3.1 

Hello and welcome to your third lesson about Oxevision. Here we will be introducing the Oxevision Activity Tracker. This lesson will take approximately 20 minutes. Once completed you can move onto the final portion of the training- The Oxevision Quiz. 

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3.2 

During this lesson we will cover:

-How do 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

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3.3

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

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3.4 

Oxevision’s warnings and alerts: The way Oxevision works is by ‘seeing’ movement in the room through an infrared sensitive camera somewhat like a human eye. It is able to identify distinct areas of the room e.g. the bed and the bathroom. Oxevision uses movement in those areas triggering appropriate warnings and alerts in order to inform you that a patient may need help or assistance. 

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If you remember from lesson 1, each room installed with Oxevision is denoted by a singular tile on the room overview screen with semi private rooms being denoted by two separate tiles.The single occupancy room tiles will change states depending on the movement in the room. Note: Location-based insights are currently not available for semi-private rooms.

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

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

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

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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, and during this time, the system is scanning the room to confirm the room state.

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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.

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3.5 

Warnings and Alerts:

The combination of warnings and alerts will vary from unit to unit as they are tailored to the specific needs of the patients on each individual unit. Please consult your unit or nursing manager for a detailed list on what warnings and alerts are active on your unit. 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 should always carry out your routine in-person safety checks.

Leaving Bed Warnings and Alerts:

This is designed to notify staff when activity is detected by a patient making rising movements which indicate they are preparing to get out of bed unattended. The visual and audible alert(red) will be activated. If a Leaving Bed alert is reset by staff while a person remains on the edge of their bed, you may see a Leaving Bed warning(orange) on the room tile.

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 gotten out of bed unattended.

Room Entry (multiple people) Warnings:

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

3.6 

At Door Warnings and Alerts:

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

In Blindspot Warnings and Alerts:

If a person enters a blindspot, this visual warning (orange) will be shown. An audible alert (red) will sound after a designated number of minutes. 

Out of Room Alerts (night-time only):

If a person exits the room through the door during the night, the visual and audible alert (red) will activate.

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3.7 

The following warnings and alerts are specific to seclusion rooms only. 

In Bathroom Warnings:

If a person enters the bathroom area, the visual warning (orange) will be triggered. 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, the visual and audible alert (red) will activate.

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

3.8

Reports: 

We will now introduce the other reports to which you will have access on Oxevision if enabled by your organization. These reports include the Activity Report and the Seclusion Session Report. Both of these reports provide additional insights which can be used to inform treatment planning. 

3.9 

We will now discuss the Activity Report which will be available for private rooms. You can view this report by selecting the activity report button on a room’s action menu. 

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On the screen is an example of this report. You can view the last 7 days of activity data which is provided to qualified staff to assist in treatment planning. Included in the report is a color-coded chart that continuously updates activity data  A legend, also known as a key, is provided on 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 by your organization, the number of times the patient was located in the bathroom, and how many times another individual entered an already occupied room. 

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Staff can use this objective data to review overnight activity which can support a discussion about total sleep opportunity, night-time routines, and can be used to inform if and how the individual’s treatment plan may need to be adapted.

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3.10

Exporting an Oxevision Report 

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

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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.

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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. 

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3.11 

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.

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Step 4:  Enter your organization 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 organization. Once done select “Confirm Export”. Exported reports will also be sent to the default recipient for your unit.

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.

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3.12 

We will now introduce the Seclusion Session Report that you will have access to if this feature is enabled by your organization.

Please note: these reports must be manually started by a qualified 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. 

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This report is available for seclusion rooms only. You can view this report by choosing 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 two types of charts, the Vital Signs Trends Chart 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 (chest wall movements). It also includes all vital signs attempts (successful or unsuccessful) shown with a black cross. The trends are shown with gray diamonds, and these indicate the average of the automatic vital signs measurements made by the software. If you would like more details on vital signs trends please refer back to Lesson 2.

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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 “Emergency Medication Administration” times will also be displayed on the chart. 

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The report continues to update 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.

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You can also export a Seclusion Session Report by selecting ‘Export Report’ at the bottom of the screen.

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Please note, the patient’s ID details can be added to the report by selecting the “Patient ID” button at the bottom of the report. This is a numerical field. We recommend that no personally identifiable information is entered in this field e.g. dates of birth, medical record number, etc. Once a patient ID is added, this can be edited or removed by selecting the ‘Patient ID’ button again. Editing and removal of patient ID can only be done if the seclusion session is still active.

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3.13

Additional Features: Now we will discuss some of Oxevision's additional features.

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3.14

How to Refresh a Room: The Refresh Room button is designed to give qualified 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 an ‘in bathroom’ alert is activated. To refresh a room, please follow these steps:

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

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

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Step 3: Oxevision will 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.

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

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3.15

How to Replay a Last Alert:

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If enabled by your organization, this feature gives qualified staff the ability to view a 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: 

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

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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).

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Please note: The Oxevision system will only show the last alert triggered in that room. Currently, location-based alerts and warnings are only available in single occupancy rooms.

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3.16

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 you are 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.