It s Not Working! Who Do I Call? Now What Do I Do? Stacy Pitsch, BSN, RNC-nic Phillip Martin, AR SAVES Video Support
Objectives: Connection Equipment Troubleshooting Roles Who do I call?
Do you ever feel like this? We are here to help!
Connection Connection- Yes or No? Electrical outlet Internal internet (new units only) External internet (all units)
Connection Security Encryption is 128 AES, a high level of call encryption Ensures the connection is secure between both parties and is HIPPA compliant Speed The internet speed provided is 1.5 mb of bandwidth on a t 1 line A t 1 line can support more than one call at a time due to being a large portal
Equipment What s that called again? Telemedicine unit Video unit AR SAVES cart Tandberg Stroke cart
Equipment What does it look like, again?
Troubleshooting I cant see you! If your screen is black: Check the power to the monitor Older unit Newer unit
Troubleshooting Can you see me? Check to see what image you are sending out Self view button
Troubleshooting I cant hear you! Check the remote volume Check the monitor volume
Troubleshooting You cant hear me! Unmute your microphone Where is the microphone?
Troubleshooting Nothing happening? Check the batteries in the remote! Call Video Support
We are connected, now what? Unmute the microphone Use the remote control to do this Place mic on the bed, waist high Position the patient Use self-view to see the image you are sending out Zoom in/ Zoom out Be aware of when you need to zoom in and out during the exam
Oh NO! They want to view the CT! Older remote Newer remote
Computer screen Double click on the PACS icon
PACS log on screen Type in your user name and password
What happens behind the scenes? The telephone call comes in The Video Support person is alerted to make the video connection A video connection is made between Your facility The Call Center AR SAVES RN Video Support in the Call Center The recording device The AR SAVES neurologist
Roles Your facility Initiate AR SAVES protocols Monitor patients vital signs Function as the hands of neurologist Mix and administer Activase Monitor patients VS (BP!!) and neuro checks Transfer (?) Document
Roles Call Center AR SAVES RN Gather patient information Contact on-call neurologist Facilitate introduction Support facility RN during call Assist with bed management Document call in charting system
Roles Video Support in the Call Center During a AR SAVES call Initiate video connections Monitor for sound & video clarity Verify CT image in AR SAVES repository Assist neurologist with technical issues Disconnect video connection 24/7/365 Video Support Monitor all sites for connectivity status Available for training
Roles Recording device All AR SAVES live consults and mocks are recorded QI purposes- medical and IT Copy of call provided to site, upon request Kept for 30 days then deleted
Roles AR SAVES Neurologist Available on-call status Establish exclusion criteria, LKWT, history Assess utilizing RN as hands Read CT image Educate and consent pt & family Consult with site MD on pt condition Determine eligibility for tpa Provide tpa dosage
Tips on learning the equipment Don t be afraid of it, it doesn t bite! Practice!! Play with the equipment if you get somewhere you are unsure of, hit cancel until you get back to the home screen or call Video Support Use simple troubleshooting skills Are the batteries in the remote dead? Is the cart plugged up in both places? Remember this number: Video support 24/7/365 501-686-8666
Contact 24/7/365 Video Support: videosupport@uams.edu 501-686-8666
Contact Information Stacy Pitsch, RNC-nic Outreach Nurse Email: sapitsch@uams.ed Phone: 501-686-5991 office Phone: 501-590-3022 cell
Contact Information Phillip Martin Video Support Supervisor Email: PWMartin@uams.edu Phone: 501-686-8666 office
Thank You