Outline

Outline

Introduction

• Thesis
• Pro tele-ICU (support)
• introduce tele-ICU with background info

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• Give detailed outline of room
• Review of monitoring system
• Outline of workstation area

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• Benefits of tele-ICU
  • cost effective
  • lower mortality rates
  • solve staffing issues
• Cost effective
  • Can cost some money to install but otherwise, very cheap
• Lower mortality rates
  • Rates without tele-ICU vs with
  • Less chance of patient becoming more ill in the hospital
• Solve staffing issues
  • Helps monitor more patients giving nurses a break

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• Some argue that tele-ICUs will take away jobs from Nurses
  • It doesn't – back up with facts from articles
  • Actually creates jobs
  • A computer cant do the actual nursing job, which many don't realize. This system is just a second set of eyes, ears, and hands

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• Discuss the job of the tele-ICU nurses
  • Virtual rounding
    • Patient information updated every 4 hours
  • Alert response
    • Bedside alerts are still the job of the nurses
    • Tele-ICU has special alerts and whoever is monitoring it can distinguish which alerts need addressed by a nurse and which don't
  • Provide assistance to the bedside team
    • This allows for quick access to information whereas before it might have taken a little longer
  • Coaching/Collaboration
    • Great teaching tool
    • New bedside nurses can ask for help from the tele-ICU nurse without bothering doctors or other busy nurses

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• Discuss how some nurses appeal to tele-ICU and why

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• Ethics?
  • Privacy is very important to ease peoples minds
  • Discuss how not all patients are watched at all times
  • Actually just as much monitoring as before only you wont be having a nurse walk into your room every hour
  • high priority/risk patients are watched more closely than others
  • Real time vital signs are displayed on the screen, if a problem arises, then the camera is turned on
  • Camera is not on all the time, it becomes activated when a problem or alert arises

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• Patient care vs nurse conveniences
  • Better outcomes for patients
  • Any system that lowers the mortality rate for patients is better
  • This puts peoples mind at ease

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• This system only successfully works with the collaboration of health care providers

Counterargument

• Even though tele-ICU systems do all of these great things, there is the concern that the physical demands add to the stress that nurses already have and there is also the issue that nurses loose their identity
• Having an identity in the workplace is very important
• Discuss why this is so harmful

Conclusion

• restate my argument and finish with a strong ending about the positive outcomes from having tele-ICUs