Launched
Actively Recruiting

Charu Sukhlecha

Tele Intensive care wherein the critically ill patietns are manned by nurses with an offshore command centre planning the care

Global
Created over 1 year ago
1 Volunteer

About the Project

Description

Goal-
-Increasing access to quality healthcare for every patient in need, no matter the setting or the location,
-Reducing the chances of healthcare workers getting infected while treating covid 19 positive patients.
-To train the manpower especially nursing and allied staff to be prepared to counter the pandemic in times of need.

Current challenges in critical care-
-Covid 19 pandemic.
-chances of infections to healthcare workers in contact with Covid positive patients.
-Number of patients needing critical care are increasing
– Ageing population and increasing life expectancy
– Increasing healthcare expectations
- Financial burden and decreasing ability to pay
– Availability of skilled manpower availability especially doctors, nurses, pharmacists and others in rural indian sector.
- Critical care patients need specialized care takers with high competence level
– Critical care is a human resource intensive therapy (P/N 1:1)
– Need for remote monitoring techniques to identify those at risk earlier

Patient outcomes and treatment costs depend on
• Dedicated 24/7 intensivist and ICU nursing staff
• Volume of the case flow necessitating regionalized or centralized care
• Skilled interdisciplinary teamwork (incl. eg. pharmacists, physiotherapists)
• Compliance to evidence based treatment protocols
• Rapid identification of the at risk patient with prompt initiation of treatment also outside the ICU (e.g. Medical Emergency Teams)
• Patient management after the ICU stay (e.g. ICU outreach teams)

How could telemedicine help?
- Improve quality of care and increase productivity of intensivists and ICU nurses – Maximize resources and expertise for larger regional critical care patient population – Immediate access to experienced ICU nurse or intensivists
– Allow remote monitoring, advice and support of bed side caretakers (intensivists and nurses) between units and hospitals
– Regional coordination and guidance of treatment processes
– Provide real-time education (via camera)
-Provide earlier identification of patients at risk and treatment initiation in all areas of the hospital
- Interaction with patients and families and local caretakers during crisis and difficult discussions
- Check for compliance with best practices
- Provide tools for quality improvement by gathering information for benchmarking and best practices
- Provide tools for national and international collaboration

Telemedicine utilization in CAV Global Solutions ICU

ICU multidiciplinary morning rounds through remote monitoring:
– Doctors, nurses and pharmacists are gathered to ”command center” where they analyze patient data, discuss the cases and make treatment plan
– No bedside walking rounds
– Real-time patient data is projected to big screen for all participants to review -
electronic medical records • laboratory results • physiological parameters (incl. real time ECG and EEG) • critical care information system • medication • imaging data • nursing notes

Tele-consultation
- To a remote central hospital when needed
- similar patient data management systems between hospitals
– Interactive telemedicine solution provides all relevant information for the consulting intensivist ◊ better support for colleagues and information for better decisions
– Multi-disciplinary university hospital level support available in a single session
– Fewer patient transfers needed between hospitals

Manpower training-We have a dedicated curriculum designed especially for nursing and pharmacist staff pertaining to critical care medicine.

Telemedicine improves ICU outcomes;
a meta-analysis
• 15667 pre-intervention and 25797 post-intervention patients
• Statistically significant 20 % decrease in ICU mortality (OR 0.8, CI 0.66-0.97, p=0.02)
• Decrease in hospital mortality (OR 0.82, CI 0.65- 1.03, p=0.08)
• Statistically significant decrease in the ICU length of stay (mean difference 1.26 days; CI -2.2—0.3, p=0.01)
• Decrease in the length of hospital stay (mean difference 0.64 days; CI -1.52-0.25, p=.16)
Brendan L at al. Arch Intern Med 2011; 171: 498-506

How far along is it

Registered company over 6 months
Experience of managing critically ill patients for over 10 years.

Help Needed

Tasks that need to get done

Building up a Cohesive work up with government agencies in providing state of the art care centres for the management of Covid positive patients.

Project details

Who is already working on this

Dr Charu Sukhlecha
Mrs. Veenu Jain
Dr. Ankur Sethi
Mr. Keshaw Kumar Sinha

Helpful links
How to get in touch
business@cavglobalsolutions.com
Number of volunteers needed
10-50
Preferred Volunteer location
Jaipur, Rajasthan, India
Organization status
Not specified