Empowering nurses with innovative tech

The Challenge

Overcoming healthcare challenges: 

Empowering nurses with integrated technology
for inpatient care success

Healthcare organizations across the U.S. are under tremendous pressure as the growing need for nurses outpaces a shrinking workforce.

For 2023, the overall Hospital RN turnover is at 18.4%, a 4.1% decrease from the previous year. The med/surg turnover rate is higher at 19.9%.

The cost of turnover can have a profound impact on diminishing hospital margins Nursing Solutions Institute’s 2024 survey, reveals that the average cost of turnover for a bedside RN is $56,300, a 7.5% increase, resulting in the average hospital losing between $3.9m – $5.8m. 

A single percentage change in RN turnover impacts hospital finances by $262,500 yearly2. The study concludes that adding a full-time RN saves an institution $101,338 from travel nurses cost and lost revenues.

For most healthcare systems, one obstacle stands in the way: the average age of registered nurses is 52, signaling a wave of retirements that could further strain the system. Alarmingly, 41% of the RN total is comprised of nurses with a mean age of 36 and fewer than 10 years’ work experience.

Short staffing leads to longer wait times, reduced patient satisfaction, and a higher likelihood of medical errors. These conditions can compromise clinical outcomes, increasing hospital-acquired infections and readmissions.

For most healthcare systems, one critical obstacle stands in the way: technology. More specifically, technology that was built by non-nursing experts for outpatient care that don’t solve for business continuity. This leads to staffing challenges, including:

  • Temporary staffing for shortages
  • Uncommitted and contingent staff
  • Over-extended staff and premium pay
  • Staff that’s remote and not a part of the organization or team

There is a way, however, to unite staff with integrated technology that’s under your hospital’s Chief Nursing Executive’s direction, that provides you with a complete solution for inpatient nursing.

Our Approach

Our Team-Based Approach

The Solution

The Nexus Bedside Solution

At Nexus Bedside, we utilize the principles of Duke Health’s ABCDS framework to deliver exceptional nursing care. By ensuring appropriate care tailored to patient needs, following best practices, enabling seamless coordination, leveraging data-driven insights, and fostering shared accountability, we help healthcare organizations achieve their goals of improved patient outcomes, operational excellence, and cost-effective care.

A – Appropriate Care

Our nurses are equipped to provide evidence-based, patient-centered care tailored to each individual’s clinical needs, ensuring the right care at the right time.

  • Matching skilled nurses to specific patient needs, ensuring appropriate care levels.
  • Using evidence-based protocols to optimize patient outcomes by focusing on clinical appropriateness and minimizing unnecessary interventions.

B – Best Practices

Our hybrid nursing teams are trained and supported to consistently apply the best practices in patient care, reducing variability and enhancing outcomes.

  • Training staff on the latest clinical guidelines and workflows.
  • Leveraging AI tools and technology to ensure the highest standards of care.

C – Coordination of Care

We prioritize effective communication and collaboration across the entire healthcare team, ensuring every patient’s care is seamlessly coordinated.

  • Focus on clear communication channels between bedside and virtual nurses, physicians, and other caregivers.
  • A systematic approach to handoffs and transitions of care.

D – Data-Driven Decision Making

By leveraging data and AI, we continuously monitor and improve care delivery, ensuring patients receive the highest standard of nursing care

  • Continuous monitoring and analyzing of patient data reduces falls, pressure ulcers, and adverse events.
  • Using real-time data and AI to improve staffing decisions and optimize care.

S – Shared Accountability

Our collaborative approach ensures shared accountability for patient outcomes, creating a partnership focused on delivering exceptional care

  • Working collaboratively with healthcare organizations to achieve shared goals.
  • Empowering nurses and organizations to take shared responsibility for patient outcomes.

Our innovative platform combines state-of-the-art technology designed by nursing experts and specifically caters to the needs of hybrid nurses in inpatient care. Tailored to facilitate care transformation, Visual AI and InfiniteWatch technology combined with AI-augmented workflows serve as a cornerstone for ensuring business continuity in healthcare settings.

