Management teams are challenged to
determine which tools and technologies will provide immediate, practical
solutions to maintain top-notch patient care. More hospitals are examining the
benefits of deploying on-site wireless communication systems that meet the
mobile demands of hospital personnel. The goal of an on-site wireless telephone
system, such as Ascom, is to enable mobile employees to remain accessible
within their working environment, allowing them to make and receive calls as
they would from a desk phone.
Providing caregivers and hospital
staff with wireless handheld telephones designed specifically for hospital
applications can dramatically improve communication, streamline processes and
ultimately, enhance patient care.

Device Distinctions

The ability to make and receive
calls from anywhere on a hospital campus using an on-site handheld device
differs from traditional desktop telephones, pagers, cellular phones, overhead
paging and two-way radios, and the newer wireless Voice over Internet Protocol
(VoIP). Desktop telephones have obvious limitations on mobility, as the user
can only access the phone to make or receive calls from a fixed location.
Paging devices only receive text or
numeric data, but have no capability for two-way voice communication. Cellular
phones and two-way radios can present several problems as a communication tool
within the hospital environment because they are prohibited in many areas due
to the associated high powered Radio Frequency (RF) emissions that can
interfere with sensitive equipment such as heart monitoring systems. Overhead paging systems add to the noise level
on hospital floors, are an unreliable way to reach needed personnel, and can
also compromise patient confidentiality.
VoIP provides the ability for voice
and data to operate on the same network, and is an emerging technology that
still faces many challenges. Though a few manufacturers now market VoIP, the
systems still falls short in the areas of voice quality, voice and data
prioritization and compatibility. On-site wireless telephone systems that are
designed specifically to meet the demands of a hospital environment overcome
these limitations and restrictions by integrating specific features that
support crucial hospital needs.

Talk before you walk
An important feature of an advanced
on-site wireless telephone system, such as Ascom, is its ability to easily
integrate with and augment existing nurse call systems. A “talk before you
walk” capability enables a mobile primary caregiver to accept a patient call on
his wireless telephone no matter where they are on the hospital floor, they
speak directly to the patient and immediately assess their needs. This alone
can have an impact on the nurses’ workload. With traditional nurse call
systems, a patient is required to signal a central nursing station, from which
the call notice is then relayed to the primary caregiver’s pocket pager or via
the hospital intercom system. It is then necessary for the caregiver to walk to
the patient’s room to determine and address the patient’s needs. The ability to
receive and respond immediately to a patient call made directly to the
caregiver’s wireless
handset conserves steps, saves time and expedites tasks in
an efficient manner that positively affects the quality of patient care.
A valuable function of some
integrated wireless systems, allows a caregiver to either forward the patient
call and assign services by invoking predefined tasks, or automatically
escalate the call to the assigned secondary caregiver. This functionality
ensures that when the nurse is currently occupied with another patient, the
call will not be delayed, and the patient’s needs are addressed in a timely
manner.
The most valuable systems serve the
communication needs of not only nurses, but other mobile staff such as
physicians, lab technicians and security personnel as well. Selecting an
on-site wireless telephone system that offers a complete package of advanced
functions can help achieve this goal. When a system has the ability to interface
with a hospital’s Local Area Network (LAN), staff members can set their own
call management parameters to fit their schedules. This function allows staff
to access their call routing options via their Web browser so they can remain
accessible whether they are on or off the hospital campus. A comprehensive
package also includes functionality that allows the wireless phone to receive text
messages that relay crucial patient information, as well as alarms and
monitoring alerts that give staff real-time access to information.

