Helping Nurses with Patient Care
Proposal & User Guide 1
CarePoint User Guide
30 Further Development 31
Introduction Carepoint is a digital interactive utility that is specifically designed for the NHS to assist staff with patient care. The aim of CarePoint is to streamline the daily working lives of hospital staff nurses and auxiliaries to allow for more time to be spent on patient care. The system allows users to access key information specific to patients, communicate with other staff/relatives in relation to patient requirements as well as provide a storage facility for patient related data.
Benefits Carepoint offers consolidation of all administrative tasks into one easily accessible utility allowing for: 1) Better organisation of all patient related data 2) Reduced risk of patient nutritional issues with personalised dietary filter system for food menus 3) Multiple user functionality so all users on ward can access patient data for their ward 4) Reduced data entry time for users 5) Long term cost effective solution with savings on staff time, paper usage, food wastage and reduction in patient illnesses relating to dietary care.
CarePoint User Guide
How it Works...
User Log In & ID Badges
16 Food Ordering System
How It Works...
The Carepoint system works by merging modern technology in the form of a handheld IPAD device with an interactive user friendly interface. The IPAD User Device allows for maximum mobility in a busy hospital ward to efficiently record patient food menu orders and other administrative tasks relating to patient care. As CarePoint is a multi-user utility any information added on the system is accessible to all authorised users to maximise efficiency and reduce data entry time. The patient data will need to be stored on an internal server to cope with the vast amounts of data generated and stored. Wireless Connection A secure connection between the IPAD and server will be provided by a DWM-55 Wireless system which functions on various wireless connections such as; PSTN, IDSN, GPRS, CDMA and WiFi.
These wristbands will replace the current ones issued to patients at NHS hospitals. Issued when the patient first enters the hospital, the wristbands contain a 2D Digital Barcode that when scanned by the IPAD User Device* allows the user access to the patient data through CarePoint. The barcodes (also known as Quick Response Codes) are unique to each patient and contain the patientâ€™s specific medical and dietary information. The wristbands also show this information on the wristband to act as a patient identity tag which retains their current use. * The new Apple Ipad 2 can be installed with a QR Code Reader allowing users to scan wristbands directly without using an external scan device.
User Log In & ID Badges
The CarePoint â€˜Homeâ€™ screen allows the user to securely log in to the system to access the patient details required to perform daily administrative care-related tasks. Each user will have their own ID number that will be present on their work badges for security reasons and to act as a reminder. The user can either manually type in their log in details on the digital keypad* or scan their badge which will recognise them automatically. *The keypad can be accessed by tapping the KEY icon to reveal and then tapping again to hide it.
The ‘Patient Details’ screen on CarePoint allows the logged in nurse to choose from a range of options relating to a specific patient’s care. The details can be accessed by scanning the patient’s wristband into the User Device. The patients name and number will then appear in the ‘Patient Details’ header bar. Choosing an icon will give the user access to the patients’ Medical Details and Profile information including Admission date etc. They will also have access to specific daily task icons relating to the patients care such as; Food Menu Orders, Fluid Balance Chart, Food/Drink Intake Records and Pressure Chart.
Food Ordering System e
The ‘CarePoint Food Order System allows the nurse to take daily patient food orders quickly and efficiently. The current NHS tri-weekly menu system would be replaced by one consolidated database of numbered food and drink items.* ‘Dietary Symbols’ automatically create a personalised menu for each patient by only showing items that are suitable for their specific requirements. Each chosen menu item is included in the patients ‘My Order’ screen which can be reviewed and edited before adding to the ward ‘Food Order Form’. When all patient orders on the ward are completed the nurse can then submit the form to the hospital kitchen. * Sufficient selection of varied meal options would be available for long stay patients with dietary specific requirements.
Joe Bloggs MY MENU Joe Bloggs 1 User: Sarah Smith ID: 012345678 MY MENU
Patient Menu Select
Select which menu you wish to view by clicking on the ‘View’ icons.
VIEW BREAKFA Joe Bloggs MY MENU VIEW The ‘Tick’ and ‘Cross’ symbols represent which menu orders have been completed for that patient respectively.
