BR102016005739A2 - EQUIPMENT AND METHOD OF MONITORING DEPENDENTS AND HIGH-MONITORING AND HIGH-COST ITEMS BY ELECTRONIC GUARDIAN BASED ON REAL-TIME LOCATION SYSTEMS (RTLS) - Google Patents

Abstract

Equipment and method for monitoring high cost and high-dependency dependents and items by electronic guarding based on real-time location systems (RTLS) Summary The present invention relates to the set of solutions required for the electronic guarding method described herein and defended. To this end, we created a passive dna reservoir radio frequency tag for use in umbilical clips, a smart pad, an automatic bench, and a radio frequency identification scale. It becomes a fundamental tool for the operation of critical item monitoring systems, and radio frequency dependent persons operating at uhf. development of software logic for monitoring during all stages of tutelage.

Description

HIGH SURVEILLANCE AND HIGH COST DEPENDENT ITEMS AND EQUIPMENT MONITORING EQUIPMENT AND METHOD BY REAL-TIME LOCATION SYSTEM (RTLS) USER FIELD 01. The present invention relates to the method of monitoring items and individuals. initially designed to monitor critical items and dependent people in the hospital environment. Its alternative use is provided for the protection of high cost small items such as jewelry, watches, microprocessors etc. and people. To apply this method, totems, UHF passive radio frequency identification bracelets and software were created to work together to monitor guardianship.

TECHNICAL STATUS 02. Currently, newborns in a maternity ward are identified by bracelets installed on up to 3 (three) of their members. After birth, the infant may lose up to 500 grams, reducing the circumference of the wrist and ankle. Add to this the extreme flexibility of these children's joints and yet the bracelets fall off. Administrative events such as bed changes and transfers combined with the large volume of births and the parents' little familiarity with the child make the risk of newborn exchange. 03. According to the Joint Commission, a hospital quality certification institution that monitors adverse events in quality hospitals, child exchange is an adverse event in monitoring. According to the institution's records, it is the 29th (twenty-ninth) most common adverse event, and the abduction of newborns is the 24th (twenty-fourth). To avoid these events we have the identification of the newborn through printed bracelets bearing the name of the mother. The effectiveness of this method is highly dependent on the adoption and compliance of protocols by newborn health care staff. Any protocol break incurs the risk of exchange. 04. Real-time location systems (RTLS) can provide this information. However, the challenges of monitoring an RN are great. The child has random and involuntary movements that can self-inflict injury. Rashes on the face determined by nails by the newborn itself are very common. Exposure to electronics and their batteries should be avoided at all costs, as the chemical aggression of battery contents on the newborn's skin is very worrying. Also the dimensions and weight of the devices may limit or determine newborn injuries.

PROBLEM SOLUTION 05. Assuming that the newborn (RN) does not move without assistance from others, we developed the concept of electronic guardianship, a method advocated in this patent. 06. In this the newborn (RN) has its identity monitored by group of 3 (three) to 4 (four) tags equipped with passive radio frequency tag (TAG) operating in UHF. 07. Three of these labels are attached to the printed identification wristbands mentioned above according to patent BR 10 2016 002301 7 and one of them is attached to the umbilical clip, exemplified in figures 1 and 2 and feature defended in this patent. 08. They all identify the newborn (RN) for the system. The contents of this chip are recorded and encrypted in such a way that it is impossible to duplicate your information. The encryption methods adopted are confidential and are based on the fact that no two (2) chips are the same. 09. We know that UHF technology has the longest reading range, but proximity to the body reduces its performance. These factors were considered in the engineering of the umbilical TAG. 10. These GADs are identified on portals and totems located in all areas of newborn circulation (NB) including, but not limited to the birth unit, central and sector nurseries, ICU, diagnostic unit, and mother's room. 11. This way the newborn (NB) will always be localized and constantly identified, avoiding the dreaded changes at birth. In alternative use of this technology we can monitor the flow of psychotropic or high cost equipment or OPMES. Also, outside the health environment, monitoring of jewelry and other critical assets is anticipated.

DESCRIPTION OF THE FIGURES 12. Figure 1: UHF radiofrequency label for umbilical clip with DNA reservoir (oblique D and E). 13. Figure 2: Label Components (exploded view). 14. Figure 3: Example of identifying totem construction. 15. Figure 4: Example of smart board construction. 16. Figure 5: Example of Smart Bench construction.

