Worcestershire - using assistive technology equipment in a community hospital setting

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Worcestershire – using Telecare and Assistive Technology equipment in a Community Hospital setting; supporting staff to manage patients at risk of falls or wandering, allowing patients to use, and become used to, the equipment in a clinical setting and helping to plan for discharge;
presentation by Louise Clarke, Prevention and Early Intervention Manager and Dave Andrews, Senior Telecare Development Officer

Published in: Health & Medicine, Technology
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Worcestershire - using assistive technology equipment in a community hospital setting

  1. 1. Worcestershire – using Assistive Technology equipment in a Community Hospital setting Supporting staff to manage patients at risk of falls or wandering, allowing patients touse, and become used to, the equipment in a clinical setting and helping to plan for discharge
  2. 2. Resource Centres
  3. 3. WINTER PRESSURE MONIES• Building on Resource Centres• 5 community hospitals• 2 Older Adults Mental Health wards
  4. 4. Change Management• The organisation• The ward staff that make it happen• The important other stuff – infection control/tissue viability
  5. 5. The added benefits •Leaving the ward•Continence management •Discharge processes
  6. 6. The Objects• Introducing Assistive Technology in a clinical setting for assessment and support for discharge planning• Reducing reported high incidences of falls in a ward setting• Providing support for ward staff in managing falls and wandering patients
  7. 7. Falls• Simple bed alarm tried but startled patient – More anxiety• Staff notification problem• Legacy ward layout (post WWII) – observation difficult• Equipment deficiency (high/low beds)
  8. 8. Staff Response• Evaluation sessions – all ward staff – Day and night mobilising – Wandering (walking with a purpose) – Getting out of bed • Especially night time – fewer staff – Poor ward layout – Getting out of chair
  9. 9. Staff Response• Other Issues – Enuresis monitoring • Frequent checks • Disturbing patient • Skin viability problems – Epilepsy – Orientation to day/night/time
  10. 10. ChoicesDispersed alarm with output Overlay to pager
  11. 11. Choices• Standard Falls Detectors – Wrist – Waist (new type from Tunstall – black)• Enuresis Detectors – Standard (plastic) detector – Cotton Sheet or Kylie type pad (Alert-It)• Door Contact Sets• Universal Sensors as wireless transport medium
  12. 12. New Option from Tunstall• Wireless Nursecall – Replacement for Nursecall Overlay – Cancel at source – Based on CareAssist (extended range) – 64 rooms + 128 sensors – 8 Pager Groups unlimited pager RXs – Compatible with ALL 869 Telecare sensors – System can be extended, rolling message displays – EN50134 Social alarm compliant
  13. 13. New Option from Tunstall• New 4 button Room unit with pear push
  14. 14. Roll-out• First installations carried out at Resource Centres and Timberdine Nursing and Rehabilitation Centre – using Connect+ linked to Nursecall• Installation of Overlay at Dementia Assessment Wards completed• Second fit at one Community Hospital now complete and training being undertaken – using Tunstall Wireless Nursecall
  15. 15. Questions?

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