View the patients dietary requirement symbols in the header bar. These act as a filter to remove any options not suitable for that patient in the menu options.
VIEW DINNER VIEW LUNC VIEW e
To view an overview of the ordered menu items for the patient click on ‘My Order’.
MY ORDE VIEW SUPP
When order is complete and agreed with patient, click ‘Add’ to add to the ward ‘Food Order Form’.
If ‘My Order’ 18is correct click to add to FOOD ORDER FORM
Personalised Menu Items
To select an item simply click once to add to patient’s ‘My Order’.
MY ORD 2
To remove an item click again to unhighlight Low‘My andOrder’ remove from patient ‘Myclick Order’. Low If is correct Fat
to add to FOOD ORDER FORM
Low Low Low
Salt To view Fibre Fibre a preview SaltFat Fat of the menu item showing a larger picture and more detailed information, click the ‘Magnifier’ icon.
+ Low Salt
ast Beef with rkshire Puddings
Minced Lamb 20
Roast Beef with Potatoes Garden Peas Full overviewRoast of the order for that patient Yorkshire Puddings
to allow the user to show the patient before confirming the order.
DINNER Contains Fibre
heesy cket Potato
Clicking ‘Edit’ activates the ‘Cross’ icons on items to allow easy changes to be made to the patient’s order.
When the patient is satisfied with their order click the confirm buttons to finalise the order and send to the ward ‘Food Order Form’.
Low Low Low SaltFat Fat
Ward Food Order Form
rd ORM PT
An overview list of all patients on the ward and their food order details.
The green ‘Tick’ signifies that the patient’s food order is completed. Menus can’t be sent until all patient food orders are completed.
There are override facilities that allow the user to complete a patient’s order if for example a patient had an operation and didn’t require a meal during that period. This is signified by the use of a ‘Green Circle’ in the patient’s menu status boxes.
4 0195935981 0195735873
B = Breakfast L = Lunch D - Dinner S = Supplements When the form is completed with all patient orders, the user can then send to the hospital kitchen by clicking ‘Send’.
2412412756 0124214176 0247188125 0121841291
Typefaces LOGO Arial Rounded MT Bold 1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ PATIENT PROFILE
MEDICAL USER DETAILS
Gotham Light 1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ Gotham Book 1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ Gotham Bold 1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ Swatches
FOOD / DRIN INTAKE
Supporting Data FLUID BALANCE
FOOD / DRINK INTAKE
£2.65 compared to
Average cost of feeding Hospital patient per day
Daily food cost for Armed Forces
Daily food cost for Prison Inmates
sheets of paper are used on menus per day
Average percentage of each nurses time spent on administrative tasks per day
1.6 million hours
Nurse time spent on administrative tasks per week
NHS Food spending per year
Cost of failed hospital initiatives to improve food in hospitals over last 10 years
patients died due to malnutrition.Cost of Diet related illness per annum to the NHS.
239 MALNUTRITION DATA
patients died due to malnutrition.
Malnutrition cost per annum to the NHS (BAPEN).
are discharged from hospital with malnutrition, nutritional anaemia or other nutritional deficiency per day.
The CarePoint system can be enhanced in the future to include the following: Kitchen Order Process Facility A utility could be developed for the kitchen staff to easily collate and process the full hospital patient orders more efficiently.
Communication Section To allow patient family members to communicate with hospital nurses about a patientâ€™s care externally without having to visit the hospital. This section could also be used as an intranet help service allowing nurses to ask questions to other health care professionals about a specific patientâ€™s care.
Data Storage Would allow for patient dietary history to be stored and accessed for review purposes. Additionally, it would also act as a security measure for staff members if involved in legal cases involving patient care.
