- Medical Use Cases
While you may use TeleVU in almost any clinical setting, we are presenting a few highlights.
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- Acute Clinical Care
Isolated and specialty care wards often have limited access and providing timely patient care is sometimes challenging due to staff availability or shortage. TeleVU enables the frontline clinician to consult and communicate with remote peers to receive real-time medical assistance and guidance.
This results in high quality and timely care delivery without overcrowding the patient’s bedside to promote social distancing and reduce the usage of PPEs.
Example: Implantable defibrillator (ICD) patient gets admitted to CCU due to recurrent VT that was untreated by the device. Upon admission, the patient is administered Amiodarone and stabilized. At this point, the patient’s ICD has to be interrogated and checked, however, due to a complication the device nurse and cardiologist need advice from the company experts. The technical representative is not able to get to the hospital for another several hour and possibly even the next day. Using TeleVU, the nurse or cardiologist will be able to immediately get a hold of a technical representative and troubleshoot the issue. The technical rep provided guidance by pointing, drawing and sharing documents using TeleVU’s AR features and reprogrammed the ICD to properly deal with the VT. The patient was discharged the same day and a highly in-demand CCU bed was released to admit and treat the next patient in need.
- First Responder Support
Oftentimes, paramedics are the first line of medical care for patients, whether the patient is involved in an accident or calling in for help with signs of Cardiac issues, stroke, or other medical symptoms. ER/ED physicians can remotely communicate with first responders to provide guidance remotely, triage the patient and coordinate resources for when the patient arrives at the hospital.
In some cases, such as stroke or cardiac arrest, every minute delay in delivering the proper care could result in poor patient outcomes. During an emergency, early intervention and onsite treatment improve patient outcomes.
Furthermore, reducing preventable patient transports results in improved efficiency and cost reduction for EMS. The receiving hospital benefits from optimal ER patient flow and a balanced ER load.
Example: Patient calls 911 due to chest pain, EMS arrives on the scene and connects with the ER physician via TeleVU to triage the patient. Upon remote examination, it is determined that the patient meets STEMI criteria. At this point, a PCI-capable hospital is brought into the TeleVU session and an on-call physician also joins the session to provide guidance. While in a TeleVU session, vitals are reviewed and proper guidance is provided to EMS staff to manage the patient on route to the hospital. The care coordinator has already arranged for stat Cath lab admission and arranged for a bed post-procedure.
- Long-Term Care (LTC) Homes
According to published data, 25-40% of LTC residents’ transfers to the ER are preventable. Preventable transfers can be reduced by implementing strategic interventions within the LTCs and partnering hospitals.
One of the main reasons residents get transferred to ER is the difficulty for the LTC home staff to get a hold of the physician to visit the resident in a timely manner and decide on the treatment.
Using TeleVU, the LTC home nurses and physicians can remotely consult with physicians and other specialists to triage the patient before each transfer. As a result, unnecessary patient transfers to ER can be avoided. Furthermore, keeping the patients out of the hospital will reduce the change of adverse events resulting from such transfer.
Example: A resident with shortness of breath, cough and chest discomfort was seen by the nurse on duty. A physician-guided physical exam was performed by the nurse using TeleVU in real-time. CRP levels were also checked, and further collaboration between the nursing staff and the remote physician ruled out our pneumonia. The patient was treated for Acute Bronchitis without being transferred out of the LTC home.
- Surgical Support
Often complex surgical cases require peer support or medical industry personnel presence, however, with travel restrictions and crowd control measures in place, remote support is warranted.
Physical presence and availability of experts to consult during a case often leads to significant delay and in some cases cancellation of the procedure.
With TeleVU, the surgical team can quickly find a peer to assist and guide them remotely.
From an OR scheduling perspective, there are fewer interruptions and from a patient care perspective, such timely consultation could result in significantly better outcomes.
Example: As part of a clinical trial, a complex electrophysiology case was scheduled from 8:00 -11:00 am. Considering the highly advanced technology used to treat the patient, an engineer from the MedTech company was scheduled to attend the case and provide support. The day before the case, the travelling rep tested positive for COVID-19 and therefore could not fly to attend the case. There were no other options to book another MedTech engineer and alternatively the case had to be cancelled and given the short notice that the time slot would have been vacant.
