Virtual Sitting

A watched patient is a safer patient. LookDeep provides a flexible solution that enables every room in the hospital to be set up for virtual sitting, so a patient can be monitored for falls with the flip of a switch (no need to roll carts around the unit). LookDeep also has the AI technology to nudge attention to increase the number of patients monitored by virtual sitters.

What is the LookDeep Virtual Monitoring solution?

Continuous monitoring of many patients from a central location.
AI Assistant helps "nudge" attention to where it is most needed.
Patients are monitored from a central monitoring station by trained observers called Virtual Monitoring Technicians (VMTs). They are trained to anticipate behaviors, identifies safety concerns, document safety-related observations and communicate information regarding the patient’s safety to the nursing staff. The VMT intervenes when there is a potential or actual threat to the patient’s safety.
The LookDeep Virtual Monitoring Solution uses Artificial Intelligence to nudge the attention of the VMT to the most at-risk patients. In this way, an experienced VMC can monitor between 15 and 30 patients at once.
The VMC uses a headset and microphone to communicate with the patient and uses the hospital’s communication system and Alarm system to contact the Nursing team as needed.

What are the benefits?

Reduced risk of falls and injuries with the potential for an extended time in the hospital, increased costs, and possible litigation
Reduced costs through labor savings (1:1 bedside sitters)
Increased resource bandwidth - PCAs alleviated from 1:1 sitting to help with other functions
Increased overall patient care and comfort with expanded coverage - eyes on the patient even when the nurse can not be there at all times
Family satisfaction knowing their loved ones have constant supervision

Inclusion Criteria

This list includes typical reasons and conditions that are generally appropriate for virtual monitoring. Every hospital system is different so your list may vary.

Fall risk/history of falls
Elopement
Wandering
Impulsive
Confused
Agitated
Dementia
Delirium
Sundowners
Safety of lines, tubes or drains
Traumatic brain injury
Stroke

Exclusion Criteria

This list includes typical reasons and conditions for which virtual monitoring is not recommended. Every hospital system is different so your list may vary.

Often these activities occur out of sight of the video camera (ie. in the patient's bathroom).

For this reason, these situations are not ideal for video monitoring, and one-to-one in-person sitting is recommended.

Suicide risk
May have eating disorders
Alcohol or substance withdrawal
Patient is on behavioral restraints
Patient is unable to redirect verbally
A deaf patients

Initiating a Virtual Monitoring session

The decision to place a patient on 1:1 sitting or virtual monitoring will vary from hospital to hospital. Typically, this is a nursing decision and a doctor's order is not required. Sometimes, the Primary Nurse will confer with the Charge Nurse on the decision. Please follow local guidelines.
The Nurse will typically communicate the plans with the patient and family - introducing the concept of virtual monitoring and the increased safety provided to the patient. The Nurse will also request the PCA to take a video cart to the patient’s room unless the room already has a video device mounted locally.
The Nurse calls the central monitoring station to inform the VMT. The information shared typically includes: the patient's name, DOB, MRN, Room # and the specific reason(s) for monitoring and any relevant medical information. This is important so the VMT can anticipate behaviors/actions.
If the Camera is not mounted in the room but on a roll stand or cart the RN will need to validate with the VMT that the camera is in the correct location and height - ~6ft. from the ground at the foot of the bed.
The VMT will initiate monitoring and conduct an audio check with the room.
The Bedside RN should stay in the room during the VMT initiation to validate the patient's Medical Record number.

The Video Device

Once plugged in, it will take the camera about 1 minute to completely power on. When it is ready to go, you should see a small green wifi light and a long blue LED light.

When the VMT is viewing the patient, the LED will turn green.

Stopping a Virtual Monitoring session

Only the Nursing team / Provider can make the decision to discontinue monitoring. The VMT or manager may raise the discussion when multiple interventions may warrant discontinuation or 1:1 sitting.

Simply call the central monitoring station to inform the VMT which patient will be removed.
Ask the PCA to clean and return the video cart to storage.