Alford, L. (n.d.). Hospital Food Review. [Online]. Available from: http://www. soilassociation.org/LinkClick.aspx?fileticket=qf 0jvMzz26U%3D&tabid=1312. [Accessed: March 2011]. Bapen. (n.d.). Summary of Hospital Food as Treatment. [Online]. Available from: http:// www.bapen.org.uk/res_bhfi_treatment.html. [Accessed: March 2011]. Blackcoffee. (2009). 1000 icons, symbols and pictograms: Visual communication for every language. Gloucester. Rockport Publishers. Daily Mail. (2009). Hospitals spend less on their patients’ food than prisons on their inmates. [Online]. Available from: http://www. dailymail.co.uk/news/article-1161051/Hospitalsspend-patients-food-prisons-inmates. html#ixzz1I5Aipf8s/. [Accessed March 2011]. Daily Mail. (2009). Fatal toll of our failure to feed elderly patients, by NHS bosses. [Online]. Available from: http://www.dailymail.co.uk/ news/article-1178171/Fatal-toll-failure-feedelderly-patients-NHS-bosses.html. [Accessed April 2011]. Design4Retail. (2010). Inamo takes retail design into the future. [Online]. Available from: http://www.design4retail. co.uk/2010/03/inamo-takes-retail-designinto-the-future/. [Accessed March 2011]. DigitalSignageExpo. (2010). ’50s-Themed Drive-Up Restaurant Modernizes Ordering with Digital Signage System. [Online]. http://www. digitalsignageexpo.net/DNNArticleMaster/ DNNArticleView/tabid/78/ArticleId/3298/50sThemed-Drive-Up-Restaurant-ModernizesOrdering-with-Digital-Signage-System.aspx. [Accessed Feb 2011]. Dispatches. (2011). The truth about hospital food. [Online]. Available from: http://www. channel4.com/programmes/dispatches/ episode-guide/series-81/episode-1. [Accessed March 2011]. Fernandez, R. (2010). The Pros and Cons – Hand Held 2D Barcode Scanner. [Online]. Available from: http://EzineArticles. com/5299289. [Accessed May 2011]. Ingenico Solutions. (2011). Network Solutions. [Online]. Available from: http://www.ingenico. com/en/products/network_solutions/. [Accessed May 2011] Kings College London. (2008). What matters to patients the nursing contribution. [Online]. Available from: http://www.kcl.ac.uk/ content/1/c6/03/63/92/PolicyIssue9.pdf. [Accessed: March 2011].
Klanten, R. (2010). Data Flow 2: Visualising information in graphic design. Berlin. Gestalten. Mindgruve. (2010). Digital Barcodes: The Present and Future of Mobile Marketing. [Online]. Available from: http://www. mindgruve.com/blog/2010/08/digitalbarcodes-the-present-and-future-of-mobilemarketing/. [Accessed May 2011] Motorola. (2001). H-Hot Is Launched To Revolutionise Restaurant Ordering. [Online]. Available from: http://www.symbol.com/ category.php?filename=pr-783_uk_2001-0424.xml. [Accessed May 2011] O’Leary, Z. (2005). Researching Real World Problems: A Guide to Methods of Inquiry. London. Sage Publications. Popgadget. (2008). Wireless digital menu system allows you to order food without human contact. [Online]. Available from: http://www.popgadget.net/2008/02/ wireless_digita.php. [Accessed March 2011]. Soil Association. (2011). First Aid for Hospital Food. [Online]. Available from: http://www. soilassociation.org/LinkClick.aspx?fileticket= 2p%2fanI11%2b6o%3d&tabid=1311. [Accessed March 2011]. The Observer. (2005). Let Nurses Nurse. [Online]. Available from: http://www. guardian.co.uk/society/2005/nov/27/health. comment?INTCMP=SRCH. [Accessed: March 2011]. Smith, R & Devlin, K. (2008). Nurses claim paperwork is affecting care. [Online]. Available from: http://www.telegraph.co.uk/ news/1904652/Nurses-claim-paperwork-isaffecting-care.html. [Accessed March 2011]. Wikipedia. (2011). QR Codes. [Online]. Available from: http://en.wikipedia.org/wiki/ QR_code. [Accessed May 2011] Saffer, D. (2010) Designing for Interaction. California: New Riders. Pp. 33-39 Austin, A. (n.d) Restaurants go high tech with e-menus. [Online] Available From: http://www. buzzle.com/articles/restaurants-go-high-techwith-emenus.html [Accessed March 2011] YouTube. (2008) E-Menu: The Future of Restaurant Technology. [Online] Available from: http://www.youtube.com/watch?v=dpD7aHzr6Q [Accessed March 2011]