Current hospital practice means patients need to remain in hospital post-surgery or go back regularly to hospital after they have been discharged to have their vital signs taken and analysed. Healthcare professionals can lose valuable insight into a patient's condition once they leave hospital and patients can often feel neglected - they believe that being out of sight means out of mind. However this doesn't have to be the case.
Mike Wilson underwent open heart surgery last year. The operation was a success and Mike was quickly moved to the cardiovascular step-down unit from the cardiovascular ICU after just two nights. He was recovering well but whilst in the step-down unit he suffered from post-operative atrial fibrillation. His heart rate escalated, his temperature soared and there was a concern around the risk of sepsis.
Mike's wife Liz, an RN experienced in cardiac recovery and intensive care nursing, was aware of the Patient Status Engine and Lifetouch cardiac sensor and knew if Mike had been monitored with the PSE in hospital the doctors and nurses would have been able to analyse the chain of events leading up to the atrial fibrillation via the data collected by the Lifetouch.
"We missed the opportunity being that he was tethered to a simple three lead ECG monitor without the smarthealth capabilities of the PSE," said Liz.
Mike was put on an antiarrythmic IV drip and his heart rythmn reverted to normal. He was discharged the following day on beta-blockers and antiarrythmic medication but now being monitored with the PSE.
"Wearing the Lifetouch made me feel like I was being taken care of despite not being in hospital," said Mike. "I knew I could view my ECG anytime and that my heart rate was being monitored continuously."
Liz said: "We were able to watch his heart rate trend up and saw some atrial ectopic beats around two hours before his cardiac meds were due. He would say, 'I don't feel very good.' An hour or so after the cardiac meds were administered, his heart rate would go down, the ectopy would disappear, and he would say, 'I feel better.' It was amazing."
“The human eye cannot conceptualize the slight variations in the R-R intervals like the SmartHealth analytics in the Lifetouch can”
Clinical Research Nurse, Ohio
Learnings and Expected Outcomes From Home Use of the PSE:
EWS calculated automatically by the PSE
Customisable and condition specific predicitve scores in real time
Early detection of deterioration
Allows for timely interventions before serious complications occur
Reduction in number of readmissions
Trend data and early warning scores allow patients to be stabilised in home settings
High quality clinical data
As if patients were in a hospital facility using clinically proven and certified sensors
Earlier and faster recovery of patients
Through wireless freedom, isolation from HAI's, and higher levels of comfort and reassurance
Significant cost savings
Avoids high fixed costs of hospital admission and associated costs of in-hospital patient safety
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