Authors (including presenting author) :
Chan YH Grace(1),Tseh OY Eva(1),Ieng sm(1,Tsang WY(1),Wong HY(1)
Affiliation :
(1)Tuberculosis and Chest Unit,Grantham Hospital.
Introduction :
Ward 7B is an Airborne Infection ward(AIIR)to house patients suffering from Pulmonary Tuberculosis.Some of these patients are frail,elderly & incontinence and required regular napkin change.To prevent diaper rashes and pressure injury formation,routines like changing position and regular napkin round by health care staff like nurses or supporting staff would be performed usually in form of schedules and not patient need based.The“smart incontinence monitoring system”making use of diaper sensor,health care staff could easily gain access to the patient’s voiding frequencies,napkin conditions and sleeping postures without need of actual presence to reduce unnecessary disturbance especially during nappy time so that patient could have more adequate rest while in bed.Appropriate and targeted care measures would be arranged as according to patient’s needs.It can significantly save manpower time and resources, as well as minimizing risks of infection by reducing duration of stay in AIIR ward.
Objectives :
1.Promote patient comfort and sleep quality by reducing unnecessary disturbance especially during night time. 2.Provide real time support to patients. 3.Reduce unnecessary time spending in PPE donning and removal for scheduled napkin round.
Methodology :
The system comes with a set of sensor and hub for each patient. Each patient wears a disposable smart diaper with a detachable sensor.The sensor transmits data to the Hub via Bluetooth to indicate any changes in diaper wetness and postures.As the diaper gets wet, the Hub changes colour from green to yellow to red according to the degree of wetness. With the Hub placed at the bedside of the patient, nurse or patient care assistant could easily observe the colour changes of the Hub through the vision panel. This is particularly useful during night time as patients would not be woken up just for the purpose of routine napkin round.In addition, the Hub can be connected via the App and a Web portal to have an overall picture of those patients’ information like napkin wetness, posture tracking & inactivity monitoring.The information is extremely useful when there is scanty manpower at night shift,health care staff can have a quick scanning by capturing information with targeted patient care.
Result & Outcome :
1. Save manpower time and resources. 2. Improve patient’s experience and satisfaction.
1. Reduce diaper changes. 2. Reduce time spent in napkin change. 3. Reduce hospital acquired pressure injury in 7B AIIR ward. 4. Increased patient satisfaction. 5. Increased staff satisfaction.
