Children's Hospitals Today - Winter 2018 - 12

Jeff Leimbach

ROUNDS / FROM EXPERIENCE

Paramedics at the
Clinical Logistics
Center monitor
patients across
two facilities.

I

All eyes on deck
A remote unit communicates with
care teams, monitors patients' vital
signs and helps keep them safe.
BY ADALBERTO TORRES JR., M.D., M.S.
AND DANIELA MELENDEZ, RN

12

CHILDREN'S HOSPITAL S TODAY Winter 2018

n the last six years,
Nemours Health System
has constructed two children's hospitals: Nemours
Children's
Hospital
in
Orlando in 2012; and Alfred
I. duPont Hospital for
Children in Wilmington,
Delaware, opened a new
tower in 2014. Both facilities
have large, single-patient
rooms designed with input
from families, but they
sacrifice providers' direct
lines of sight of patients for
more space and privacy. To
address potential patient
safety issues created by this
design, which is common in
newer hospitals, all patient
rooms are equipped with
cardiorespiratory monitors,
video cameras and audio
communications systems.

This technology allows a
paramedic to have real-time
visualization of the patient,
monitor vital signs and
communicate with the care
team. Despite the two institutions being almost 1,000
miles apart, paramedics at
the Clinical Logistics Center
(CLC) in Orlando remotely
monitor patients at both facilities, 24/7.
To reduce alarm fatigue,
paramedics monitor patients for no more than four
consecutive hours at a time.
They then spend the next
two to four hours in a clinical
department assisting with
patient care. Every department that uses paramedics
has its own job descriptions
for them. For example, one of
the acute care units uses the



Table of Contents for the Digital Edition of Children's Hospitals Today - Winter 2018

Contents
Children's Hospitals Today - Winter 2018 - Intro
Children's Hospitals Today - Winter 2018 - Cover1
Children's Hospitals Today - Winter 2018 - Cover2
Children's Hospitals Today - Winter 2018 - Contents
Children's Hospitals Today - Winter 2018 - 2
Children's Hospitals Today - Winter 2018 - 3
Children's Hospitals Today - Winter 2018 - 4
Children's Hospitals Today - Winter 2018 - 5
Children's Hospitals Today - Winter 2018 - 6
Children's Hospitals Today - Winter 2018 - 7
Children's Hospitals Today - Winter 2018 - 8
Children's Hospitals Today - Winter 2018 - 9
Children's Hospitals Today - Winter 2018 - 10
Children's Hospitals Today - Winter 2018 - 11
Children's Hospitals Today - Winter 2018 - 12
Children's Hospitals Today - Winter 2018 - 13
Children's Hospitals Today - Winter 2018 - 14
Children's Hospitals Today - Winter 2018 - 15
Children's Hospitals Today - Winter 2018 - 16
Children's Hospitals Today - Winter 2018 - 17
Children's Hospitals Today - Winter 2018 - 18
Children's Hospitals Today - Winter 2018 - 19
Children's Hospitals Today - Winter 2018 - 20
Children's Hospitals Today - Winter 2018 - 21
Children's Hospitals Today - Winter 2018 - 22
Children's Hospitals Today - Winter 2018 - 23
Children's Hospitals Today - Winter 2018 - 24
Children's Hospitals Today - Winter 2018 - 25
Children's Hospitals Today - Winter 2018 - 26
Children's Hospitals Today - Winter 2018 - 27
Children's Hospitals Today - Winter 2018 - 28
Children's Hospitals Today - Winter 2018 - 29
Children's Hospitals Today - Winter 2018 - 30
Children's Hospitals Today - Winter 2018 - 31
Children's Hospitals Today - Winter 2018 - 32
Children's Hospitals Today - Winter 2018 - Cover3
Children's Hospitals Today - Winter 2018 - Cover4
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