanced utilizing advanced clinical applications and cutting edge medical devices, enabling unparalleled information access and real-time clinical staff awareness. The clinical scenario that follows is integrated with other Intelligent Hospital Pavilion departments, as you will find throughout your tour of our facility.

Patient Demographics (These will be updated as we develop the script * Dr Landa ) Robert Allen is a 62 year old male admitted through the ED who has undergone an emergency cardiac catheterization and was discovered to have aortic stenosis requiring valve replacement as well as a coronary bypass. Mr Allen a previous patient of the Intelligent Hospital has a documented history of type II Diabetes, hypertension, hypercholesterolemia and obesity.

OR1 Staff Identification: (Sponsor to be Determined) As you can see, I was automatically identified as I entered the room through my real-time location system or RTLS, tag. (TBD (Actor 1 motions to the large screen when their picture appears) The OR unit combines

Page 4: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

4 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

a robust network and wireless infrastructure coupled with real time operational intelligence from multiple RTLS / RFID systems with integrations including several modalities of communication and visualization that provide rapid enterprise level interaction as observed on the large screen (TBD), or a handheld device (iPAD). (Actors point to large screen, hold up Tablet)

OR2 OR Platform Infrastructure: (Skytron)

Within this advanced OR suite, we find the foundation of a modern OR infrastructure. This hybrid surgical environment has state-of-the-art Ultra-slide surgical tables and high intensity, advanced optic, LED surgical lighting systems (Touch table and aim surgical lights onto surgical field). The integrated precision HD camera system offers a brilliant view of the surgical field via the boom mounted video routing and control platform (Walk over to Skyvision system and route camera to display 4). By utilizing the intuitive touch interface, our Intelligent OR medical staff is able to display, share, and archive digital media and many other clinical information sources effortlessly. (Touch the equipment boom) The OR is capable of routing surgical video feeds and any visual display sources to other areas of the hospital for central planning and monitoring. The OR platform integrates with a C-Arm X-ray imaging system enabling dynamic imaging to be performed within the surgical field minimizing surgery time. These images are routed to the hospital PACS system and available anywhere in the institution for consultation. Additionally this hybrid OR is designed to support multiple surgical modalities and incorporates minimally invasive surgical platform including a endoscopic devices, video camera, lights, insufflators, and scopes all mounted on one of the booms to support advanced laparoscopy equipment and procedures.

OR3 Temperature and Humidity Monitoring (Pending Sponsor) The Intelligent Hospital OR suite is equipped with solutions for centralized temperature and humidity monitoring coupled with the RFID systems providing event driven alerts to aid in the management of regulation compliance and required reporting for the Joint Commission. [Tech points out temperature and humidity modules) These real-time environmental conditions within the OR suites are fed to the OR control area for automated limit monitoring which sends alarms or text messages to the communication badges of designated parties if room temp and/or humidity nears ‘breach’ levels, (Actor holds up badge) helping prevent patient care issues before they occur.

OR4 Integrated Management System (Extreme Networks) A versatile array of modular switches supporting everything from an enterprise/campus

connectivity right up to cloud data centers. The system provides Terabit-class

performance[HML2], high availability and redundancy, our simple, scalable and intelligent

switching and routing products as required by the hospital. A integrated management

system that provides wired/wireless visibility and control from the IT data center

enabling the IT organization to optimize the efficiency of network operations

OR5 Environmental Metrics (Planned Removal)

Page 5: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

5 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

In addition the overall OR environment is continuously monitored for key environmental metrics, such as airborne particulates, differential room pressure, air quality, light and sound. Data is available for infection control and facilities staff to review via a browser based interface, and available anywhere in the hospital using a laptop, or tablet, and smartphone application. Alerts are generated anytime a potentially hazardous condition is detected, allowing for immediate remediation ensuring minimal impact on the surgical procedure and patient safety. (Actor points to the sensors, smartphone, and summary display)

“Pre-op” Preparation:

OR15 Case Supply Management Integrated with ORIS (Omnicell) Scheduled cases information is sent from the OR Information System to supply system enabling case specific carts to be appropriately stocked. The user logs in to open case, scans additional required supplies not on case cart and in the OR Information System. The case is closed and inventory is updated. Over time these metrics enable trends to be identified including case cost, items pulled and not used on cases, and items added to cases. (Log in to software, scan items)