17. Figure 6: Example of RFID monitoring smart scale construction

DETAILED DESCRIPTION OF THE INVENTION 18. The method described herein and the resulting inventions together form an electronic newborn (RN) guarding medium. At birth, the newborn (NB) is readily identified with three (3) labels on the limbs. Yet your umbilical cord is sealed to prevent bleeding. When attaching this seal, the umbilical TAG shown in figures 1 and 2 is inserted into its handle before locking it. This TAG has, inside, a filter paper housing, which stores and isolates blood from the umbilical vessels, promoting DNA reserve in case of need for identification. Variations of this such as label without DNA reservoir, otherwise constituted DNA reservoir or different antenna designs are provided in this patent. After umbilical clamping and initial care, the newborn (NB) is identified with bracelets in 3 (3) of 4 (four) limbs. These are usually printed before surgery and follow the chart. Adhered to these are the labels best characterized in the patent BR 10 2016 005002301 7, which associated with the mother's name at the time they were coupled, allow to identify the newborn (NB) when they are affixed to it. 19. At birth, the responsibility for the newborn (RN) rests with the neonatologist, who is taking care of the newborn. After the initial evaluation, the neonatologist refers the newborn (RN) to the best indicated sector according to its clinical state. Usually goes to the nursery of the birth unit, where it stays for 30 (thirty) minutes to 2 (two) hours under observation. The room is transferred to the nursery by the responsible circulator. To do this, the responsible circulator must assume the guardianship of the newborn (RN). Therefore, in front of a totem pole (figure 3) or smart drawing board (figure 4), the newborn's identity (RN) is confirmed by reading the printed label and reading the RFID. If both coincide, the employee's badge is presented to the reading unit within 5 (five) seconds after the newborn's identification (NB) to assume guardianship. In case of divergence, guardianship should not be assumed and the nursing leadership is called. Care continues as normal, but the newborn (NB) is placed under institutional surveillance. Upon reaching the nursery, the door opens to identify the newborn (RN) and the employee together. The newborn (RN) is placed in the warm crib and identified by the birth unit nursery manager in the same way. In case of congruence of the information, the guardianship is assumed by the responsible of the sector and the circulating can go to another unit of birth. 20. In the nursery of the birth unit, automatisms are predicted as an alarm for the risk of hypoglycemia after two (2) hours of birth or one-and-a-half hours after the birth of a diabetic mother's newborn (NB). others. 21. Upon discharge from the birth unit nursery, the newborn (RN) should proceed to the central nursery. To this end, the transport officer will take care of the newborn (RN) after verifying the ID and RFID identity, and will pass the guardianship at the destination unit in the same way. Every time a guardianship is passed, a system log is created that can be reviewed and documented. 22. These logs can be displayed on the mother's room totem screen automatically, so that parents know, in real time, who is responsible for caring for their newborn (RN). Arriving at the bedroom door, the guardian carrying the newborn (RN) in a crib, approaches the same as a multifunctional totem located at the mother's bedroom door. If the newborn (NB) in question is not from that mother, a warning screen, preferably red, appears, warning of the divergence. If this is the mother, a confirmation screen, preferably green, confirms the parity. The tutor enters the room and verifies the mother's identity through the double-confirmation bracelet. After this routine, the newborn (NB) is identified by the totem system inside the room. New visual or audiovisual confirmation is given and when passing his badge next, the guardianship passes to the mother. In order to acquire guardianship again, the employee must proceed as in other sectors, identifying the newborn (RN) and then himself. 23. At discharge, the newborn (NB) is only released after the mother takes over her guardianship. They move to the hospital reception where, for free, a totem takes a picture of the parents when they are identified mother and newborn (RN) together in front of them. This image should be sent to the database along with all newborn (NB) guardianship records, ensuring long-term recording of newborn (RN) monitoring from birth to discharge. 24. The cord clip is usually removed between the second and third day of birth, very close to discharge. With a view to safety monitoring, the clip will only be removed at the time of discharge in the newborn (RN), without complications that are expected to be discharged until the third day. This withdrawal is made only by the nursing staff due to the inherent risks such as bleeding or infection. The withdrawal is performed on a smart bench, which automatically identifies the newborn (NB), better described in figure 5. The umbilical GAD is attached to the patient's medical record and constitutes an association between the genetic material inside and the newborn ( RN) and may be used in the future to settle differences. In addition, the TAG can be used by the medical scheduling and statistics service (SAME) to identify the medical record automatically, by hand scanner looking for the electronic identity registered in the medical record and expressed on the label. 25. The smart stand consists of a radiofrequency transparent surface under which the identification antennas are positioned. They also automatically identify the user, letting them know if they are a doctor, nurse or caregiver. Interactive screen allows automated annotations of key markers observed during the immediate postnatal period. Thus, when a doctor stands in front of the bench with a particular newborn (NB), his medical record appears and information such as jaundice zone, Ortolano maneuver, among others are recorded by the user and constitute part of the patient's electronic medical record, speeding up Medical evolution process. 26. Similarly, when a nurse puts the newborn (NB) on the bench, a specific menu is available that includes, but is not limited to, access to the umbilical clip removal menu, nursing notes, among others. An assistant approaching the smart bench has access to the specific menu, which allows you to note diaper changes, appearance and amount of meconium and urine, among others. 27. Automatic scale, better characterized in figure 6, is also provided for in this solution. When the newborn (RN) is positioned over it, it is identified and its weight is automatically recorded in the electronic medical record. The height can be recorded by any touch screen enabled user. Keyboards are avoided to prevent transmission of infectious agents. Interaction with other systems such as hand hygiene compliance monitoring is anticipated. 28. Variations in presentation form and customizations are provided in this patent. 29. Considering alternative use of this technology such as monitoring jewelry, equipment, OPMEs, and psychotropic cases in UHF tamper-proof RFID chip sealed boxes. The concept of guardianship of these assets applies equally to, but not exclusively to, assets and is intended for different purposes in the transport of critical, high value or highly regulated items ranging from medicines to ammunition.

Claims (5)

1. Passive TAG and its antenna design, operating at the UHF frequency, characterized by the attached use of a newborn umbilical clip (RN), which has its performance optimized for body proximity and presence of diapers with fluids and biological secretions, using them to optimize antenna tuning. 2. Intelligent bench for automatic identification of newborn (RN) and user, characterized by allowing automated or semi-automatic interaction with the newborn's medical record (RN). 3. Intelligent drawing board, characterized by the ability to identify the newborn (NB), as well as the bedside evolution and mobile means of verifying the identity of the newborn (NB). 4. Radio frequency interface scale characterized by identifying the newborn (RN) and automatically recording its weight in the medical record. 5. Electronic guarding method for monitoring newborns, dependents or items based on real-time identification and location, characterized by radio frequency identification technology operating in UHF.