JP6084082B2 - Nurse call system - Google Patents

Description

  The present invention relates to a nurse call system configured to allow a medical staff to respond to a call from a nurse call cordless handset installed for each patient, and in particular, can record the completion of a patrol. The nurse call system.

  In general, a nurse call system is used in hospitals and care facilities. The nurse call system is used when a patient at a hospital needs support from a doctor or nurse, or when a caregiver at a care facility needs help from a caregiver (hereinafter referred to as “the caregiver”). Can be called a doctor, nurse or caregiver (hereinafter collectively referred to as a health care worker) by operating a button-shaped call operation unit. System.

  Many nurse call systems are installed in bedsides, toilets, bathrooms, etc., and have a nurse call cordless handset equipped with a call operation unit, and a nurse call master set installed in a nurse station and alerting a patient to call It is configured. Furthermore, a nurse call system that combines a portable terminal such as a PHS (Personal Handyphone System) terminal carried by a medical worker and a PBX (Private Branch Exchange) has been proposed.

  In such a nurse call system, it is common to install a corridor lamp between the nurse call slave and the nurse call master. The corridor lamp is attached to the wall surface on the corridor side near the entrance of a room such as a hospital room. The corridor lamp is linked to the nurse call master unit. When the patient calls the nurse call slave unit by operating the call operation unit, the nurse call slave unit calls the nurse call master unit and the corridor lamp. To be notified. At this time, the corridor lamp informs that a call is being made in the hospital room where the corridor lamp is installed by causing a built-in LED (Light Emitting Diode) or the like to emit light. Thereby, the medical worker etc. in a corridor can identify the hospital room where the patient who performed the call exists.

  The corridor lamp displays the number of the hospital room to which the corridor lamp is attached and the name of the patient admitted to the hospital room. Here, as a method for displaying the room number, the patient's name, and the like, it is possible to use handwriting or printing. In addition, a technique is also known in which a display unit of a corridor lamp is configured by a display to display a room number, a patient name, and the like.

  By the way, in hospitals and nursing homes, health care workers go to the hospital room where all patients in the facility or specific patients in the facility are located, and check whether the patient's condition is directly visible or not. A patrol to confirm. In addition, when a medical worker notices an abnormality of a patient during a patrol, he / she took quick measures to prevent an unexpected accident before. In many cases, patrols are repeatedly performed at predetermined time intervals.

  However, even if patrols are performed in this way, an unexpected accident may occur between patrols. When an unexpected accident occurs, the monitoring system becomes a problem, and in some cases, the medical staff has pointed out that the patient's side (patient, patient's family, etc.) pointed out that the monitoring system was inadequate and that the discovery of the patient's abnormality was delayed The side (ie hospital side) was sometimes pursued.

  In response to such pursuits, the health care provider recorded the date and time when the patrol was conducted for each patient, making it clear that the patrol was carried out and that there was no deficiency in the monitoring system Can be illuminated. However, there is a problem that it is time-consuming for medical staff to record that patrol is performed for all patients who are patrol targets. This is because every time a health care worker confirms the condition of one patient, it is necessary to perform an operation of recording that the patrol for the patient is performed along with the date and time.

  In order to solve such a problem, a technique for recording that a patrol is performed in units of rooms is known (see, for example, Patent Document 1). In the nurse call system described in Patent Document 1, when inspection is completed for all patients in a room, a medical worker operates a patrol button of an individual information corridor lamp installed near the entrance of the room. Thus, the room number of the hospital room in which the individual information corridor lamp is installed and the time when the inspection button is operated are recorded as inspection data. As a result, just by operating the patrol button on the individual information corridor lamp, patrol data is recorded for all patients in the hospital room where the individual information corridor lamp is installed. Therefore, it is not necessary to record the patrol data every time the patient condition is confirmed.

  However, in the technique described in Patent Document 1, for a hospital room in which a plurality of patients are hospitalized, if all the patients are not in the hospital room, a medical worker cannot operate the patrol button. was there. In addition, for hospital rooms in which multiple patients are hospitalized, if the patrol button is operated when all patients are not in the hospital room, patrol data is recorded even for patients who are not in the hospital room. As a result, the inspection data becomes inaccurate.

