24/7 Video Cameras in ICU rooms - page 2

So I have a question for ya'll. I work in a large pedi cardiac ICU. Being cards a majority of our patients are newborn-toddler however we also have a population of 20-40 year olds (those... Read More

  1. by   umcRN
    I do wonder what adults/parents will ask about the cameras.
    I have worked with video EEG's before and haven't felt threatened or anything else by them I guess, the patients that have them though have always only been on them for a few days. I guess in my mind it also makes so much more sense to have a video on a patient that's having seizures...not as much sense on a patient that MIGHT arrest. I liked the idea of them only turning on if there is a change in vitals...of course my unit wants to see the events leading up to the change in vitals so I guess that wouldn't work well.

    On the other hand there was recently a BIG safety issue with a patients family in another unit and I wonder if 24/7 video surveillance would have made the family act any differently...(though I know tha'ts not the purpose of the camera's, maybe it would have helped?)
  2. by   Kiwidanni
    Just because I do all the "right things" at the "right times" doesn't mean I want a camera on me while I'm doing it. How can you properly establish a rapport with a patient and their family if you are being filmed doing it?
    Additionally, what about a patients right to privacy, and the families right to be as normal as possible in an already stressful situation.
    If a family is struggling with a very sick child, they don't need to be filmed while they cry at the childs bedside. And a child of 10 years of age doesn't need to be filmed being sponge bathed either.

    Camera's should be utilised only when there IS a problem, not because there might be one somewhere, some time, for some people.
  3. by   Vaxene
    as i said previously, from what i understand MOST all cameras that are going into facilities now are not 24/7 surveillance unless the situation warrants it. think how much hard drive/tape would be needed for 24 hour footage of however many beds. it's not feasible. it is my opinion that having video in place to use WHEN needed will lead to better quality of care and more prompt care when needed along with better prioritization of a doctor's time when pulled in multiple directions. of course, this is only my opinion...
  4. by   blondy2061h
    We have cameras in all of our rooms. It's closed circuit and displays at the nurse's station. It doesn't record at all, and can't be rewound. It's just for patient safety as our doors have to stay closed for our air filtration system. Again, patients know the bathroom is private, no where else is. If someone is really weirded out by it, we can cover it if they're walkie talkie and stable.
  5. by   brandy1017
    I know a large hospital where I work and this is standard practice in their ICU's. Kind of creeps you out, but I suppose it is useful especially in a rural area where they are doing remote monitoring. But it feels like big brother to me and also I wonder if the patients (children, adults) etc are bothered at being "spied" on! As a patient I wouldn't like it myself!
  6. by   ErinS
    My question is: where is all that video stored. And if it is not stored, what's the point? If it is stored, how does it change a nurses charting? For example, we are supposed to chart hourly rounds. If I am being videotaped doing my hourly rounds, do I still need to chart it? If I do still need to chart it, what happens if the time does not match up exactly?

    I am not sure how I would feel as a patient or as the nurse being videotaped. I can see the potential good that could come out of being able to go back and see what was missed, what went right, and what went wrong. I think it could be used as a great learning opportunity, or as a way to place blame.
  7. by   umcRN
    I have no idea how it will be stored or where. Like I said the unit is in general on a "tech" overload...I'm sure there are other places this money could be going but anyways not really sure the answer to that.

    And it won't change our charting I don't think, I doubt it's going to be frequently reviewed only in situations where people want to know exactly what happened...in which case your charting should probably match up with specific events but but charting your routine stuff on a routine day I doubt will be looked at too closely.

    I am also not in a rural area and the video won't be used for remote monitoring that i'm aware, we have fellows and attendings IN UNIT 24/7
  8. by   NickiLaughs
    I didn't go into nursing to be an actress....
    My concern is the use of these video cameras will in turn increase nurse ratios. Our biggest roles as nurses is our assessment skills and if a set of "eyes" are on the patient all the time, then the future may be seen that less nurses are present on a unit.
  9. by   xtxrn
    I was admitted to an ICU with a camera aimed at the bed. I was told about it when I was transferred from the ED gurney to the bed. It wasn't an issue. It could be turned off for direct care or 'exposure' type concerns. It was a safety thing- nothing more. Nobody uploaded it to YouTube (was 7 years ago- so not likely ).
  10. by   elthia
    I know of a case in Texas where a mother was caught of video trying to smother her baby while he was in the hospital...of course in this case the medical team suspected abuse.



    Myself, I don't know if I would feel about being video taped while in the hospital. I'm a rather modest person. My last 2 admissions to the hospital I can say what drove me batty was that people who knocked, but didn't wait for an answer after knocking on the door. So then I was literally caught with my clothes half off yelling, "just a moment!" Or sitting on the bedside commode. If you are not my nurse, you don't need to see me naked. 'nuff said. I think I would be absolutely paranoid with a camera in the room. Of course, I am a paranoid person...or so the voices telll me
  11. by   turnforthenurse
    The only time I have ever seen a video camera was when I was a student in a progressive care unit...the patient was confused and instead of being closer to the nurse's station, they were towards the back of the unit. They employed a video camera to "help keep watch" on the patient. Confused or not I think video cameras are a huge invasion of privacy as well as a potential way to blame something on the nurse should something happen.
  12. by   KeepItRealRN
    I'm wondering if audio is or can be recorded as well with the video. Those of you who have no problem with being video taped because you are doing nothing wrong have to think about the possiblity of video without audio being out of context. In order to have a more accurate reflection of what one is seeing hearing the audio going on in the room would be necessary. This would open up a whole new kettle of fish.

    This whole Big Brother thing is getting rather scary. In my hospital cameras are EVERYWHERE supposedly for security purposes. Now cameras are every where you go in public, mounted on light posts, every intersection, literally everywhere. Recording audio is easy with shot gun mics. The day will come where there will be no where one will be able to have a private conversation.

    The only limiting factor is processing power to sort and filter all of this recorded data. However that one day soon will not be a limitation. Live audio will be able to be run through keyword filters and when triggered the recording begins.

    Don't forget that every conversation you have on the phone and every keystroke you place on the internet passes through an NSA super computer somewhere in the US and is logged. Again processing power prevents most info from being noticed, but if you become a person of interest, then everything you have done on the phone or online can be brought to light.

    Just because you are doing what you are supposed to do and think you are doing nothing wrong, you should be concerned.

    If I were a patient, unless I was comatose drugged out of my mind, or too sick to care, I would be creeped out.
  13. by   chevyv
    Quote from MomRN0913
    Unrelated question.

    So, those Hypoplasts keep on livin now, huh? I am very very glad to hear it, as my best friend's 6 year old daughter is one. She does wonderfully too, and my friend has her enrolled in studies at CHOP to follow her through her life so that they can see what can help those kids live longer and longer.

    So, a 40 year old with HLHS is going to your peds cardiac unit? They do not go to regular cardiac units when they grow up/ Can you share why? Is it because the adult cardiologists have never dealt with the syndrome because as we know for many years kids were not making it that long?

    I hope they start to have cardiologists get used to adults living with HLHS, because I have a feeling it is going to keep happening and for much longer.
    My soon to be 15 yr old son is hypoplastic left heart. He too will be going to Childrens for his care as an adult. I wouldn't want him anywhere else. Childrens has the most experenience dealing with this seeing as it's a relatively new adult condition d/t them living into adulthood (Yea!!!!!!). Childrens Hospitals are up to date on the lates precedures, techniques, meds, everything.