Using TeleVU, the physician wore the smart glasses and the MedTech engineer was able to remotely attend to the case and provide guidance using AR interactions. The case was successfully completed without any delays. After the case, the research nurse wearing smart glasses received guidance on how to prepare the research catheters for return and documentation of the case.
- Medical Proctorship
Novel medical procedures often require mentorship and training from clinical pioneers. Such medical experts then typically need to dedicate a significant amount of their time to travel to other cities, provinces or even countries where the mentee is located. As such, it often takes a long time to book such mentorship sessions, which in turn delays the delivery of novel healthcare to patients. Not to mention the time the mentor is away from their own practice to treat patients in need.
Using TeleVU, medical experts can now easily share the knowledge and proctor peers from the comfort of their own home practice. As a result, the mentor only spends a couple of hours of their time attending a procedure and in addition to having more time to treat patients, there are significant cost savings.
Example: A local hospital’s physician wanted to perform a novel vascular procedure involving Venoplasty and snaring wires. The mentee had never performed the procedure but was highly skilled and capable. The mentor (two hours of flight away) used TeleVU to guide and assist the mentee through the case using the AR functionalities. Three successful cases were performed in one day by the mentee under the guidance and remote assistance of the mentor. All the while, the mentor was able to complete his clinical duties in-between cases at his home hospital, which would have otherwise not been possible. So instead of a day and a half of travelling and bearing the cost, the mentor only spent 3 periods of 60-90 minutes supporting the case.
- Medical Education
Medical residents and students have had limited access to the patient’s bedside during rounds and surgical procedures due to the recent pandemic.
Using TeleVU, the lead physician can provide a point of vision (POV) view for remote learners to observe examinations and procedures remotely and actively participate by interacting with the lead physician wearing the glasses.
Example: A faculty surgeon performed a Laparoscopic small intestinal resection procedure using TeleVU and ScreenVU. Three residents were invited to observe the case remotely via TeleVU. The surgeon wore the TeleVU-powered smart glasses to show a POV (point of vision) view of the surgical site to the residents. The surgeon also used ScreenVU to connect the laparoscopy monitor and broadcast it to the residents. All the while residents had a dual view of the smart glasses POV and the laparoscopic monitor on their device (laptop, tablet or smartphone). The residents all had the same great view during the case without having to peak over one another’s shoulders or risk contaminating the surgical field. They also had a direct communication line with the surgeon to ask their question and interact using AR features.
In addition to significant time savings and efficiencies, the risk of cross-contamination as a result of overcrowding the procedure room is significantly reduced.
- Four-Eye Wound Assessment
Hospital-Acquired pressure ulcers (HAPU) are associated with pain and discomfort and further delays patients’ recovery and discharge. In addition to poor patient outcomes, HAPU costs an average of $5,500 per occurrence. Identifying and documenting pressure injuries within four hours of admission or transfer by two nurses has been shown to increase the number of PU detected by 126% and reduce the number of HAPU by 80%.
With staffing shortages, completing a four-eye assessment is challenging.
Using TeleVU one nurse wears smart glasses to examine the patient, and the second nurse has an over-the-shoulder view experience to see, collaborate and interact with the patient through the eyes of the frontline nurse.
- Biomedical Services
Medical equipment manufacturers build complex devices that require regular maintenance to maximize their uptime. Often, services offered are dependent on the availability of the company’s field support engineers.
Using TeleVU hospital Biomed staff or manufacturers junior staff can seamlessly connect with senior remote experts for easy audio/visual documentation and sharing of digital content. During the virtual service call, diagrams, photos, videos and other valuable instructions can be exchanged seamlessly.
The results, are higher first-time fix rates, increased equipment uptime, reduce costs and improved customer satisfaction.
- Other Use Cases
Mobile Crisis Response
Mobile crisis response teams provide individuals presenting with symptoms of mental & behavioural health disorders first response services. Our solution gives the response team remote access to expert mental health advice on demand.
Inmates Medical Care
Inmates receive varied healthcare compared to other citizens and access to equality of health care is a common complaint. In addition, the cost of patient transport to medical facilities for specialized visits or procedures is high.
Using TeleVU, a local facility’s physician or nurse can connect to remote experts to triage the patients and determine whether a transfer is required. Inmates receive timely and effective care.
Other Use Cases
TeleVU’s telepresence technology can be used in almost any healthcare setting and we would be happy to connect with you and discuss your particular use case and help implement our technology.
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