What
is TelEmergency?
The University of Mississippi
Medical Center (UMMC) developed, implemented, and directs all ongoing operations of the TelEmergency system. This program provides
increased access and improved quality of care in participating
hospital emergency rooms, as illustrated below.
UMC facilitates the training and placement of specially
trained family nurse practitioners (NP) in rural emergency departments who work
under direct clinical supervision of emergency physicians at UMC via a telemedicine
video link - TelEmergency.
Providing qualified emergency
care in rural hospitals with low patient volumes is most often cost prohibitive.
Additionally, it is extremely difficult to recruit and retain emergency physicians to these
rural areas. TelEmergency alleviates the problems mentioned above by utilizing nurse practitioners, emergency physicians at UMC, and special telemedicine equipment.
A nurse practitioner functions under the protocol of the University
Emergency Department. The protocols are approved by the participating
hospitals' medical staff and the NP is allowed to treat Level 1 and 2 patients
(low acuity) without assistance. Levels 3, 4 and 5 (higher to critical
acuity) are seen in consultation with a emergency specialist at UMC
utilizing state of the art telemedicine technology and the state net T-1 system.
A nurse practitioner will care for a patient in a participating rural Mississippi hospital
emergency room with a wall mounted flat screen television and video camera device. The nurse practitioner performs the initial
history and physical exam, then dials-up the University's Emergency Department through a dedicated state T-1 line. A Emergency
Medicine specialist will appear on the television monitor before the patient and
that physician has the ability to manipulate the camera at the distant
hospital. The video camera and audio
equipment enables the ED physician to visualize and communicate "real-time" with
both the NP and the patient. The sophisticated telemedicine setup provides the emergency medicine physician with instant access to inspect the physical and emotional condition of the patient while assisting the NP in managing patient care.
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