  In order to solve such problems, a sensor that detects the patient's landing is installed on each bed in the hospital room, and the bed where the landing is detected is used when the patrol button is operated. A technique is also known in which patrol data is recorded only for a patient (see, for example, Patent Document 2).

JP 2007-6927 A JP 2012-14328 A

  However, in the above-described prior art, inspection data remains unrecorded for a patient who has not landed, and there is a problem that recording of inspection data becomes insufficient.

  The present invention has been made to solve such a problem, and is as accurate as possible and possible to record as much as possible while enabling inspection data to be recorded with as little burden on medical personnel as possible. The purpose is to make it possible to record patrol data without any data.

  In order to solve the above-described problems, in the present invention, a patrol button for dividing the inside of a facility to be patrol into a plurality of areas and collectively recording that the patrol is performed on a patient in a certain area is provided. When the patrol button is operated in each area, the patient who is using the bed in which the bed is detected by detecting the landing on the patient's bed in the area where the patrol button is provided The information and current date and time information indicating the current date and time are recorded in association with each other and recorded as patrol data, and when landing is detected for a bed for which landing has not been detected, the patient using the bed is encouraged to patrol. Notification is performed on the nurse call master unit.

  According to the present invention configured as described above, when a patrol button is operated, among patients in the area where the patrol button is installed, only for a patient using a bed that detects landing. Since the inspection data is recorded, the inspection data is recorded for each area where the patient is present. As a result, medical staff who perform patrols do not have to record patrol data every time the patient's condition is confirmed. Data can be recorded and inspection data as accurate as possible can be recorded. For patients whose patrol data is not recorded, the nurse call master unit will notify the patient using the bed when he / she detects that he / she has landed on the bed. Inspection data without omissions can be recorded.

It is a block diagram which shows the structural example of the nurse call system by this embodiment. It is a figure which shows the example of arrangement | positioning of the landing sensor and patrol button of this embodiment. It is a figure which shows the example of the memory content of the memory | storage part of the nurse call parent machine of this embodiment.

  Hereinafter, an embodiment of the present invention will be described with reference to the drawings. Here, a nurse call system for nursing support installed in a hospital will be described as an example, but the nurse call system of the present embodiment is not limited to that installed in a hospital. For example, the present invention can also be applied when installed in a nursing facility. FIG. 1 is a block diagram illustrating a configuration example of a nurse call system according to the present embodiment. In FIG. 1, 1 is a nurse call cordless handset, which is installed in the vicinity of a patient's bed in a hospital room and is used by a patient or the like. Here, the nurse call cordless handset 1 is installed for each patient. The nurse call handset 1 includes a handset control unit 2, a call operation unit 3, and a handset interface 4.

  The subunit | mobile_unit control part 2 is for controlling each component of the nurse call subunit | mobile_unit 1 so that it may mention later, and is comprised by CPU (Central Processing Unit) etc. The call operation unit 3 is operated when a patient or the like calls a medical worker. Here, when the call operation unit 3 is operated, the slave unit control unit 2 generates a call signal. Further, the call signal includes identification information (for example, a bed number) for identifying the nurse call slave unit 1 from other nurse call slave units 1.

  The subunit | mobile_unit interface 4 connects the nurse call subunit | mobile_unit 1 and the inspection registration apparatus 10 mentioned later, and communicates. Further, the slave unit interface 4 communicates by connecting the nurse call slave unit 1 and a landing sensor 5 described later. In addition, the slave unit interface 4 connects the nurse call slave unit 1 and a nurse call master unit 20 described later via the patrol registration device 10 to perform communication. Here, the slave unit interface 4 outputs the call signal generated by the slave unit control unit 2 to the nurse call master unit 20. Further, when a call can be made between the nurse call slave unit 1 and the nurse call master unit 20, the slave unit interface 4 transmits an audio signal between the nurse call slave unit 1 and the nurse call master unit 20. Used to interact.

