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 an Oxevision room on and off (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 clinical teams deliver safer, higher quality, 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 within the housing unit, next to the camera are 2 infrared illuminators. These allow the camera to work optimally in both the day and night without disturbing your patients. 

In order to use Oxevision, you will be provided handheld tablets and a fixed touchscreen monitor located in the nursing station which allow you to interact with the system.

Please remember, Oxevision is an additional tool to support patient care. It does not replace clinical staff's judgment or therapeutic care.

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1.4  

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

     • Medical grade cardio-respiratory vital signs. Using Oxevision, you can obtain contact free, non-invasive, spot check measurements of pulse and breathing rate         ONLY. Breathing rate is obtained from measurements of the movements of the chest wall. This is an FDA Class II medical device. To learn more about the medical         device, please complete 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 indicate a patient needs help or assistance in their bedroom (today         only available in private rooms). To learn more about the activity-based alerts and warnings, please go to 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 be used to inform care planning (today only available for         private rooms). For more information, please refer to 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 for each bed on the room overview screen as you see on this slide. For private rooms, the room tiles will change states and color, 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, and 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”, “Interfered With”, “Camera On” or “Camera Off”.

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

• Green: The room is occupied and there are no active notifications. The text “In Room” or “In Bed” will be displayed.
• 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 room 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 obtaining spot check vital signs using Oxevision as part of the FDA cleared medical device. Here you will see a live 15 second clear video feed in order to verify patient safety. There are 3 reasons we provide clear video data. First, the data can be used to confirm the vital sign readings correspond to the appropriate patient. Second, clear video data can be used to quickly identify whether or not a patient is in visible distress. Finally, the data can be used to confirm that the patient is still or resting. Note, clear video is not recorded.
• The second instance in which you are able to gain direct access to a live video feed is when an alert is triggered on the room overview screen, and you select the ‘view room’ button. Once selected, you will see a live 15 second blurred video feed into the room. 

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1.7 

Here is an example of the difference between clear video data and blurred video data. Clear video data is what you see when you are obtaining spot check vital signs data using Oxevision. Here you can clearly identify the patient, whereas blurred video data only allows you to see the patient’s movements. You can access blurred video data by selecting the view room button following an alert being triggered on the room overview screen, or replaying a last alert.

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1.8

Senior staff are able to access the Recent Incident Review module that enables staff to view blurred video data for a certain room  for a specific period of time. This data is available for up to 4 days. Recent Incident Review is designed to enable staff to access immediate blurred video evidence when there has been an unwitnessed incident

Step 1: Select the menu icon at the top left of the room overview screen. Then select ‘Incident Review’.

Step 2: Enter the 4 - digit PIN to access Recent Incident Reviews. 

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1.9

Step 3: Complete all mandatory details including the Room, Start Date/Time and Length of Footage you would like to review. Then select ‘Confirm Details’.

Step 4:  Once confirmed, a loading screen will be displayed on the screen while the system creates the video. Please Note: It may take a few minutes for the system to create the video.

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1.10

Step 5: Once the video has been created, it will be displayed on the screen ready for you to review. Using the icons around the video you can ‘Play’,  ‘Rewind/Fast forward’ or increase the brightness and contrast of the video. Select ‘Home’ or ‘Oxevision’ once done. Please Note: Once you select ‘Home’ or ‘Oxevision’, you will need to repeat steps 1 to 5 to review the video again.

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1.11

If required, Senior staff are able to request and receive blurred video data following the appropriate authorization. This is normally only used to support incidents. 

This may be useful if there was an unwitnessed fall or another incident. 

• What can you request? Staff can request for blurred video data to be sent to them. Requests must be received within 12 months or the data will be 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 medical personnel, police and/or other external agencies, if required.

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1.12 

When Oxevision is part of the standard care offered on a unit, patients and their families must be informed that this is part of the unit’s normal practice. 

If the decision is made 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 navy. 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, or receive alerts and warnings.

Note: If a patient objects in a semi private room, both cameras in that room must be switched off.

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1.13 

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, or receive alerts and warnings until the ‘pause’ duration expires. The room will automatically resume once the pause ends. Pausing a room may be required if staff are undertaking personal care or 1-2-1 observations with a patient and do not want to continuously trigger alerts.

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Note: Even if a room is paused or switched off, it will still be possible to document Q15 checks as part of Oxevision Observations, only Vital Signs spot check workflow cannot be accessed in these room states. 

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

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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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Please remember: Pausing a single camera in a semi-private room, would only impact one system but not the other. If you require privacy for the entire room, both cameras must be paused.

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1.14 

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.