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Nursery Chart System Development

Our team at Vanderbilt University is enhancing NICU computing systems with a new prototype for more efficient charting. Join us in our journey to develop a stable and ergonomic solution for nurses.

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Nursery Chart System Development

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  1. Nursery Chart System Development Team Members: John Fonge, Brandy Scott, Kendra Mills Faculty Advisor: Dr. William Walsh, Chief Nurseries Pediatrics Neonatology: Vanderbilt University Children's Hospital Department of Neonatology

  2. Vanderbilt University NICU • 61-bed, 60,000 square foot Level IIC unit that admits 1200 infants per year • Rooms are divided into 7 clusters, or pods, each containing 6 or 7 infant rooms arranged so that the nursing staff can see into all rooms • Our prototype is in a patient room in Pod B • Each single-patient room is 13 feet x 14 feet • Wall adjacent to the corridor is a 4-foot sliding glass door with privacy curtains

  3. Background • In the past, nurses have written down vital signs on paper and manually transferred them to the computer, but in a busy NICU this method has led to insufficient documentation.  Patient charting is now being entered directly into the computer to dispose of the double charting that leaves room for documentation error. 

  4. History of Computing Systems • Initially when rooms were converted from double rooms to single rooms, each room was equipped with a mobile cart known as a COW - computer on wheels • Negatives: short battery life, wheels would fail, often difficult to locate

  5. Background • At Vanderbilt Children’s Hospital’s NICU, Dr. William Walsh has placed a prototype of the computer nursing chart in the patient room where the nurses can directly enter patient information.

  6. Problem Statement • Is the computer station going to affect the nurses’ work area? • What adjustments can be made to the existing prototype to fix the instability?

  7. Project Objectives • Determine an inexpensive way to stabilize the computer station setup • Assess the stability/ergonomics of the support leg/keyboard • Perform nurse evaluation of effectiveness of new prototype

  8. Computing Systems • Dual Screen system was installed to improve upon COW. • One screen shows vital signs and the other shows informatics • Negatives: instable keyboard, system too heavy, extremely bulky

  9. Second Prototype • Lightweight arm • Vital screen above patient bed • ~$350 • KVM (Keyboard video mouse) switch to toggle between informatics and vital screen

  10. Solutions • A pole was attached to stabilize the computer station. • ~$20 • Pole can vary in height • 35 in. – 43 in. • Push button pole makes adjustment very easy

  11. Current Work • We have developed a survey to get the nurse’s feedback on the new prototype and the stability of the keyboard. • Determine weights of the charting computer components (i.e. screen, wall arm). • Determine if existing support leg is sufficient enough to stabilize the charting computer. If it isn’t, we need to develop other solutions.

  12. Future Work • Observe installation of second prototype • Complete a quality function deployment (QFD) process once the surveys from the nurses are collected • Determine cost to implement prototype in nursery unit

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