Nurse Telemedicine Training

Summary

Highlights

• Introduction to telemedicine gear and processes for effective virtual examinations 🌐
• Utilizing diagnostic tools like a high-definition camera ensures precise remote assessments 📸
• Early intervention and routine telemedicine use aim at reducing hospital visits 🏨
• Key to success: Combine nurse’s smart process with telemedicine data for better diagnostics! 🔍
• Dr. Ghanam shares insights on integrating telehealth seamlessly into daily routines 🩺

Key Takeaways

• Telemedicine is transforming bedside examinations with real-time diagnostics 🏥
• Digital stethoscopes and pulse oximeters are now part of your essential toolkit 🛠️
• Proactive use minimizes unnecessary hospital visits! 📉
• Telemedicine improves patient stability with early intervention ⚕️
• Collaboration with physicians is more streamlined than ever 🤝

Overview

Chapters

• 00:00 - 00:30: Introduction to Telemedicine Program This chapter introduces the telemedicine program at Southern Healthcare Management. Don Sherry, Vice President of Clinical Services, and Dr. Gonzalez, Corporate Medical Director, provide an overview of how telemedicine equipment and processes will facilitate virtual bedside examinations for primary care physicians and patients.
• 00:30 - 01:00: Overview of Telemedicine Process The chapter titled 'Overview of Telemedicine Process' introduces the basic steps involved in utilizing telemedicine for patient care. It begins with identifying changes in a patient's condition and effectively communicating these concerns to the primary care physician. The chapter walks through setting up the telemedicine kiosk and diagnostic tools, enabling the primary care physician to connect to the kiosk remotely. Additionally, it covers following up on new orders from the physician in the Point Click Care system. The chapter also introduces a new healthcare professional, Dr. Ghanam, to the reader.
• 01:00 - 01:30: Introduction to Dr. Ghanam and Telehealth Solutions Dr. Ghanam, the co-founder and president of Telehealth Solutions, explains his company's pioneering telemedicine program. This program offers primary care backup services, especially during after-hours, weekends, and holidays, potentially reducing unnecessary re-hospitalizations by ensuring early communication with a primary care physician.
• 01:30 - 03:00: Telemedicine Benefits and Diagnostic Tools The chapter discusses the advantages of telemedicine in managing emergency department visits. By using bedside examinations via telemedicine kiosks equipped with diagnostic tools, combined with live communication between nurses and patients, telemedicine aids in the detection, diagnosis, and intervention to stabilize patients.
• 03:00 - 04:00: Clinical Assessment and Intervention The chapter titled 'Clinical Assessment and Intervention' discusses various diagnostic tools that enable live transmission of clinical information directly to a computer or laptop. One such tool highlighted is the digital stethoscope, which connects via a USB port on the telemedicine kiosk. This device allows healthcare providers to listen to breath sounds, heart rhythms, or other body areas of concern while being guided by a primary care physician remotely.
• 04:00 - 06:30: Telemedicine Examination Process This chapter discusses the various components of a telemedicine examination process. It highlights the use of a pulse oximeter, which is connected via a USB port on the telemedicine kiosk to provide live data on the patient's pulse rate and oxygen levels. In addition, it describes a high-definition camera on the kiosk that can be remotely controlled by the connected physician, allowing for detailed views with exceptional clarity.
• 08:00 - 10:00: Dr. Ghanem explains Telehealth Workflow The chapter titled 'Dr. Ghanem explains Telehealth Workflow' discusses the use of a camera feature that allows clinicians to examine areas of a patient's anatomy remotely. This tool is particularly useful for viewing skin abnormalities, changes in wound beds, and dressings, as well as obtaining a clear picture of the patient's condition. The feature enhances the telehealth workflow by enabling detailed remote assessments.
• 10:30 - 11:30: Conclusion and Contact Information The chapter discusses the final steps in the clinical assessment process after the initial examination. It explains how the primary care physician uses the information gathered to make informed notes and orders, particularly in the context of wound care treatments. Additionally, it highlights the use of point click care system by physicians to input medication and treatment orders. The presence of Omnicells in the centers is noted as an added benefit, though further details on this are not provided in the transcript.

