A 2016 study of over 900 hours of nursing activity at the University of Pittsburgh Medical Center revealed that nurses spend about one-third of their shift interacting with technology - more time than they spent on patient assessment and interaction (9%), patient care and bedside procedures (7%), and in-person communication with colleagues about patients or patient care (7.5%) combined. So, how can we give that precious time at the bedside back to nurses?
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How to Give Your Nurses More Time at the Bedside
1. HOW TO GIVE YOUR NURSES MORE TIME
AT THE BEDSIDE
2. 2
Spok delivers clinical information to
care teams when and where it matters
most to improve patient outcomes
SMARTER CLINICAL COMMUNICATIONS. BETTER OUTCOMES.
5. 5
Mobilize Patient Care Events
Improving caregiver effectiveness
HOW OUR CUSTOMERS USE SPOK
Coordinate Critical Workflows
Speed time to response
Connect People to People
Improving care team collaboration
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THE SPOK DIFFERENCE
Multi-Device
Support
• Mobile
• Web
• Preferences and
escalation
• Pagers
Multimodal
Communication
Interoperability
Care Team
Enterprise
Directory
• Hospital operators
• Secure messaging
• Multimedia
• Voice and speech
recognition
• EHR
• Devices
• Nurse call
• Physician on-call
schedule
• Care team assignment
• Critical event teams
• Single source
for contact
information
• All health system
contacts
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WHAT KEEPS NURSING LEADERS UP AT NIGHT?
Patient care quality and safety
Nurse retention and recruitment
The patient experience
Keeping up with the rate of change
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THE PATIENT EXPERIENCE
• Nurse communication was
frequently cited as a top priority to
improve the patient experience and
HCAHPS scores
• HCAHPS and CMS Quality Scores are
among the top ways that many
organizations measure performance
of nursing staff
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THE PATIENT EXPERIENCE
Quality of nursing care
Collaborative working relationships
Adequate staffing
3 elements to improve the
patient experience:
1
2
3
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PATIENT CARE QUALITY AND SAFETY
Factors that influence patient care quality and safety:
Nursing workload
Nurse-to-patient ratio
Working conditions and interruptions
Availability of colleagues
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NURSES ARE READY FOR A CHANGE
Nurses are busy and
overwhelmed
Today’s patients require
complex
multidisciplinary care
Nurses are dissatisfied with
existing communication
options
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LOOKING TO THE FUTURE
Critical RN,
Med-Surg
RN,
ER RN
Home Care
RN
Nurse
Leader
Nurse on
Orientation
Nurse
Practitioner
PUTTING THE NURSE AT THE
CENTER OF COMMUNICATION
• Virtual nursing
• Mobile technology
– Google Glass in healthcare
– Smartphones
• Bringing nurses back to the bedside
• Location, presence, and availability
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BRINGING NURSES BACK TO THE BEDSIDE
Mobile Messaging Nurses are always on the move. They must be able to
send and receive vital information quickly and easily.
Avoid phone tag
• Texting updates to
physicians
• Access on call and
groups
Simplify the process and
the task
• Templated messages
Support team to team
communication
• PRN treatments
Improve patient
throughput and satisfaction
• Hand-off and transfer
alerts
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NO MORE SEARCHING
Directory Access Nurses are constantly communicating with the
patient care team inside and outside of the hospital.
Nurses, doctors, specialists, dietitians, social
workers, clergy, EVS, pharmacy staff, respiratory
therapists, SNFs…
No more wasted time looking up numbers in a
binder or having to walk to the nurses station
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ALERTING ANYWHERE, ANYTIME
Clinical Alerting Nurses need to mentally be in multiple places at the same time.
Allows nurses to be mobile and still be connected to
their patients
Offers the ability to immediately identify critical
alerts with color coding and audible tones
Provides an extra level of safety and decreases risk
with message escalation
Helps with managing a 12-hour shift
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SPEED RESPONSE TO ALARMS
A patient in pain hits
the nurse call button
Nurse receives mobile alert from Spok
and calls the patient’s pillow speaker
Nurse submits a pain
medication request
Physician receives an alert
from Spok and places an order
The nurse delivers pain
relief to the patient
quickly with minimal
audible disruption
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IMPROVING CARE TEAM COLLABORATION
Physician enters
orders via CPOE
Nurse alerted when
orders are available
Patient has elevated
blood pressure
Nurse securely texts physician with
a detailed medication request
Monitoring system sends a
message to nurse’s Wi-Fi phone
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IMPROVE PATIENT DISCHARGE TIMES
Physician enters discharge
order in the EHR
Spok notifies transport services
and housekeeping to transport
the patient and prepare the room
for the next patient
Spok alerts care
team of discharge
Staff
Assignment
Device
Preferences
All within the Spok Care Connect® platform
On-Call
Schedule
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SPEEDING DISCHARGE PROCESSES
Dr. Gold is the attending physician for Jill
He visits her room, confirms she’s ready for discharge, and explains that
she’ll go home with a new twice-daily medication
Dr. Gold enters the discharge and new medication order into Jill’s EHR
Spok references scheduling data to send discharge note to Jill's nurse, charge nurse, housekeeping, and
patient placement.
Her doctor puts in orders including medication reconciliation.
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FINAL THOUGHTS
• Nurses pursued their profession to
give direct, hands-on care for
patients in their time of need
• Providing the right technology can
maximize their ability to deliver that
unique level of care, for all of their
patients
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