急性遠程創傷后計劃.pdf

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1、Post-Acute Telewound ProgramBen Friday,MDTelehealth Medical Director,RHP Associate Medical DirectorEmail:Ana Perez,LPNTelehealth Licensed Practical Nurse,TelepresenterEmail:Overview of SRHSCherokee Medical CenterUnion Medical CenteroOpened doors to consumers as Spartanburg General Hospital in 1921oC

2、urrently have 6 hospital campuses across 4 counties in South CarolinaSpartanburg Medical CenterSpartanburg Medical Center-Mary BlackCherokee Medical CenterUnion Medical CenterPelham Medical CenterHospital for Restorative CareOverview of Ellen Sagar Nursing Center(ESNC)o ESNC is in Union County,South

3、 Carolinao 113 skilled nursing bedso Roughly 24 miles from Wound Healing Center(WHC)each way o Driving from ESNC to WHC is 35 minutes each wayPost-Acute Telewound ProgramWHC front desk personnelWHC cliniciansESNC wound nurseTelehealth teamDr.Lawrence SawickiDr.Quoc TranMajor RolesAppropriate Trainin

4、g o WHC trainingClinicians oVirtual platform trainingo ESNC trainingWound nurse LPN&3 RNso SC AHEC Telepresenter Certificationo Virtual/in person platform trainingo Virtual/in person cart trainingWound nurse LPNo Shadowingo EPIC Haiku trainingAppropriate Candidates for TelewoundSlow healing woundsDi

5、fficult healing woundsChronic wounds w/o any signs of acute systemic processSubacute wounds w/o any signs of acute systemic processEquipmentHardwareLaptopSpeakersWeb camJetpack/HotspotPlatformsPEXIPEPIC HaikuWound imagesChatPeripheral devicesHorus scopeDigital StethoscopePreparing for the virtual en

6、counter48 hours prior to the virtual encountero The ESNC wound nurse completes the following The WHC practice patient information packet A copy of the residents insurance card Faxes paperwork over to the WHCNo earlier than 24 hours prior to the virtual encountero The ESNC wound nurse completes the f

7、ollowing Captures wound images and measurementsDuring the virtual encounter11:00 AMTelehealth LPN arrives to ESNC11:10 AMTelehealth LPN assists ESNC wound nurse set up hardware 11:15 AMTelehealth LPN assists ESNC wound nurse test connectivity remotely with Telehealth NP11:30 AM-11:50 AMTroubleshoot,

8、if necessaryESNC wound nurse obtains current vitals from residentResident get transported for telehealth room,if necessary11:50 AMESNC wound nurse notifies clinicians the resident is ready via EPIC chatESNC wound nurse enters the virtual waiting room for the clinician 12:00 PMVirtual encounter initi

9、ated by clinician ESNC wound nurse telepresentsESNC wound nurse uses peripherals,if necessaryAfter the virtual encounterWHC ClinicianCompletes documentation in the electronic medical recordsESNC Wound NurseSanitizes peripheral devices used during the virtual encounterEnsures devices are charging for

10、 the next virtual encounterLogs virtual encounter into the Telehealth Log binderSchedules follow upScans over Telehealth Log to the Telehealth LPN monthly Telehealth LPNTrouble shoots further,if necessaryReports to the telehealth team how the virtual visit wentWhat do the numbers say?o Number of vir

11、tual telewound visits as of October 11,2024 Dr.Sawicki:24 Dr.Tran:14 Total:38o Cost savings for the facility/resident Transportation cost for each resident from ESNC to WHC roughly$800 Savings on 38 virtual telewound encounters$30,400Barriers Clinician buy in Communication Connectivity at ESNC Mobil

12、e Ankle-Brachial Index(ABIs)needs improvements Ownership of ESNCBenefits Reducing staff shortage at ESNC Reducing risk for the resident at ESNC Reducing transportation cost Resident/family satisfaction Reducing risk of hospital admissions Ownership of ESNCTelehealth has become part of our“improve he

13、alth”integration at Ellen Sagar Nursing Center.We have residents that are both short term and long term and have a need to be followed by Wound Physicians but often do not have the ability or cant undergo the stretcher transport that is required to go to an outside visit.Since we started utilizing T

14、elehealth with our residents,The SMC Wound Center physicians and staff have increased our ability to get prompt attention,care,and orders for our wound residents.With the integration and collaboration with our Wound Center,we have seen improved resident satisfaction,improved resident compliance and successful healing of wounds.Telehealth has definitely improved the health of our residents.-Annette SchaperQuestions?