PURPOSE: Robotic tele-rounding (RT) as an alternative to conventional rounding (CR) offers the intensivist opportunity to provide bedside care and staff education remotely. We evaluated Physician Assistant (PA) and Registered Nurse (RN) perceptions of RT as a means to provide effective patient care while providing staff education. We hypothesized that RT (In Touch Health, Santa Barbara, CA) in the SICU is a valuable alternative effective extender to intensivist
METHODS: A five point, ten questions Likert Scale evaluation was performed. Participants answered questions pertaining to ability of the intensivist to communicate and teach. Staff perceptions were evaluated on the use of RT to intervene clinically. The staff was questioned on RT effectiveness to provide and implement patient care. A score of 4-5 was favorable, a score of 3 neutral, 1-2 unfavorable. Patient outcome was compared before and after implementation of RT.
RESULTS: 34 participants (10PA’s/24RN’s) answered. 90% of participants felt RT was an effective means of communication, 62.5% believed patient data was effectively reviewed. 76% thought RT was effective for staff teaching. 80% of PA’s supported RT as an alternative to CR and 76% felt patient needs were met as well as when using CR. 56% supported RT as an alternative to CR. None of the respondents had a negative view of RT. All were comfortable communicating and implementing a plan of care. Mortality decreased by 7% after implementation of RT.
CONCLUSIONS: SICU staff have a favorable opinion of Robotic Tele-rounding on the basis of communication, educational and patient care. RT by attending is an effective alternative to CR specifically in the off-hours. TR appears to be better received by PA when compared to RN. Robotic rounds have a positive impact on critical care patient outcome.
CLINICAL IMPLICATIONS: Remote robotic presence is a viable extender in the SICU and affects outcome. Mid-level practitioners have more opportunities to interact with the robotic rounds and thus reap greater benefit from its use.
DISCLOSURE: The following authors have nothing to disclose: Nicholas Martella, Gabriela Pavone, Kristen Girace-Hopkins, Garry Ritter, Rafael Barrera
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