  The landing sensor 5 is configured by a mat sensor that detects a load. The landing sensor 5 is installed on each bed, and detects the patient's load and outputs a landing signal when the patient is sleeping or sitting on the bed (see FIG. 2). Here, the landing sensor 5 continues to output the landing signal while detecting the load, and does not output the landing signal while the load is not detected. The landing sensor 5 includes identification information for identifying the landing sensor and a landing sensor installed on another bed. As this identification information, for example, a bed number or the like is used.

  In the present embodiment, the landing sensor 5 continues to output a landing signal while detecting a load, but is not limited thereto. For example, a one-shot landing signal is output when the landing sensor 5 detects a load, and a one-shot landing signal is output when the landing sensor 5 detects a bed leaving, so that the landing signal is output. It is good also as a state where the patient is landing until it is outputted after a bed signal is output.

  The patrol registration device 10 is used for registering patrol data in the nurse call parent device 20. Here, the inspection registration apparatus 10 includes an inspection registration apparatus control unit 11, an inspection button 12, and an inspection registration apparatus interface 13. The inspection registration device control unit 11 is for controlling each component of the inspection registration device 10 as will be described later, and is configured by a CPU or the like.

  The inspection button 12 is installed for each area obtained by dividing the facility to be inspected into predetermined areas, and when inspection is completed for a patient in the area, the medical staff who has performed the inspection data Is operated to register. Here, the predetermined area is a hospital room or the like, and the patrol button 12 is installed on the wall surface on the corridor side near the entrance of the hospital room (see FIG. 2). When the inspection button 12 is operated, the inspection registration device control unit 11 generates an inspection registration signal. This inspection registration signal includes area identification information (for example, a room number or the like) for identifying the area where the inspection button 12 is installed from other areas.

  The patrol registration device interface 13 connects the patrol registration device 10 and the nurse call slave device 1 for communication, and also connects the patrol registration device 10 and the nurse call parent device 20 for communication. Here, the inspection registration device interface 13 receives the call signal output from the nurse call slave device 1 and outputs the call signal to the nurse call master device 20. Further, the patrol registration device interface 13 inputs the landing signal output from the landing sensor 5 and outputs it to the nurse call parent device 20. The patrol registration device interface 12 outputs the patrol registration signal generated by the patrol registration device control unit 11 to the nurse call parent device 20.

  The nurse call master device 20 is installed in a nurse station where medical personnel are stationed, and includes a control unit 21, an interface 22, a storage unit 23, a notification unit 24, a response operation unit 25, a current date and time information acquisition unit 26, and a notification. A portion 27 is provided. Here, a controller (not shown) is connected between the nurse call slave unit 1 and the nurse call master unit 20. The control device controls communication between the nurse call slave device 1 and the nurse call master device 20.

  Note that a PBX (not shown) may be connected to the above-described controller so that a portable terminal carried by a medical worker can be used. In this case, when the patient calls by the nurse call cordless handset 1, the nurse call master phone 20 and the mobile terminal are notified. In addition, a response operation can be performed on the portable terminal. In addition, inspection data may be browsed on a portable terminal. That is, the portable terminal has functions of the notification unit 24, the response operation unit 25, and the notification unit 27 of the nurse call parent device 20.

  The control unit 21 is for controlling each component of the nurse call master 20 as will be described later, and is configured by a CPU or the like. The interface 22 is for connecting the nurse call master 20 and the inspection registration device 10 for communication. The interface 22 communicates by connecting the nurse call master 20 and the nurse call slave 1 via the patrol registration device 10.

  Here, the interface 22 inputs the call signal output from the nurse call slave unit 1. Further, the interface 22 inputs the inspection registration signal output from the inspection registration device 10. Further, when a call can be made between the nurse call master device 20 and the nurse call slave device 1, the interface 22 exchanges audio signals between the nurse call master device 20 and the nurse call slave device 1. Used for.

  The storage unit 23 is configured by a storage device such as a memory. Further, as shown in FIG. 3A, the storage unit 23 includes area identification information (room number) of an area (patient room) where the inspection button 12 is installed, and an area (patient room) where the inspection button 12 is installed. ) And the identification information of the landing sensor 5 installed in each bed and the patient information (for example, patient name) of the patient using the bed are stored in association with each other.