OR9 Surgical Tray (Cardinal) Cardinal Health In preparation, the surgical technician immediately proceeds to the pre-op area containing sterile instrument storage area and pulls an open heart surgical tray (to be determined) in anticipation of surgery.(Actor picks up tray in back of the OR brings to the surgical field and points out the RFID tags) The tray, prepared in central processing, is equipped with active RFID tags and surgical instruments integrated with passive RFID tags or bar code etched enabling institutional tracking and confirmation of the tray availability within the OR.

Start Procedure Patient Ready:

OR6 Nurse Call communication and workflow utilization (ASCOM) In our clinical scenario using the workflow station, a notification has just been routed via the OR nurse call system, (Actor points to the Nursecall system) to the OR from the preop area (Presses ready for patient button and starts the timer) indicating that Mr. Allen is ready to transferred to the OR.

OR7 Wireless Communications ( Vocera) Ascom/Vocera

Page 6: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

6 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

Alternatively, the Intelligent Hospital additionally deploys multiple wireless communications delivery modalities ranging from simple legacy pagers to an advanced communications badge. (Actor holds up the Vocera communications badge, or presses button while hanging from chest and pretends to talk, showing the hands free communication) The advanced pendant enables hands free staff to staff communications to any care provider enabling requests for assistance, messaging of status, requests for supplies, etc.

OR10 RFID Personnel Tracking (Sponsor to be Determined) You will notice that our OR staff are also wearing RFID tags (Point to and/or hold up your personnel RFID tag). The Intelligent Hospital RFID asset and personnel tracking system enables improved surgical environment awareness as to staff location and status, critical to ensuring effective care delivery in a timely manner. TBD )

OR11 Wireless Messaging (Vocera) Should any of the required personnel for the surgery not be present upon patient arrival, they are immediately notified via a range of communication options including digital paging, VoIP, or wireless messaging. All workflow data is automatically captured and metrics can be processed for later review and analysis to effectively achieve process improvement goals.

OR8 Information System (TBD / Sunquest / Skytron) Upon notification of Mr. Allen’s readiness for surgery, the operating room staff uses the OR Information system (TBD) as well as the electronic medical record (TBD) route the appropriate displays to the screens within the OR to view and confirm perioperative data, other patient information). (Note: Screen / Video Capture on the Skytron Boom)

Or12 Central Line Kit (Cardinal) (Update required supplies Dr Landa) Cardinal Health

Page 7: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

7 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

Now that the patient has arrived in the OR the surgery is ready to get underway. The anesthesiologist notes that the patient needs central venous access and has the nurse obtain the appropriate supplies including an IV pump and central line supplies. <Sunquest for patient ID?> [HML3]

Or13 RFID Tagged Equipment (Intelligent Insites) Should be with Hospira !! Intelligent Insites : RFID tagged equipment such as IV pumps are managed utilizing the hospitals RTLS system. (Actor walks out of OR to get IV pump, Actor 1 will already be standing next to the Intelligent Insites [HML4]dashboard) We can see that the IV pump has been identified as present in the OR on our equipment RTLS platform interface. (Actor points to the Intelligent Insites Dashboard [HML5]) The ability to track items throughout the facility results in dramatic improvements in equipment utilization for our hospital. The OR staff is able to quickly prepare and deploy the vast number of items needed for surgery thanks to our implementation of a robust inventory and materials management RFID solution

OR14 Infusion Pump: (Hospira) Hospira The Intelligent Hospital has deployed an advanced infusion system operating wirelessly and with interoperability to the EMR system. This Infusion pump has onboard safety software providing a defense for the patient to guard against an incorrect dose or typo during infusion setup. In the OR, pharmacy-verified physician orders are not always available. Whenno order is available, infusion pumps can be pre-programmed with multiple protocols that allow clinicians to quickly and correctly administer the IV medications most commonly used. If an order is

