Four Benefits of Tele-Critical Care and Tele-Hospitalist Night Coverage

Tele-Critical Care

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It is puzzling why Tele-Critical Care is used to assist hospitals at night. Of all ICU patients, those admitted in the early morning hours have the worst outcomes – mortality rates are significantly higher. According to a 9-year ICU admissions study, that’s what we find. Small community hospitals may want to pay attention, especially since they frequently have trouble with night shift staffing.

Small hospitals often have to rely on expensive locum tenens physicians or attempt to enlist a permanent physician to work nights, which is a bad idea. Using the on-call physician in addition to his daytime duties, which is a common practice, is similarly counterproductive. These are unsound, long-term solutions. has experienced many years of delivering high-quality telemedicine services to hospitals and patients in need, has been convinced of the fact that Telemedicine can save and serve day and night. There are many specialties to select from, and coverage models are customized to suit the needs of your community. Everyone can benefit from what telemedicine app offer. 

With effective handoffs and physician documentation in the medical record, patients are able to remain in their community to receive high-quality care. The nursing staff has ready access to physicians overnight, so care is not delayed. The physicians are very responsive and ready to provide high-quality care using HIPAA secure video conferencing or text messaging.

Four Reasons Why Tele-Critical Care and Tele-Hospitalist Night Coverage Are Beneficial.

  1. Improved Patient Care Through the Clinical Decision Support System. 

The on-call physician is frequently on call overnight in addition to seeing patients in the hospital. Floor nurses often do not want to disturb that physician in the middle of the night with their questions. While night shift nurses typically know the treatment steps to take, patients may change their status at any time, and night shift nurses may require assistance from the on-call physician.

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Most hospitals use nocturnists to assist with patient care when nurses are unavailable at night. Because nurses no longer have to decide whether a problem is severe enough to warrant waking the on-call physician, they are able to sleep more soundly. A TeleNocturnist is always on standby, ready for any emergency during the night. Nurses feel safer sending or texting a nocturnist at any time. With less than 3 minutes of response time, nurses receive real-time answers, resulting in better patient care at night.

Every aspect of night shift patient care can be fully documented within the hospital’s EMR, and shift handoffs are documented. This is significant for ensuring that care is consistent between day and night shift providers.

  1. More Frequent Rounds Required

It’s also important to remember that a colonoscopy is not a one-time procedure. It requires multiple rounds of preparation, with the final one leading up to the test itself.

Round-the-clock participation via live video-conferencing is available with Tele-Hospitalists and Tele-Critical Care, functioning as a full member of your hospital’s clinical team. According to research, patients can be treated by a live video conference at night, when the risk is highest. For example, a majority of falls occurred between 7 p.m. and 7 a.m. A higher ICU readmission rate and extended ICU stays were found when patients were transferred at night compared to daytime numbers.

Across all hospital departments and patient types, nighttime risks can be found. Additionally, stroke patients admitted at night are at higher mortality risk than those admitted during the day; stroke symptoms are present. Patients with ischemic strokes or myocardial infarctions are also at risk early in the morning.

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It was determined that poor communication during the evening (versus rounds) was chiefly responsible for the issues. They implemented Night rounds to address this issue. Through twice-daily rounds, once during the day and once at night, nurses gained more time to discuss patient cases, problems, queries, and anticipated issues. Patients experienced better results, indicating they were right when evening rounds became a popular part of night shift strategies.

  1. Better Staff Management Can Improve Service Quality.

Even with a full clinical load plus hospital hours, physicians are often on-call at night and on weekends, which can overburden providers and cause severe burnout. Recruiting one full-time physician can be a challenge for rural hospitals, let alone a fully staffed team required for 24/7 coverage.

Small hospitals have lost physicians because the on-call demands were too great. Dayshift providers are not burdened with call coverage on nights, weekends, and holidays when a Tele-Nocturnist is covering. This coverage has been crucial for small rural community hospitals in retaining highly valued physicians.

At the Tele-healthcare messaging app, nurses and specialists care for patients 24/7. They are well-suited for handling schedules of any kind. Each nurse and specialist understands and values their contribution to hospital care. They work hard to provide excellent patient care, treating every patient with respect and valuing their connection with them.

  1. Reducing Costs 
  • Reduces the need for temporary staff.

Small rural hospitals often rely on locum providers to provide weekend and night coverage. While locums are a valuable resource for sudden staffing emergencies, the costly costs make them an unsustainable long-term solution for the majority of community hospitals.

The use of Telemedicine significantly decreased the amount of locum support costs at partner hospitals. Their revenue also increased; furthermore, patients were treated on-site.

  • The hiring of additional full-time physicians for the night shift and weekend is avoided due to the high cost.
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It has always been complex for rural and small community hospitals to recruit hospitalists and multiple specialists. Salaries are competitive, so they are expensive. Physicians tend to practice in large metropolitan cities, resulting in the current geographic maldistribution of providers.

Researchers noted that some health systems were able to reduce staff spending by 30% or more for specific service lines by leveraging Telemedicine as an alternative to a staffing agency.

  • More patients can be retained, reducing transfers.

Patients must be transported to faraway tertiary hospitals for treatment if local physicians are not available. Patients and their families prefer to receive treatment close to home in their own communities rather than be transferred. Such a transfer may add further stress to the patient.

Whether it’s a husband whose wife has Parkinson’s and is being cared for at home or a single mother whose children require her attention, Telemedicine improves their quality of life by enabling them to stay at home. Keeping patients at home is important to them.

Become a Partner with Hucu.Ai

Reducing the costs of night shifts across multiple rural hospitals is an economical solution for rural hospitals. The on-site staff of any healthcare provider can receive immediate help any time of night or day in addition to their participation in nightly rounds. Quality care through Telemedicine allows medical experts to deliver the best medical resources to their patients around the clock. The medical staff and patients can enjoy comprehensive care day and night, on weekends and holidays, thanks to Telemedicine.

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