  For example, the patient information “Ichiro Sato” uses the bed of the identification information “101-1”, and the storage unit 23 stores that the patient information “101-1” is in the hospital room. Similarly, the patient information “Jiro Tanaka” uses the bed of the identification information “101-2”, and is stored in the storage unit 23 to be in the hospital room of the area identification information “101”. The patient information “Saburo Takahashi” uses the bed of the identification information “101-3”, and the storage unit 23 stores that the patient information “101-3” is in the hospital room. Further, the patient information “Shiro Suzuki” uses the bed of the identification information “101-4” and is stored in the storage unit 23 to be in the hospital room of the area identification information “101”.

  In addition, the storage unit 23 stores inspection data, which will be described later, and temporarily stores patient information and identification information for which inspection is not completed.

  The notification unit 24 is configured by a display device, a speaker, and the like, and is for notifying that a call has been made by the nurse call slave unit 1. The response operation unit 25 can be operated in a state in which the notification unit 24 is in operation, and stops the operation of the notification unit 24, or is a communication path formed between the nurse call parent device 20 and the nurse call slave device 1. It is operated to cut. Here, the response operation unit 25 is configured by a hook switch, and is operated by off-hooking or on-hooking a handset (not shown).

  When the patient operates the call operation unit 3, the child device control unit 2 generates a call signal, and the child device interface 4 outputs the call signal to the nurse call parent device 20. In the nurse call parent device 20, the interface 22 inputs a call signal. Then, the control unit 21 performs notification by operating the notification unit 24.

  In this state, when the response operation unit 25 is operated (the handset is off-hooked), the control unit 21 stops the operation of the notification unit 24. Further, a control device (not shown) forms a communication path between the nurse call master device 20 and the nurse call slave device 1. In this state, a conversation between the health care worker and the patient becomes possible between the nurse call parent device 20 and the nurse call child device 1. By this conversation, the patient can tell the medical staff about the business. When the conversation ends, the medical staff operates the response operation unit 25 again (on-hooks the handset). Then, the control unit disconnects the communication path between the nurse call master device 20 and the nurse call slave device 1.

  The current date and time information acquisition unit 26 acquires current date and time information indicating the current date and time from a clock unit (not shown) that measures the current date and time. Here, the clock unit may be installed inside the nurse call parent machine 20 or may be installed outside.

  The notification unit 27 includes a display device and the like, and displays patient information of a patient whose patrol is not completed and identification information for specifying a hospital room and a bed used by the patient.

  In the nurse call system configured as described above, the control unit 21 determines whether or not the interface 22 has input the inspection registration signal from the inspection registration device 10. When the control unit 21 determines that the inspection registration signal is input, the control unit 21 extracts the area identification information included in the inspection registration signal and specifies the identification information stored in association with the area identification information. To do.

  On the other hand, the control part 21 determines whether the interface 22 is inputting the landing signal at that time. When the control unit 21 determines that no landing signal is input, the control unit 21 stores all the identification information stored in association with the extracted area identification information and each identification information. Patient information is acquired and temporarily stored in the storage unit 23 as a patient whose patrol is incomplete.

  In this state, when the interface 22 inputs the landing signal including the temporarily stored identification information, the control unit 21 refers to the storage unit 23 and stores the identification information in association with the identification information. Patient information is acquired, and a message that prompts patrol for those patients is displayed on the notification unit 27.

  In this state, when the medical worker completes the patrol for the patient and operates the patrol button 12, the current date and time information at that time is acquired from the current date and time information acquisition unit 26, together with the identification information and patient information about the patient. It is stored in the storage unit 23 as inspection data.

  Further, when the control unit 21 determines that the landing signal is input, the control unit 21 extracts the identification information included in the input landing signal and compares it with the identified identification information. When the control unit 21 determines that the identification information included in the landing signal has been extracted for all of the identified identification information, the control unit 21 receives the current date / time information from the current date / time information acquisition unit 26. To get. The control unit 21 refers to the storage unit 23 and stores the identification information, the patient information stored in association with the identification information, and the acquired current date / time information in the storage unit 23 as inspection data. Let

  At this time, the control unit 21 determines that there is no patient whose patrol is incomplete. That is, the control unit 21 does not store a patient whose patrol is incomplete in the storage unit 23.

