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Teledialysis : From project to an intergral part of the renal service Eli Arild

Teledialysis : From project to an intergral part of the renal service Eli Arild. Teledialysis today. Practical and medical issues Problem solving Rounds ( doctors/nurses ) Other specialists if needed Distance education. UNN: all satellites have videoconference today.

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Teledialysis : From project to an intergral part of the renal service Eli Arild

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  1. Teledialysis:From project to an intergral part oftherenal service Eli Arild

  2. Teledialysistoday • Practical and medicalissues • Problem solving • Rounds (doctors/nurses) • Other specialists if needed • Distance education

  3. R.Johansen, Dialysen, Tromsø UNN: all satellites have videoconference today Finnmark 75.000 innh • Vadsø • Hammerfest • Kirkenes Troms 156.000 innh • Alta • Tromsø • Finnsnes • Narvik Kirkenes and Vadsø 900 km Hammerfest 550 km Alta 400 km Narvik 240 km Finnsnes 160 km

  4. 2000-2002 UNN: The renaldepartment and NST Alta helsesenter Hammerfest sykehus The teledialysisproject

  5. Funding

  6. ”The possibility to seeeachother, is much betterthan a phonecall. Weget a feeling ofcloseness, togetherness and presence via the screen. It’salsomeaningful for us to support the staff outsidethe hospital and collboratewiththem.”

  7. Risks • Busydays • Changingofroutineswhennecessary • Technology • Userinstructions and superuser • Technical contact person • Motivation • Funding

  8. Technology used • IP basedVideoconference • Ultrasound • Electronic stethoscope • Electronic patient record • Dialysis machine program for transfer ofdialysis data Today: Videoconference

  9. Legal and regulatoryissues…….

  10. General recommendations • Plans and routines • Keep it simple as possible • Legal and security issues • Technical support • Training • Follow up

  11. Homedialysis

  12. Telemedicine in haemodialysis: a University Department and tworemotesatelliteslinkedtogether as onecommonworkplace». J ofTelemed and Telecare 2005; 11: 251-255 • Teledialysis – experiences from North Norway (NST rapport, august 2007) • Choosing to live withhomedialysis - patients' experiences and potential for telemedicine support: A qualitativestudy. BMC Nephrology 2012, 13:13 • Norwayteaches NHS Highlandshowit’sdone in thesnowhttp://www.kidney.org.uk/k_life/kl_winter10.pdf • Kartlegge behov for nye telemedisinske løsninger hjem til nyresviktpasienter (InnoMed rapport, januar 2009) • Nye telemedisinske tjenester til hjemmedialysepasienter – NyTTeHjem (NST rapport, mars 2012) • You Tube: www.youtube.com/watch?v=hmfJCqwzzcQ

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