3.1 

Hello and welcome to your third lesson about Oxevision . Here we will be introducing the Oxevision Activity Tracker. This lesson will take approx 10 minutes, and once complete you can complete the final part - The Oxevision Quiz. 

‍

3.2 

So, what’s this lesson about? During this lesson we will cover:

- How do the Warnings and Alerts work? 

- What Warnings and Alerts does Oxevision offer?  

- Moving beds

- The Activity Report

- The Seclusion Session Report

- How to Export a Report

- Additional Features

‍

3.3

Introducing the Oxevision Activity Tracker, helping clinicians to proactively intervene. Please note the Activity Tracker is not a medical device, and will not alert you to adverse changes in health or to adverse risk to a patient's safety.

‍

3.4 

Oxevision’s warnings and alerts. The way Oxevision works, is it can ‘see’ movement in the room through the infrared sensitive camera rather like how a human eye would. It can identify areas in the room, for example, the bed and the bathroom. It can use movement in those areas to trigger appropriate warnings and alerts to inform you that a patient may need help or assistance. 

‍

If you remember from lesson 1, each room installed with Oxevision is denoted by a tile on the overview screen. The room tiles will change states, depending on the movement in the room.

If a room tile turns orange, this means a visual warning has been triggered on the Oxevision system for that room.

If a room tile turns red, this means a visual and audible alert has been triggered and must be manually disabled by a member of staff. You will hear ‘Oxehealth Alert, Oxehealth Alert’ from all of your devices until you select reset. Please note, this will not sound in your patient’s room. 

As per your organisation’s protocol, if you wish to see an anonymised (blurred) 15 second live feed of a room during an alert, select “View Room”. Otherwise select “Reset” to disable the alert.

Note: Oxevision can take up to 40 seconds to confidently change the state on a room tile. For example, if an individual leaves their room it can take up to 40 seconds for the room tile to change from ‘in room’ to ‘empty’. This is a known delay as during this time, the system is scanning the room to try to confirm the room state.

If you choose to reduce the volume (partially or totally) on the touch screen monitor, then it is your responsibility to return it to its previous level at an appropriate time. Tablets and mobile devices will automatically revert the volume to 75%, every 60 seconds if changed

‍

3.5 

Warnings and Alerts

The combination of warnings and alerts will vary from ward to ward as they are tailored to the specific needs of the patients on each ward. Please refer to your ward manager for a detailed list on what warnings and alerts are active on your ward. We will now run through all warnings and alerts available on Oxevision.

Note: Oxevision is a supportive tool. You should never rely solely on the system to ensure patient safety and always carry out your usual in-person safety checks.

Edge of Bed Warnings and Alerts

This is designed to notify staff when activity is detected nearing the edge of a bed. The visual and audible alert (red) will go off. If an Edge-of-Bed alert is reset by staff whilst a person remains on the edge of their bed, you may see an Edge-of-Bed warning on the room tile (orange).

Out of Bed Alerts

Designed to notify staff when activity is detected near a bed following activity within the bed.  The visual and audible alert (red) will go off. This can indicate to staff that a person at risk of falls has got out of bed unattended.

Room Entry (multiple people) Warnings

If a second person enters an already occupied room, this visual warning (orange) will be shown.

3.6 

At Door Warnings and Alerts

If a person lingers around the doorway for more than 30 seconds, a visual warning (orange) will go off. An audible alert (red) will sound after a certain number of minutes.

In Bathroom Warnings and Alerts

If a person enters the bathroom, this visual warning (orange) will go off. An audible alert (red) will sound after a certain number of minutes of them being in there.

Out of Room Alerts (night-time only)

If a person exits the room by the door during the night, this visual and audible (red) alert will go off.

‍

3.7

Leaving Bed warnings and alerts:

Designed to notify staff that an individual is making rising movements which indicate they are preparing to get out of bed unattended. The visual and audible alert (red) will go off. If a Leaving Bed alert is reset by staff while a person remains on the edge of the bed, you may see a Leaving Bed warning (orange) on the room tile.

‍

3.8 

The following warning and alert is specific to seclusion, HBPoS and 136 suite type rooms only.

In Bathroom Warnings

If a person enters the bathroom area, this visual warning will show. No audible alert will sound.

No Activity Alert

If a room is occupied but no activity (fine or gross movement) can be detected for longer than 50 seconds, this visual and audible alert will go off.

Please note, the ‘In Bed’ room state will not be available in Seclusion/HBPoS/136 Suites rooms due to the beds not having a fixed location.

Note: Warnings and Alerts will go off on the Oxevision handheld and fixed screen devices. Oxevision is a supportive tool. You should never rely solely on the system to ensure patient safety and always carry out your usual in-person safety checks.

‍

3.9

‍
Room State Variations
If configured on your site, due to the layout of the rooms certain areas are not visible to the infrared sensitive camera. Rather than “In Room” and “Empty”, the room tiles on the overview screen will display “In Monitored Area” and “Out of Monitored Area”. 

When the individual is in the “In monitored area” as displayed on the room tile:

• Alerts (Edge of Bed and Out of Bed) and Warnings (Multiple Room Entry) will be available. 
• You will be able to complete a Vital Signs Observations

When the individual is in the “Out of monitored area” as displayed on the room tile:

• Alerts (e.g Out of Room and In Bathroom) and Warnings (e.g Multiple Room Entry) will NOT be available. 
• You will NOT be able to complete Vital Signs Observations

‍

3.10

Moving Beds

Beds should be left in their original location wherever possible unless absolutely necessary. Moving beds could prevent Oxevision from correctly detecting a person as “In Bed” and therefore affect the accuracy of Edge-of-Bed and Out-of-Bed alerts.

