Tracking RN's...why not Docs too???

Nurses Activism

Published

Posted on Thu, May. 30, 2002

Hospital to track nurses

SYSTEM TO HELP PATIENTS RAISES PRIVACY CONCERNS

By Putsata Reang

Mercury News

http://www.bayarea.com/mld/mercurynews/news/local/3364517.htm

A new high-tech tracking system at Washington Hospital that allows supervisors to track the whereabouts of their nurses is expected to help hospitals run more efficiently and patients get a nurse's attention faster.

However, some hospital employees say Big Brother may be watching a bit too closely.

``It's a violation of my privacy and a waste of resources,'' said Ken Krider, a nurse in the intensive care unit who opposes the new program. ``They'll see if I'm 30 seconds late or take a 31-minute break or go to the bathroom three times. I don't want that.''

Washington Hospital spokesman Christopher Brown said the Fremont hospital has not received any complaints about the tracking system from employees, adding it is intended to help patients. Administrators have yet to determine who must wear the badges and other requirements of the program, such as whether staff members would have to carry the badges at all times. However, he said, ``In order for a system like this to work, everyone has to take part.''

Washington Hospital will launch the real-time tracking system when it officially opens its newly remodeled sixth floor medical surgery unit next month. It has already been used in a pilot program on the third floor and there are plans to expand the system to the entire hospital.

The program, created by Michigan-based Versus Technology, would require nurses to wear infrared identification badges so that their supervisors -- and their patients -- can find them easily. Sensors about the size of a cup coaster placed on the ceiling will detect the nurse's badge and relay the information via infrared signals to a computer, which will record the location in real-time.

Versus Technology first tried the program at a Philadelphia pediatric hospital seven years ago. As many as 400 hospitals across the country -- including several in California -- now use the system for various purposes including tracking down a patient file and locating a person, said Stephanie Bertschy, Versus' director of marketing.

In addition to tracking people instantly, the system would create a record of how long a patient waited for a nurse to arrive after pushing a call button, how many times the nurse was in the room, and how long he or she stayed. Once the nurse enters the patient's room, the call button automatically turns off.

``I could see where my nurses are if a doctor is looking for a specific nurse,'' said Alice Santos, a 23-year veteran of Washington Hospital and director of the medical and surgical nursing program on the third floor, which launched the pilot. ``Otherwise, you're running up and down the hall trying to find the nurse.''

Santos said the system also cuts back on the noise in hospitals as fewer people are paged over intercoms.

``We're not using it as a tool to monitor how long their breaks are,'' Santos said. ``We're not using it in a punitive method.''

However, privacy groups worry the system could be abused.

``The kind of environment they're working under now is one of total surveillance,'' said Sarah Andrews, research director at the Electronic Privacy Information Center, a public-interest research agency in Washington, D.C. ``You can be watched every time you go to the bathroom. It puts you in an uncomfortable situation.''

Andrews said there are no federal laws prohibiting this type of surveillance by an employer; however, individuals may have some grounds for legal action if their privacy is violated.

Krider said he's taken an informal poll of other staff members who share his same worries about privacy rights.

``For the nurses understaffed and overworked, this just adds a new unit of paranoia,'' Krider said.

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Contact Putsata Reang at [email protected] or (510) 790-7312

See both pro's and con's of this system...only seems fair for Doc's , Respiratory Therapy etc to be tracked too!IMO

oramar have very good point. I can imagine it from the patient's perspective. Be that same patient who is just settled down and dozing off and the nurses phone rings. And the nurse has to rush off. That would not make the patient feel any better despite being sedated.

Fedupnurse, I love your idea of the remote controlled car. Instead don't bring it up to the suits that you did that. Let them come to you and ask how in the hell you manage that much speed. I think that would be very interesting. Because you could drive the car to the patient's room as soon as you got a call. And still be working on the first call. I think that would be interesting to see. Certainly some of the patients would get a good laugh out of it. Laughter is the best medicine too.

Nick

I worked in a hospital in NY, (1991), that had a tracking system, lit up colored light outside the patients room, a different color for nurse and nursing assistant. At first we were upset with the system, then we realized that the aide could no longer hide. And they also turned off the call bell when the room was entered. That was quite a nice option. The people that might have been watching were too busy to pay much attention to it, so no one was ever talked to about where they were. I never minded it. Then there was the hospital that had the beepers. It vibrated and then you have to retrieve it from your pocket and push a series of buttons to know that it is the unit secretary who wants you to go to a room because she is to lazy to get off her a** and tell you.

Nick, we thank God, don't have this in place. I think someone who does have it should try it. Hire some teenager to come into work with you and send that little baby all over the hospital: Pharmacy, blood bank, central supply, med room, x ray, various patients rooms. I think it would be hysterical to see their faces when they try to figure out how you did all that!

Hello,

Where I work we use a phone system and I find that this works well. Anytime a physician wants you he may call your extension. Then you can actually tell them I am doing this task for this patient or answer a question that they may have without disrupting the care you are giving to another patient.

I would not want my every move recorded!!! I will quit nursing if it comes to that.

Y2KRN

Well in some respects the majority of our everyday movements are already recorded on video by survellance cameras.

Also if hospitals start this tracking system, then other industries may start their own tracking. This not unlike companies reading email on the company network. I dont disagree that companies should not do that, but they should tell their employees if they are conducting some activities

nick

Me too. I had a good laugh visualizing it - especially the part where she goes in to the office & demands an accounting of her activity. LOL. But then I had a horrible thought - the administration would probably send out copies of her "activity" report & hold it up as an example for all with the comments WHAT ARE YOU ALL COMPLAINING ABOUT? IF SHE CAN WORK THIS HARD, WHY ARENT ALL OF YOU DOING THE SAME???

oy vey.

Yeah, that indeed would be a problem. But in that case we would have to show them how the system was fooled by a kid's toy.

Nick

Isnt it funny though how many things they are coming up with to deal with the problems that occur solely because we have too many pts & are spread too far & too thin? It seems they'll invent anything to neutralize the symptoms rather than accepting the diagnosis & treating the disease. Its just as useless as giving tylenol to a pt in septic shock. If a doc was looking for us, she might actually be able to find us without the need of phones & tracking devices if we didnt have so many pts all over the place assigned to one nurse. How about more NURSES instead of more stop- gaps? What a concept.

The rationale that tracking devices are needed so doctors can find the nurses is ridiculous. All they have to do is get up from the desk & look in their pts rooms.

The only tracking device Im in favor of is the one they should be putting on the narcotic keys.

Hmm, those keys disappear?

Nick

Not that they disappear but that they get passed around a lot. You never know where they are when you need them. I work in a 15 bed ICU - most pts are on some kind of ativan, fentanyl, versed drip or PCA or need pain relief/sedation prn. All you hear all day long is WHOS GOT THE KEYS??????

If they want to use tracking devices, put them on that keyring!

Oh ok cool

Nick

PS: never been to the ICU

LOL putting the tracking device in a remote control car is a great idea!

JT, We used to hear wheres the keys? all day long too. Spoke to the pharmacists about cutting more narcotic keys they resisted at first but when nurses insisted it was an unnecessary waste of time to track down keys dozens of times in a day they finally conceded and cut more keys.

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