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Florida Hospital Tracks Nurses Footsteps, Work Patterns
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Wootang
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Wootang,
User Rank: Apprentice
4/16/2015 | 10:12:50 AM
Thank you.
Thank you for your post.   The emotional needs of patients and families are far underestimated, there are many nights, families meet the nurse while charting at the nurses station to discuss the needs and care of their loved one receives.   We don't have time to document every step we make while sitting at the nurses station, in order to justify less time spent at the patients bedside.   I hope this is where placing camera's in certain areas can help clarify how time is being spent.    Heaven forbid, if a few minutes of time is spent bonding with co-workers.   Something the overall system doesn't seem to care about, it's like they do not want nurses to form friendships and bond.   It's as if they want us to perform as a mind controlled robot.  This is unhealthy for nurses and CNA's alike and steals the joy of many when technology dictates staffing needs.  No not to mention this will result in very tired and overworked nurses while working a third 13.5 hour night shift within one week.   Technology has no feelings.    
Wootang
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Wootang,
User Rank: Apprentice
4/16/2015 | 9:53:05 AM
Re: Nurse's POV?
Please read what I wrote about a typical night on a med-surgical floor and why I think this will ultimately lead to less patient satisfaction.  Some nights are that I endure can be abusive, even when we are well staffed.  I must say, we help each other all we can to help with time managament.  The higher ups need to listen to nurses instead of relying on modern technology to dictate staffing needs.  Some hospitals are forced to offer large sign-on bonuses to entice out of town nurses to commute, due to short staffing. Has anyone ever asked, why?  It's due to most middle aged nurses can no longer stand the abuse at any cost.  I am a one income family, my options are limited to working night shift for shift differentials and the thought of working constantly in an environment where technology could and will lead to poor nurse-patient ratio will place my license on the line.   When something goes wrong due to poor staffing, it's the nurse that will also risk her entire career to no fault of his/her own.  I thank you for your concerns.
bozozozo
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bozozozo,
User Rank: Apprentice
4/16/2014 | 11:30:50 AM
sometimes when you are in the middle of it...
the techs told the staff that "too much was going on." when they were exchanging @ 6am.  is this the best available example of a good result from using this system?  If so, not sure this is gonna be useful.
bozozozo
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bozozozo,
User Rank: Apprentice
4/16/2014 | 11:25:13 AM
Re: Tracking people politely
not sure this is as applicable to doctors as to nurses and other on-floor personnel. 

if this system just tracks movement, rather than associating movement with specific tasks, not sure how useful it is to identify whether it is demanding patients (need several actions during a shift that cannot be aggregated), or less efficient nurses (goes to a room once for each of several tasks, rather than going to a room once for several tasks that could be aggregated), or a less efficient resource layout (has to go too far to get materiels needed for specific tasks), or some combination of these and other factors.

would be interesting to apply to hospital design, if these factors could be elucidated.
David F. Carr
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David F. Carr,
User Rank: Author
3/25/2014 | 6:04:05 PM
Re: Unicorns & Rainbows
They did say that they had not yet used the data to adjust schedules, but they were thinking about it. Maybe you're right that the result won't be a net gain in number of nurses employed, but it could be a matter of shifting people from one shift or unit to another based on a better analysis of where the greatest need is.
asksqn
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asksqn,
User Rank: Ninja
3/25/2014 | 4:51:44 PM
Unicorns & Rainbows
Since corporately managed healthcare facilities don't pay attn to nurse to patient ratios (unless state mandated) I don't see it bothering with GPS trackers either despite the unicorns & rainbows theory of efficiency. It's not about patient care OR efficiency. The bottom line is the cost to pay the appropriate number of nursing personnel that will adequately be able to provide patient care. Status quo is hospitals don't care to schedule the requisite number of needed nurses bc of the price tag.
David F. Carr
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David F. Carr,
User Rank: Author
3/24/2014 | 10:23:35 AM
Re: Effective Utilization of Resources
Good point. To some extent, correlating activity with EHR records might help, although that's not typically going to be a minute-by-minute record of what was going on in a given room. Probably the data will be most useful to supervisors who already have some knowledge of what's going on in the nursing unit and can interpret it correctly, make staffing adjustments as needed.
MichaelD759
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MichaelD759,
User Rank: Apprentice
3/24/2014 | 9:57:36 AM
Effective Utilization of Resources
Recognizing patterns of activity is important. Equally important is recognizing the task performed as this will present the opportunity to match the appropriate personnel to the task. Responding to a call light for a glass of water or assistance to the bathroom can be matched differently than a request for pain meds. Also, analyzing travel patterns for needed supplies can be an opportunity for time and dollar savings by supply relocation.
Shane M. O'Neill
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Shane M. O'Neill,
User Rank: Author
3/18/2014 | 9:49:57 AM
the greater good
It sounds like the location tracking system is measuring general workflow patterns for the greater good of the staff and patients. I hope that'll always be the goal and tracking doesn't become a lazy way to judge an individual nurse's work performance. There are too many intangibles in the job -- like bedside manner and emotional support -- that count for a lot.
ChrisMurphy
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ChrisMurphy,
User Rank: Author
3/18/2014 | 8:25:18 AM
Re: Heat map image created by Florida Hospital IT
Custom coding isn't dead, as your example shows, David. It's very hard for companies to get the exact "solution" they want even from industry-specific vendors. As companies dig into Internet of things & people like this, they can't expect vendors will know their needs. Those needs are just too industry, company, process specific. 
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