Please get in touch with Oxehealth if a bed has been moved more than 50cm, or you plan to move a bed (excluding in seclusion) or other furniture that may obstruct the camera's view of the room. 

3.11 

Reports 

We will now be introducing the other reports you will have access to on Oxevision if enabled, called the Activity Report, and the Seclusion Session Report. These provide additional insights which can help inform care planning. 

‍

3.12

Things to Remember:
Oxevision is designed to provide information to staff about whether someone has remained in their bathroom or a known blindspot for a prolonged period.

When a second occupant enters the room or stands in the door area it will may cause the system to misinterpret their movement as the patient’s. This may result in the system displaying an inaccurate room state when the second occupant leaves the room or door area. 

Example of this behaviour: An individual is in the bathroom and remains in the bathroom while a second occupant enters then leaves the room having checked on them.

The system initially registers the individual as “In Bathroom”.

Once the second occupant enters the room, the “In Bathroom” room state will change to ‘Room Entry’.

When the second occupant leaves the room while the original individual remains in the bathroom, the room tile will indicate the room as ‘Empty’. If bathroom re-alerts are enabled, they will cease to trigger in this situation.

 Do not rely on in bathroom alerts if a second occupant has approached the door or entered the room.

‍

3.13

We will now discuss the activity report. You can view this report by selecting the activity report button on a room’s action menu. 

On the screen is an example of this report. You can view the last 7 days worth of activity data which is available to staff to help inform care planning. Included in the report is a colour-coded chart that continuously updates with activity data and a key is provided at the side of the chart. At the end of each day you can view: how many hours and minutes an individual has been in bed, how many out of bed alerts were triggered (if enabled), the number of trips to the bathroom the individual took, and how many times another individual has entered an already occupied room. 

Staff can use this objective data to review overnight activity to  support a discussion about how much sleep opportunity an individual had, their night-time routines, and to help inform how the individual’s care-needs might need to be adapted.

‍

3.14

Exporting an Oxevision Report 

You can export an Activity Report or Vital Signs Trends report for a single room or for multiple rooms on a ward. To do so, follow these steps.

Step 1:Select the menu icon at the top left of the room overview screen. Then select the type of report you wish to Export.

Step 2: Select the room(s) you wish to export.  If you wish to export the report for every room, select the “Select All” box. 

‍

3.15

‍

- Step 3: Select the “Start” and “End” dates you wish the Report(s) to display data from. Then select “Choose Recipient”. You are able to export up to 2 weeks worth of data.

- Step 4:  Enter your organisation email address and the reason for exporting the report(s). When entering a reason for exporting the report, do not enter any patient identifiable information.

Please note these can only be sent within your organisation. Once done select “Confirm Export”. Exported reports will also be sent to the default recipient for your ward.

Alternatively, you can also export a 7 day, single room's report by selecting "Export" when you are viewing the Vital Signs Trends chart or Activity Report for that room.

‍

3.16

We will now introduce the Seclusion Session report that you can have access to if enabled.

Please note: these reports must be manually started by a member of staff in order to begin collecting the seclusion session data. To do so, select ‘start session report’ underneath the room tile. To end the report, select the button again. 

This report is available for seclusion, HBPoS, and S136 type rooms only. You can view this report by selecting the room tile and selecting the ‘Session Report’ button on the action menu.

This report shows a visual overview of a seclusion session which includes 2 types of charts, the vital signs trends and the activity chart.

Included in the vital signs trends chart are spot check measurements, where any successful attempts are shown with a red dot for pulse rate and a blue dot for breathing rate. It also includes all Vital Signs attempts (successful or unsuccessful) shown with a black cross. The Trends are shown with grey diamonds, and these indicate the average of automatic vital signs measurements made by the software. If you would like more details on vital signs trends please refer back to lesson 2.

Underneath the vital signs trends, is the activity chart. On the chart the blue line indicates the overall activity level within the room. If available, “In Bathroom” periods, “Alert” and “Rapid Tranquilisation” times will also be displayed on the chart. 

The report updates as the session progresses. If you need to scroll across the Report timeline, you can do so by scrolling left to right on the activity chart at the bottom of the report.

‍

You can also export a seclusion session report by selecting ‘Export Report’ at the bottom.

‍

3.17

‘How to’ Refresh a Room. The Refresh Room button is designed to give staff the ability to restart a room if Oxevision is showing an incorrect room state. For example, if a patient has exited their room but there is an ‘in bathroom’ alert going off. To do this please follow these steps:

- Step 1: Select a room tile and then select “Refresh Room”.

- Step 2: The interface will display a window displaying “Refreshing Room” for up to 5 seconds before it automatically closes.

- Step 3: Oxevision will then show “Acquiring” on the room tile for as long as it takes to register the room state, usually around 30 seconds. During this period, Oxevision will not trigger warnings or alerts.

Once Oxevision has finished “Acquiring”, it will display a room state. It is recommended that staff then check that the room state is correct.

Note: If the room state is incorrect after one restart, staff should try once more before contacting Oxehealth.

‍

3.18 

‘How To’ Replay a Last Alert

If enabled, this feature gives staff the ability to view an anonymised (blurred) clip of the last alert that was triggered in a room. The clip will show the 5 minutes before and the 5 minutes after the alert was triggered. To do this, follow these steps:

- Step 1: Select a room tile and then select “Replay Last Alert”.

- Step 2: Select play to watch the alert or drag the time marker to jump to a specific point (note: it may take a moment to load).

Please note: it will only show you the last alert that was triggered in that room.

‍

3.19

Thank you. 

You’ve now completed Lesson 3:  “How to Monitor a Patient’s Activity using Oxevision”.

Please take some time to read the key messages under the video then mark the lesson as complete. 

Once done please take the quiz to confirm your completion of the training. 

A certificate will be issued to your email upon successful completion of the quiz.

‍