In-Hospital Telehealth Supports Care for Neonatal Patients in Strict Isolation
28 March 2020
01 April 2020
08 April 2020 (online)
The aim of this study is to determine the feasibility of “in-hospital” inpatient telemedicine within a children's referral hospital to facilitate inpatient care activities such as interprofessional rounding and the provision of supportive services such as lactation consultations to pediatric patients in strict isolation. To test the feasibility of in-hospital video telemedicine, a dedicated telemedicine device was set up in the patient's room. This device and the accompanying Bluetooth stethoscope were used by the health care team located just outside the room for inpatient rounding and consultations from supportive services. Video telemedicine facilitated inpatient care and interactions with support services, reducing the number of health care providers with potential exposure to infection and decreasing personal protective equipment use. In the setting of strict isolation for highly infectious viral illness, telemedicine can be used for inpatient care activities such as interprofessional rounding and provision of supportive services.
Telehealth supports patient care in isolation.
Telehealth reduced health care provider exposures.
Telehealth conserves personal protective equipment.
R.A.U. had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. C.K. provided administrative, technical, or material support. R.A.U. dedicated in statistical analysis and carried out study supervision. All authors have made substantial contributions to study concept and design; acquisition, analysis, or interpretation of data; drafting of the manuscript; and critical revision of the manuscript for important intellectual content.
- 1 Bell RC, Yager PH, Clark ME. , et al. Telemedicine versus face-to-face evaluations by respiratory therapists of mechanically ventilated neonates and children: a pilot study.(Report). Respir Care 2016; 61 (02) 149-154
- 2 Wenger TL, Gerdes J, Taub K, Swarr DT, Deardorff MA, Abend NS. Telemedicine for genetic and neurologic evaluation in the neonatal intensive care unit. J Perinatol 2014; 34 (03) 234-240
- 3 Fang JL, Collura CA, Johnson RV. , et al. Emergency video telemedicine consultation for newborn resuscitations: the Mayo Clinic experience. Mayo Clin Proc 2016; 91 (12) 1735-1743
- 4 Siew L, Hsiao A, McCarthy P, Agarwal A, Lee E, Chen L. Reliability of telemedicine in the assessment of seriously ill children. Pediatrics 2016; 137 (03) e20150712
- 5 Umoren RA, Gray MM, Schooley N, Billimoria Z, Smith KM, Sawyer TL. Effect of video-based telemedicine on transport management of simulated newborns. Air Med J 2018; 37 (05) 317-320
- 6 Voos KC, Ross G, Ward MJ, Yohay A-L, Osorio SN, Perlman JM. Effects of implementing family-centered rounds (FCRs) in a neonatal intensive care unit (NICU). J Matern Fetal Neonatal Med 2011; 24 (11) 1403-1406
- 7 Garingo A, Friedlich P, Chavez T. , et al. “Tele-rounding” with a remotely controlled mobile robot in the neonatal intensive care unit. J Telemed Telecare 2016; 22 (02) 132-138
- 8 Katznelson JH, Wang J, Stevens MW, Mills WA. Improving pediatric preparedness in critical access hospital emergency departments: impact of a longitudinal in situ simulation program. Pediatr Emerg Care 2018; 34 (01) 17-20
- 9 Obaid JM, Bailey G, Wheeler H. , et al. Utilization of functional exercises to build regional emergency preparedness among rural health organizations in the US. Prehosp Disaster Med 2017; 32 (02) 224-230
- 10 Whitten P, Love B. Patient and provider satisfaction with the use of telemedicine: overview and rationale for cautious enthusiasm. J Postgrad Med 2005; 51 (04) 294-300
- 11 Varkey P, Schumacher K, Swanton C, Timm B, Hagen PT. Telemedicine in the work site: a study of feasibility, and patient and provider satisfaction. J Telemed Telecare 2008; 14 (06) 322-325
- 12 Epstein EG, Arechiga J, Dancy M, Simon J, Wilson D, Alhusen JL. Integrative review of technology to support communication with parents of infants in the NICU. J Obstet Gynecol Neonatal Nurs 2017; 46 (03) 357-366