  Further, when the control unit 21 determines that the landing signal is input, the control unit 21 extracts the identification information included in the input landing signal and compares it with the identified identification information. When the control unit 21 determines that the identification information included in the landing signal has been extracted for a part of the identified identification information, the control unit 21 acquires the current date information from the current date information acquisition unit 26. . Further, the control unit 21 refers to the storage unit 23, and stores the extracted identification information, the patient information stored in association with the extracted identification information, and the acquired current date and time information as inspection data. Remember me.

  At this time, the control unit 21 acquires the other identification information and the patient information stored in association with the identification information, and temporarily stores them in the storage unit 23 as a patient whose patrol is incomplete. In this state, when the interface 22 inputs the landing signal including the temporarily stored identification information, the control unit 21 refers to the storage unit 23 and stores the identification information in association with the identification information. Patient information is acquired, and a message that prompts patrol for those patients is displayed on the notification unit 27. Here, since the patrol operation for the patient notified by the notification unit 27 is the same as that described above, the description thereof is omitted.

  For example, as shown in FIG. 2, in a room with area identification information (room number) “101”, a bed with identification information (bed number) “101-1” and a bed with identification information (bed number) “101-3” The landing signal including the identification information “101-1” is output from the landing sensor 5 and the landing signal including the identification information “101-3” is output from the landing sensor. 5 is output. In this state, it is assumed that the medical staff completes the patrol for these patients and operates the patrol button 12. Then, the inspection registration signal including the area identification information “101” is output from the inspection registration device 10 to the nurse call parent device 20.

  In the nurse call parent device 20, the interface 22 inputs the landing signal including the identification information “101-1” and the landing signal including the identification information “101-3”. In this state, the interface 22 registers the inspection. Input the signal. Then, the control unit 21 acquires the current date / time information “2013/3/18 10:25” from the current date / time information acquisition unit 26.

  The control unit 21 refers to the storage unit 23 and stores the patient information “Ichiro Sato” stored in association with the identification information “101-1” and the identification information “101-3”. The patient information “Saburo Takahashi” is acquired and stored in the storage unit 23 as inspection data together with the current date information “2013/3/18 10:25” acquired from the current date information acquisition unit 26 (see FIG. 3B). ).

  On the other hand, the control unit 21 refers to the storage unit 23 and identifies identification information “101-1”, “101-2”, “101-3” stored in association with the area identification information “101” included in the inspection registration signal. ”,“ 101-4 ”, and patient information“ Ichiro Sato ”,“ Jiro Tanaka ”,“ Saburo Takahashi ”, and“ Shiro Suzuki ”stored in association with the identification information. Then, the control unit 21 stores identification information “101-2” and “101-4” that do not match the identification information “101-1” and “101-3” stored in the storage unit 23 as inspection data. Identify. Then, the control unit 21 refers to the storage unit 23 and associates the patient information “Jiro Tanaka” stored in association with the identified identification information “101-2” and the identified identification information “101-4”. The patient information “Shiro Suzuki” stored is extracted and temporarily stored in the storage unit 23 as an incomplete patient (see FIG. 3C).

  In this state, when the interface 22 inputs a landing signal including the identification information “101-2” and the identification information “101-4” (in other words, when Jiro Tanaka and Shiro Suzuki are landing), the control unit 21 Refers to the storage unit 23, the identification information included in the landing signal input by the interface 22, the temporarily stored identification information “101-2”, the patient information “Jiro Tanaka”, and the identification information “101- It is determined whether or not “4” and “Shiro Suzuki” match. Then, for those that match, the control unit 21 refers to the storage unit 23, acquires the identification information and the patient information stored in association with the identification information, and notifies the message that prompts patrol for those patients 27 is displayed.

  For example, the notification unit 27 displays a message such as “Please perform a patrol to Mr. 101-2 Jiro Tanaka” or “Please perform a patrol to Mr. 101-4 Shiro Suzuki”.

