Archive July 2017 XVIII, No. 7

More Than Just a Pretty Picture

Video monitors are growing in size, capability and clarity — and providing advantages that extend well beyond what surgeons see.

Stacy Lund

Stacy Lund, BSN, RN, CNOR, MSSL


video monitors

Bigger isn't always better, but surgery splashed across a 55-inch monitor is simply stunning. Each of the 13 ORs in our new medical center are 750 square feet of high-tech, fully integrated glory, custom-designed for advanced laparoscopy. Talk about a feast for the eyes. Each room is outfitted with 4 monitors: a pair of 26-inch monitors that hang on booms around the OR table and 2 55-inch big screens mounted on walls that face the patient's feet and side. Providing our surgeons with wide-angle views of clearer, true-to-life images of the surgical field was important, but, as you'll see in these 8 examples, going big has also helped our entire staff provide better and safer care.

1 Room turnover. Our monitors help the OR team set up cases properly. During room turnover, we display the surgeon's preference card on one big screen and either a video or a picture of what the back table setup should look like on the other big screen. Displaying surgeons' preference cards on a 55-inch monitor creates a real "wow" factor when they walk into the room. It also provides stunning visual proof that the team is focused on that particular case and is ready to meet the surgeons' equipment needs. The ORs are integrated with our electronic medical records, so we can make on-the-spot changes to the digital preference cards and display the updates in real time on the big screen.

2 Time outs. We can display our time out form on the monitors for the team to reference during the pre-op safety check. Displaying the checklist makes the time out more effective by helping to ensure that each team member is an active participant in the process.

3 OR efficiency. The placement of the monitors and other equipment that hang on our ceiling-mounted booms in each OR is intended to give the surgical team flexibility in how they position patients, plenty of room to maneuver, and clutter-free floors so we can wheel in and place additional equipment anywhere around the table. We can train a camera built into one of the overhead surgical lights on the sterile field to watch the surgeon's exact movements. That feed is transmitted to the larger wall-mounted screens, so the OR team can anticipate the surgeon's next move and have the needed equipment prepped and ready before he even asks for it.

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