1.1   

Hello and welcome to the first lesson about Oxevision. Here we will be introducing the Oxevision system to you. This lesson will take approximately 10 minutes, and once completed you can move onto lesson 2.

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1.2 

So what’s this lesson about? During this lesson we will take you through:

• What is Oxevision, 
• The room overview screen,
• Privacy and dignity
• Switching on and off an Oxevision room (if this feature is enabled on your site), and finally
• The pause room button.

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1.3 

So what is Oxevision? Oxevision is a vision based patient monitoring system that helps clinicians to deliver safer, higher quality and more efficient care. Oxevision uses an infrared sensitive camera housed in a secure anti ligature housing unit which is positioned between the ceiling and the wall in a patient's room. Located next to the camera are 2 infrared illuminators. These allow the camera to work optimally day and night without disturbing your patients. In order to use Oxevision you will be provided with handheld devices, such as tablets, and a touchscreen monitor to allow you to interact with the system.

Please remember, Oxevision is an additional tool to support patient care; it does not replace a clinicians judgement or therapeutic care.

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1.4  

Oxevision works to continuously relay information to staff in real time between regular checks and engagement activities. This information includes: 

• Medical grade cardio-respiratory vital signs. Using Oxevision, you can take contact free, non invasive, spot check measurements of pulse rate and breathing rate only, this is a class 2a medical device in the UK and Europe. To learn more about the medical device, please complete Course 1 lesson 2: how to take a patient's vital signs using Oxevision.
• Oxevision also provides activity based alerts and warnings informing you of activity which may mean a patient needs help or assistance in their bedroom. To learn more about the activity based alerts and warnings, please go to Course 1 lesson 3: how to monitor a patient's activity using Oxevision.
• Finally, Oxevision provides multiple reports that show additional insight into a patient’s activity and can help inform care planning. For more information again please refer to Course 1 lesson 3: how to monitor a patient's activity using Oxevision.

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1.5 

The Room Overview Screen. Protecting patient privacy is very important, therefore each room installed with Oxevision is denoted by a tile on the room overview screen as you see on this slide. The room tiles will change states and colour, depending on what the system considers is happening in the room. This protects the patient’s privacy as you do not see a live video feed of the patient's room on the room overview screen.The information on the screen includes: 

The room tiles, which include the location of the activity in the room , how long the activity has been detected in that location, plus the last time a vital signs observation was taken using the take Vital Signs workflow.

You can expect the following room states to be displayed: 

• White: Oxevision is unable to detect movement in the room. This can be shown as one of the following: “Empty”, “Acquiring” or “Interfered With”.

If “Acquiring” persists or “Interfered With'' is displayed, Oxevision is not able to perform effectively. Please contact us to resolve this.

• Green: The room is occupied and there are no active notifications. It will display the text “In Room” or “In Bed”
• Orange: The room is in a visual warning state and shows you if a person may need help or assistance, or if the room has been “Paused”.
• Red: The room is in an alert state which visually and audibly tells you that a person may need help or assistance.

These alerts will also appear in the alerts panel on the right side of the screen. Here you have the option to view the room or reset an alert. Please note: If all rooms tiles are not visible, you may need to scroll down on the overview screen

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1.6 

There are two instances where staff using Oxevision can get direct access to view live video feed. 

• The first, is when you are taking a spot check vital signs observation using Oxevision. Here you will see a  live, up to 15 second clear video feed to verify patient safety. There are 3 reasons we give you this, firstly, to confirm you’re taking the reading from the correct person, secondly, to ensure they are not in visible distress, and finally to confirm that they are still or resting. 
• The second instance you can get direct access to live video feed is if an alert is triggered on the room overview screen and you choose to select the ‘view room’ button. Once selected, you will then see a live, up to 15 seconds anonymised (blurred) video feed into the room.

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1.7

However, If configured and approved by your organisation, senior staff are able to request and receive clear video data following the appropriate authorisation, this is normally only used to support incidents. If configured, clear video data is stored on the servers hosted securely in your facilities on a “rolling buffer” before it is recorded over. 

For example, in an Older Adult setting when there has been an unwitnessed fall. Or, on an Acute ward when there has been a serious incident.

• What can you request? Staff can request for clear video data to be ‘clipped’ and saved. Requests must be received within 24 hours before the data is automatically deleted - Oxehealth’s support line operates 24/7, 365 days a year. Data is transferred in an encrypted format and delivered to a nominated individual.
• Why do we provide this service? For the purposes of serious incident (SI) investigations. It can be shared with ICU and/or police or other external agencies, if required.

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1.8 

Here is an example of the difference between clear video data and anonymised (blurred) video data. Clear video data is what you see when you are taking a spot check vital signs observation using Oxevision. Here you can clearly identify who the individual is, whereas anonymised video data is blurred and only allows you to see movements. You can access anonymised video data if you choose to select the view room button following an alert being triggered on the room overview screen.

1.9 

If configured on your site, you are able to switch an Oxevision room on and off. When Oxevision is used as part of the standard care offered on a ward, patients and their carers must be informed that this is part of the ward’s normal practice. 

If the decision is made in line with your organisation's protocol to turn Oxevision off, staff can switch off individual rooms via the “Settings” button on the drop down menu.

When a room is ‘on’ the toggle will be green. To turn a room off, select the toggle, and it will turn grey. Once turned off, the room state on the tile will change to say “camera off” and you will no longer be able to view into the room, take vital signs, receive alerts and warnings, and request clear video data (if configured).

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1.10

If configured on your site, you are able to ‘pause’ an Oxevision room, temporarily switching the camera and the system off. Please note you will no longer be able to view into the room, take vital signs, receive alerts and warnings, and have access to clear video data (if configured) until the pause duration expires. Then the room will automatically resume. Pausing a room may be required if staff are undertaking personal care or 1-2-1 observations in a room and do not want to continuously trigger alerts.

Please Note: All rooms will have the same default ‘Pause’ duration time. The default duration can be changed in “Settings”.

To Pause a room, follow these 3 steps. 

Step 1: Select a room tile and then select “Pause for 15 mins”.

Step 2: Oxevision will display “Paused” on the room tile for the duration of the Pause. Note: No alerts or warnings will be triggered during this time.

Step 3: To Cancel or Extend the duration of the “Pause” select the room tile and select “Cancel Pause” or “Extend Pause 15 minutes”.

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1.11 

Thank you, you've now completed lesson 1: Introducing Oxevision. 

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

Then move onto lesson 2: How to take a patient's vital signs using Oxevision.

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