  As described above in detail, in the present embodiment, the inspection button 12 for dividing the inside of the facility to be inspected into a plurality of areas and collectively recording that the inspection is performed on a patient in a certain area is provided. In each area, when the patrol button 12 is operated, the landing sensor 5 detects the landing on the patient's bed in the area where the patrol button 12 is provided, and the bed where the landing is detected. The identification information of the patient, the patient information of the patient using the bed, and the current date and time information indicating the current date and time are associated with each other and stored in the storage unit 23 as patrol data. When the floor is detected, the notification unit 27 of the nurse call master unit 20 notifies the patient who is using the bed of patrol.

  As a result, when the patrol button 12 is operated, the patrol data is stored in the storage unit 23 only for the patient who uses the bed where the landing is detected among the patients in the area where the patrol button 12 is installed. Since it is recorded, patrol data is recorded for each area where a patient is present. For this reason, medical personnel who perform patrols do not have to perform the task of recording patrol data every time the patient's condition is confirmed. Can be recorded, and the patrol data as accurate as possible can be recorded.

  In addition, for the patient whose patrol data is not recorded, when the landing on the bed is detected, the nurse call master unit 20 notifies the patient using the bed of patrol. Inspection data that is as complete as possible can be recorded.

  In the above-described embodiment, the area to be inspected is a hospital room, but is not limited thereto. For example, the area to be inspected may be an area obtained by dividing a hospital room into a plurality of areas or an area including a plurality of hospital rooms.

  In the above-described embodiment, the landing sensor 5 is a mat sensor that detects a load, but is not limited thereto. For example, a sensor that detects a change in the amount of received reflected light of infrared light or a sensor that detects a blockage of irradiated infrared light may be used.

  In the embodiment described above, the patrol button 12 is operated by a medical worker, but is not limited thereto. For example, a medical worker may carry an IC tag and register the patrol when the IC tag is read.

  In the embodiment described above, the identification information and the patient information are displayed on the notification unit 27, but the present invention is not limited to this. For example, only identification information may be included, or only patient information may be included. That is, any display may be used as long as the medical staff can grasp the object to be inspected.

  In the above-described embodiment, the notification unit 27 is configured by a display device, but is not limited thereto. For example, an audio output device such as a speaker may be used.

  In addition, each of the above-described embodiments is merely an example of implementation in carrying out the present invention, and the technical scope of the present invention should not be construed in a limited manner. In other words, the present invention can be implemented in various forms without departing from the spirit or main features thereof.

1 Nurse Call Slave Unit 2 Slave Unit Control Unit 3 Calling Operation Unit 4 Slave Unit Interface 5 Landing Sensor 10 Patrol Registration Device 11 Patrol Registration Device Control Unit 12 Patrol Button 13 Patrol Registration Device Interface 20 Nurse Call Master Unit 21 Control Unit 22 Interface 23 Storage Unit 24 Notification Unit 25 Response Operation Unit 26 Current Date / Time Information Acquisition Unit 27 Notification Unit

Claims (1)

A patrol button that is installed in each divided area of the facility to be patrol and is operated when patrol is performed on a patient who uses a bed installed in a divided area, and the patrol button is operated A patrol registration device that generates a patrol registration device control unit for generating a patrol registration signal, and a patrol registration device interface that outputs the patrol registration signal generated by the patrol registration control unit,
A landing sensor that detects that the patient is landing on the bed and generates and outputs a landing signal;
An interface for inputting the patrol registration signal output from the patrol registration apparatus and the landing signal output from the landing sensor, patrol information indicating the patient who performed the patrol and the date and time when the patrol was performed A storage unit that associates date and time information and stores the data as patrol data, a notification unit that notifies a patient who has not completed patrol, and a current date and time that obtains current date and time information indicating the current date and time from the outside or the inside When the information acquisition unit and the interface input the inspection registration signal, it is determined whether the interface is inputting the landing signal, and when it is determined that the landing signal is input The patient who is using the bed on which the landing sensor is installed, acquires the current date information from the current date information acquisition unit. First control to record in the storage unit as patrol data in association with information, and when determining that the landing signal is not input, the second control to identify the bed in which the landing sensor is installed When the interface inputs the landing signal from the landing sensor installed in the bed specified by the control and the second control, the notification unit uses the patient information of the patient who uses the bed A nurse call master unit having a control unit for performing the third control to operate,
Nurse call system characterized by comprising.

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