Nurse Telemedicine Training Transcription

• 00:00 - 00:30 [Music] hello nurses i'm don sherry the vice president of clinical services for southern health care management and i am dr gonzalez southern healthcare management's corporate medical director we would like to introduce our centers telemedicine equipment and process to help you get started with virtual bedside examinations for our primary care physicians and your patients
• 00:30 - 01:00 [Music] that's right dr gonzalez with a few easy steps we will help you better understand what to do when you identify changes in condition with your patients communicate your concerns with the primary care physician and walk you through the setup process of the telemedicine kiosk and diagnostic tools allowing the pcp to connect to the kiosk and following up with the new physician's orders in point click care we will also introduce you to dr ghanam
• 01:00 - 01:30 the co-founder and president of telehealth solutions a company that had pioneered our telemedicine program and described how his team of physicians can be the primary care backup after hours weekends and holidays for all our pcps should they use to use this option early communication with a primary care physician can help minimize or avoid re-hospitalizations that are unnecessary
• 01:30 - 02:00 and stressful visits to the emergency departments proactive utilization of bedside examination using the telemedicine kiosk diagnostic tools combined with the direct live communication with our nurses and their patients if they are able to participate can be invaluable to detection diagnosis and treatment interventions to keep our patients stable the telemedicine kiosk comes equipped
• 02:00 - 02:30 with the following diagnostic tools designed to transmit live clinical information right to your computer or laptop the first of these tools we want to discuss is the digital stethoscope that plugs into the usb port on the lower right side of the back of the telemedicine kiosk once you have connected with the pcp at the patient's bedside the physician can direct you to place the stethoscope on any area of concern to listen to breath sounds heart rhythms or any other part of the patient's body
• 02:30 - 03:00 that they would like to hear we also have a pulse oximeter connected that will provide you live data including patient's pulse rate and oxygen levels the pulse oximeter plugs into the usb port at the upper left section on the back of the telemedicine kiosk as an additional key feature the telemedicine kiosk also provides a high definition camera that the connected physician can control the camera function allows the pcb to zoom in with exceptional clarity
• 03:00 - 03:30 in areas of the patient's anatomy that they would like to examine this camera feature will also allow clinicians to view skin abnormalities and changes wound beds dressings or other areas on the patient where a clear picture of the patient's
• 03:30 - 04:00 condition is necessary to provide a diagnosis and treatment as a part of our initial clinical assessment process with our contracted wound care teams when the initial examination is complete the primary care physician can now make informed physician notes directly into point click care including medication and treatment orders for the center's nursing team to implement as an added benefit because you have omni cells in your centers which include
• 04:00 - 04:30 many medications and ivs that can be administered quickly without waiting for a pharmacy delivery please remind the pcp that we may have a medication stored in the omni cell so that we can administer it quickly if needed early intervention can make a positive impact in the treatment plan for our residents our goal with telemedicine is to use it often as an early intervention to help keep your residents stable
• 04:30 - 05:00 and safe remember to review your esbar currently situation of your resident the background of a similar issue with this resident your complete and current nursing assessment of the resident and your nursing recommendations to the pcb with good clinical information and diagnostic data from your smart process we will be ready for the pcp's questions during the telemedicine examination we would like to review our process leading up to a telemedicine examination
• 05:00 - 05:30 at the patient's bedside as the patient is being examined or treated by you there may be small changes in condition that stand out as out of the normal routine for the resident if warranted you would then place a call to the pcp and share your findings and if required the primary care physician or clinician would direct you to bring the telemedicine kiosk to the patient's bedside to start an examination once the pcp gives the directive to start the telemedicine process you will retrieve the telemedicine kiosk
• 05:30 - 06:00 and transport it into the patient's room set up for the diagnostic tools and turn on the unit the kiosk main power button is located at the top left of the monitor when the telemedicine kiosk is in standby contact the pcb to have them launch their telehealth solutions application and when prompted on the kiosk screen double-click the touch screen to allow them access to the kiosk and diagnostic tools during the examination live two-way communication between yourself