available, the infusion pump can be fully 5 Rights Auto-Programmed with the physician's order by scanning the patient's wristband, the IV medication and the infusion pump with the clinical vendor's Barcode Medication Administration handheld device. In this case the order is available. The physician has ordered a Dopamine IV infusion (400 mg / 250 mL) at a Dose of 5 mcg/kg/min. To ensure the complete 5 Rights administration of this powerful medication the nurse first scans the patient wristband with the clinical vendor's Barcode Medication Administration device to verify his identity, then, using the same device, scans the barcoded IV medication, and finally scans a permanent barcode on the IV pump[HML6]. These actions associate the patient, the IV medication and the infusion pump, and automatically program the IV pump to the pharmacy verified, physician order. The nurse then verifies the order, as displayed on the pump, and starts the device. With this IV pump integration, not only is the device Auto-Programmed, but Auto Documentation to the patient's eMAR and I&O Flowsheet is a seamless by-product of the administration; enhancing patient safety, improved outcomes, and workflow efficiency.

Page 8: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

8 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

As anesthesia prepares the patient for surgery the perioperative antibiotics are administered. These are taken from the drug dispensing cabinet and using the embedded bar code reader the clinician scans the product GTIN (global trade item number). On administration the patient is also scanned establishing the association of the drug to the patient. This validation scanning is support by the OR information system and electronic medical record and confirms that the correct drug is dispensed and administered, providing clinical decision support with drug-drug, drug-allergy, and five rights checking.

OR16 Anesthesia Delivery System (Drager) (Walk over to the anesthesia machine and touch) The anesthesia team is supported by an advanced anesthesia delivery system, integrating the latest in physiologic and vital signs monitoring. This advanced system is interfaced with anesthesia specific analytics software to continuously analyze anesthesia related perioperative data. The Anesthesia Information Management System (AIMS) delivers the perioperative information anesthesia providers need – including data points from the physiological monitors facilitated by monitor data aggregation systems to avoid redundant documentation. With unique workflow wizards and an easy-to-use touch screen application, the system facilitates pre-op and intra-op documentation to ensure provider focus remains on the patient. Utilizing the powerful interconnectivity features offered in this modern anesthesia platform, we are able transmit data into the EHR achieving real time surgical care documentation and provide a summary of all on-going procedures within the Intelligent hospital OR suites as seen on the central monitor typically located in the anesthesia central monitoring location. (actor points to the monitor) t

OR17 Anesthesia Workstation and Narcotic Control in OR Omnicell Anesthesiologist scans vial with barcode scanner. Machine records medication and reports use to the system. (scanning vial) The OR also includes an anesthesia workstation providing instant access to medications ensuring tight yet convenient pharmacy control in the OR. This automated system securely stores all medications and supplies needed for a full day of cases while automatically tracking inventory. The system uses a color coded medication label printer to reduce medication errors and improve compliance with Joint Commission. After the patient is anesthetized and the airway secured, the patient is prepped and draped for the surgery.

OR18 Capnography monitoring in OR: (Nuvon **) (Note: Demonstration of physiologic value notifications displayed on iPad when thresholds are exceeded using measurements obtained from patient in OR.) All devices within the OR are integrated through the hospital’s medical device integration and connectivity solution, providing remote access to the vital signs of intra-operative patients. This serves to assist

Page 9: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

9 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

anesthesia when multiple cases are ongoing by providing notifications as to trends and changes in vital signs measurements that merit closer attention. Increasingly used for surgical procedures pulse oximetry and capnography can help clinicians detect impending over-sedation, hypoventilation, and respiratory depression, thereby increasing patient safety and improve patient outcome.

(Planned Removal) An intelligent OR View consolidates and summarizes specific patient data from electronic surgery documentation and a variety of disciplines – including anesthesia and procedural information such as medical surgical history, demographics, allergies, laboratory results, surgical status, and a time line of the procedure. (Actor, point out different tabs on the OR view) In addition, the intelligent OR View summarizes real time data, such as current OR staff, a time-out checklist for patient safety, and physiological monitoring parameters. The information is routed to monitors throughout the surgical department, providing remote caregivers a clear view of patient and surgery status. Optimization of surgical scheduling, pre admission testing, nursing documentation, and charge capture enhances workflows and accuracy. This system also provides patient and surgical case tracking, providing visibility into specific case details and overall status of multiple OR procedures in progress – all accessible to the (OR control officer) in the War Room. Integration of the ORIS with the EHR will allow intraoperative information for flow from the perioperative area in the EHR. (Not planned at the moment )