Using the Duke Health ABCDS framework we clarify roles and responsibilities for the best possible outcomes. By ensuring Appropriate Care, Best Practices, Coordination of Care, Data-Driven Decision Making, and Shared Accountability among staff, the organization fosters a collaborative environment where every team member plays a crucial role in leading the way toward care transformation.

Through our solution, responsibilities are effectively divided among three roles – a virtual
nurse, a bedside nurse and nursing aid – to ensure comprehensive patient care.

Virtual nurse

The Virtual Nurse takes charge of critical aspects such as admission History, initiation and coordination of admission orders, medication reconciliation, care coordination, team rounds, patient monitoring, patient and family education, as well as discharge orders and follow-up. This also means that they perform over 60% of the electronic medical records documentation.

Aide/Tech

Complementing these roles, the nursing aid contributes to patient well-being by managing patient-to-room orientation, monitoring vital signs, and providing assistance with bathing, dressing, toileting, and feeding as required. Additionally, the nursing aid aids patients in dressing and transport, collectively ensuring a comprehensive and coordinated approach to patient care.

Bedside nurse

Meanwhile, the bedside nurse plays a pivotal role in the initial assessment, conducting skin checks, and assessing lines, tubes, and drains. The bedside nurse is responsible for medication administration, blood transfusion, chemotherapy administration, as well as the removal of IVs, drains, and performing the final assessment.

How it Works

How the Nexus
Team-Based Approach Works

The onsite nurse and the virtual nurse work together to:

  • Support Rapid Response Team
  • Perform dual signoff
  • Interdisciplinary Rounds
  • Completing admission database
  • Care Plan Updates
  • Completing procedure checklists

The onsite nurse is primarily responsible for:

  • Physical Assessment
  • Medication Administration
  • Hands-on Bedside Care

The virtual nurse is primarily responsible for:

  • Answer Patient/Family Questions
  • Completion of admission documentation in EMR
  • Medication reconciliation
  • Chart Audits
  • Discharge Planning
  • Discharge Education
  • Calling New Consults
  • Telemetry Signoff
  • Patient Rounding
  • Patient Education
  • Pain Reassessment
  • Order Clarification
  • First response to call lights
  • Contacting families
Nexus Bedside Overview

FAQ

How does the technology work?    

Our AI-powered virtual care solutions are designed to enhance patient monitoring and optimize workflows for inpatient care. Our Virtual Sitting and Virtual Nursing solutions are supported by its proprietary VisionAI platform, which uses computer vision and artificial intelligence to continuously monitor patient movements, improve safety, reduce alarm fatigue, and provide targeted alerts to clinical teams​.

Additionally, Family Care Connect permits patients and designated family members free access to the platform to virtually visit and participate in patient education and discharge planning with a virtual nurse.

Virtual nurses can page into the room to see if the patient is available to review stats, discuss med status or changes in care, etc. ​

What are the benefits for nurses?

  • Up to 20% higher wages than market
  • More flexibility in their schedules.​
  • Bedside nurses spend more time with patients
  • Bedside nurses spend less time on documentation​.
  • Nurses split their time on the floor and working virtually.
  • Reduces physical strain that comes with the job.
  • Permanent placement in hometown
  • Weekly payroll and on-call pay
  • Team bonus for achievement

What are the benefits for hospitals?

  • Guaranteed staffing for units 24/7/365
  • Expedited floor transfers from ED by 90 minutes.
  • Increases transfers/day for units.
  • Can reduce costs between $500,000 and $2 million fora 30-bed med-surg unit.
  • Reduces reliance on travel nurses and premium pay.
  • Reduces falls and other safety events.
  • Reduced length of stay.

What are the benefits for patients?

  • Better patient outcomes,
  • Real-time monitoring for patients.
  • Provides near-immediate responses to patient needs.
  • increased patient satisfaction
  • Convenience for family and friends

Let’s Work Together

Learn how Nexus Bedside can help
transform care at your hospital to create an optimal
environment for patients and nurses.

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