• 06:00 - 06:30 and the physician will enable the pcp to ask questions see focus areas of their concern listen to the chest stomach or bowel sounds and view pulse oximetry levels the physician can also view the patient's point click care current orders and treatments along with clinical notes while completing the live bedside examination when the bedside examination is completed to the primary care physician's satisfaction new orders can be entered with your physician's notes
• 06:30 - 07:00 and the center can treat the patient and continue to monitor their progress [Music] while we understand that not all telemedicine examinations will result in no re-hospitalization our hope is by working together proactively we will minimize and significantly reduce the risk of an unnecessary emergency department visit after the bedside examination is over your follow-up call with the pcp will confirm new treatments medication changes or additional
• 07:00 - 07:30 prescribed interventions however some bedside examinations may result in the patient being transported to an acute care setting either through 911 or a direct admission orchestrated by the physician the more we use the telemedicine kiosk and follow our process the better we will become at using this new clinical intervention please disinfect the telemedicine kiosk and diagnostic tools
• 07:30 - 08:00 according to your center-specific protocol when complete return to kiosk to the designated storage area in your center and remember to always plug it in so that the next telemedicine episode starts with a fully charged kiosk that's right don we want our physicians their counterparts and you to feel comfortable using and maintaining the telemedicine tools we would now like to introduce you to dr gannon who will provide additional
• 08:00 - 08:30 information about the many uses of the telemedicine kiosk hello i'm dr ganem co-founder and president of telehealth solution i want to thank you today for watching and learning a little bit more about telehealth and the opportunity that has now been presented to your center so when you put out a page if it is a matter that we feel both together that we should lay eyes on the patient or to lay eyes on the patient in essence it's very easy you would in essence grab this cart position it at the patient's bedside and
• 08:30 - 09:00 then once you've once you've positioned that cart all you would do is there's an icon right here that says agnes portal you would double tap it once and now you are sitting in a lobby in essence waiting for that provider to log in so once that provider logs in he or she then in essence will call you and you would simply hit the accept button then as the provider they can steer that clinical conversation with the patient [Music] and then when your encounter is finished
• 09:00 - 09:30 you would simply hit leave the session and you close the browser and then you take this cart back to wherever it is being stored and plug it back in and then it is ready again for the next session for those who need for us to assess a patient so from a clinical workflow perspective the way that this works is very simple on every nursing station computer should be an icon that says telehealth solution that is in essence a paging icon that allows for you to page us out with any concerns that you have when you
• 09:30 - 10:00 page this out you should expect a callback within three to five minutes of us calling your center and connecting with you to see what your clinical concern is that clinical concern can be a lab it can be a medication or it can be even a serious matter where your patient's having a fever and confusion based off of what that call then is determines whether or not we need to see the patient or can we address your concern immediately through the phone and put the note into the chart one of the biggest champions if you will of telehealth is the nurses that we
• 10:00 - 10:30 serve across the country whether they rave about our professionalism whether they rave about our punctuality whether they rave about our documentation immediately in real time one of the things that you will see when you're working here together is the fact that we're here to make your work as a nurse more streamlined and more efficient thank you dr ganim for that insight i'm sure we can all agree that there are many benefits to using
• 10:30 - 11:00 telehealth bedside examinations we look forward to your involvement as we continue meeting the clinical and psychosocial needs of our patients our commitment to the care and treatment of the patients is a paramount focus for all southern health care management centers in florida georgia and north carolina we are so thankful for your partnership and dedication to providing quality care and services for more information please contact your center's administrator or director of nursing
• 11:00 - 11:30 [Music] [Music]