OR19 Remote Collaboration Platform (Intouch Health) Intouch Health (Walk over to the Intouch robot and touch) The remote presence surgical collaboration platform enables unprecedented reach and expert consults between surgeons and specialists at distant locations. By merging of unique visualization and telecommunications technologies, barriers of time and distance are eliminated. The pathologist is able to peer into the surgical field and visualize a pericardial mass identified intraoperatively. Pathology recommends biopsy of the mass.

OR 19 A: Sample Collection Positive ID: (Sunquest)

Positive/Accurate Patient Identification and Container Labeling using Mobile Specimen Collection System Specimen evaluation requires a sample to be provided to the laboratory for STAT pathologic review. Patient is identified and specimen labels are printed and placed on containers at the bedside.(Actor/Actress uses handheld device to scan patient ID / identify patient. Using the same device, sends bar code labels to the label printer. Samples are collected and the label is placed on specimen container(s) at the patient’s bedside. Containers are sent off to the lab.) This ensures that all the required drawn samples are verified, associated with the correct patient minimizing the chance of mislabeling errors; such as unidentified or missing specimens containers

Page 10: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

10 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

OR20 Pneumatic Tube System (Swisslog) Swisslog The hospital pneumatic tube system enables rapid deliver of sample from the OR to the appropriate laboratory for review and analysis. This entire transaction was tracked within the pneumatic tube station’s software, providing complete chain of custody, which monitors all sends, receives delays or missing carriers. (Actor moves to send the labeled specimens to the tube delivery system) {The nurse inserts the specimen into the pneumatic tube system carrier. The carrier is then inserted into the tube station [actor presses send]. The tube station reads the RFID chip imbedded in the carrier and tracks the specimen throughout the transport. The specimen, which is uniquely identifiable to the patient and tracked from OR to Pathology, arrives at pathology. The clinician is alerted via mobile device that a specimen has arrived. She approaches the pneumatic tube station and swipes her hospital badge to release the carrier. The clinician removes the carrier from the station and opens it to access the specimen.] Pathology results are delivered back to the OR, enabling the surgeon and pathologist to discuss and review the slides and determine the next steps in treatment. (Sunquest )

OR21 Family Notification (ASCOM) Ascom Earlier in the scenario, a timer was set on the work flow station that the procedure was started on to remind staff when to give the family an update. [Timer elapses and rings device, which actor should silence]. As per the protocol of the Intelligent Hospital, the nurse updates the family. This notification ensures compliance with family communication initiatives and results in improved satisfaction. The staff member can then send the status update to the family member through an RTLS Badge Tag assigned to the Patient’s Family. [At this point the actor will press a button on a tag they are carrying and points to the Family member receiving the message-verbiage]. Since this is a portable device, the family member can receive the status update while they move throughout the facility (TBD). This information can also be sent to the large screen in the waiting room, which automatically updates with the patient information to allow the family to see the progress. (TBD ) <actor to receive time out from ASCOM>

OR22 Usage Capture Station (Cardinal) Cardinal Health During the valve replacement portion of the procedure, the nurse walks over and starts a case on the usage capture station (WaveMark XPOS). (Actor walks over to the Wavemark XPOS and starts new case). The ADT feed automatically populates the procedure and patient information. The smart cabinet solution delivers the benefit of shared visibility, efficient inventory distribution, enhanced implant tracking, and improved regulatory compliance. Utilizing RFID tagged inventory and cabinets with embedded RFID readers, simply removing items from the cabinet enables advanced inventory management and supply control. (The nurse walks over to the RFID coupled cabinet) Using the RIFD coupled cabinet, an artificial heart valve is retrieved from the SmartShelf and quickly waved past the usage capture station (XPOS). This system

Page 11: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

11 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

aids in tracking expired products and will immediately identify an expired product in order to ensure it is not used. The staff is notified of the expired product status through the touch screen interface. All products used during the procedure are “waved” using RFID or scanned using barcode for complete usage capture, and the information is sent via interfaces to hospital core clinical documentation systems, materials management, and charge capture systems – making all data available for subsequent analysis and optimization.

OR 22a Eliminating Transfusion Errors and Increasing Efficiencies using Sunquest Transfusion Manager (Sunquest **) During the course of these surgical procedures Allen Grant requires the transfusion of blood products. To ensure transfusion related errors are minimized theTransfusion Manager is used to positively identify patient and ensure the correct blood is given to the patient. (Actor/Actress uses handheld device to scan patient ID and carries out positive patient identification.

OR23 Housekeeping Update (ASCOM) Ascom As the patient is transferred from the OR, housekeeping is made of aware of a status update of the OR suite. The OR RTLS platform is able to automatically notify the housekeeping staff that a OR cleaning and is needed. <ASCOM Via Nurse call workflow station or v>

OR24 Surgical Instrument Management Cardinal Health Embedded RFID technology revolutionizes surgical instrument management by enabling sterile processing workflow optimization required for an efficient OR procedures. This Sterile Processing reception module ensures that all surgical instruments utilized in the OR have been returned to the Sterile Processing Department and provides alerting capabilities for any missing instruments. (Tech pointing to the packing station displaying screen with set content partially packed) The SPD packing station ensures [HML7] accuracy of surgical sets delivered to the OR staff and eliminates case delays due to missing or wrong item delivery. Note how the system intuitively guides the Sterile Processing tech on instruments yet to be packed as seen on the right hand column.

OR25 Track Low Value Assets DeRoyal During the course of the procedure general supplies are routinely required. RFID / Barcode coupled Kiosks are strategically mounted within the Operating Room or available on movable stands. Required supplies

Page 12: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

12 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium

are scanned and associated to the patient eliminating the manual recording process which links or documents supply utilization directly into electronic medical record, ERP & Financial systems. This information is available in real-time and documented into the case file as the procedure case is closed. Once the case is closed the patient goes to recovery and is then admitted for post surgical care and follow-up. After discharge from the hospital he returns to his instrumented home.

DeRoyal: Automated Usage Capture of OR Materials[HML8] The nurse will select the appropriate patient from a list of cases received from the OR IT Scheduling system (nurse points towards the screen). RFID tagged supplies picked in preparation for the surgical procedure are linked to the specific patient prior to entry into the OR. As the nurse opens the surgical supplies, the wrappers or packaging is tossed into the cloud based Continuum Safe where the usage and other pertinent information is confirmed. Any items that were not picked prior to the surgical procedure will also be captured and linked to the patient by tossing the opened wrappers into the Safe. The nurse will also be alerted to any expired item introduced into the surgical procedure. Usage information is automatically sent the OR IT clinical record. Any items that were picked but not used in the procedure are scanned and returned to stock for chain of custody and tracking purposes. (The nurse picks up a supply, opens the package, content falls onto back table, wrapper is thrown away in the Continuum Safe (bin), and the nurse will see that the item is now displayed on the screen.)

Conclusion The Intelligent Hospital Perioperative Team concludes this session with thanks to all of our dedicated vendor partners for their collaboration in delivering to you this state-of-the-art vision of the enhanced perioperative care delivery environment. Please follow this patient’s recovery in the Intelligent Medical Home. Thank you all for your time and attention and please visit the other Intelligent Hospital Pickup the OR Tour Guide and visit the kiosks in the Pavilion to learn more about these technologies. Thank you Use Case Overview: Company Use case

Business Intelligence - Room Utilization Reporting (Intelligent Insites) Intelligent InSites The OR’s are continuously monitored to assess the OR performance, utilization status providing metric to the optimize OR operations. The Room Utilization reports identify the percentage of time that the room is occupied by a patient and also the percentage of time the room has a patient and provider/clinic staff in the room together. You can use this information to improve your patient workflow and staff efficiency. (actor points to screen 3-5 different reports)

Page 13: Intelligent Hospital™ OR Script 2015ihassociation.org/wordpress/wp-content/uploads/... · industry leaders in perioperative and healthcare solutions. Through our collaborative efforts,

Intelligent Hospital™ OR Script 2015

13 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium