Holter Laptop and Exercise Tolerance Equipment Purchase
Laptop for remote monitoring of holter monitors
(Monitoring a patient’s ECG activity over 24-72 hours)
A holter monitor is a device that records the electrical activity of the heart (ECG) continuously over 24, 48 and 72 hours to monitor for arrhythmias, heart conduction changes or heart blocks. The recording is then received by the clinician and is analysed to determine any further care required.
The specialist laptop that has been funded by the Guild of Friends has enabled the cardiac physiology team to monitor the holter, and report holter results from socially distanced locations within the Trust, as well as from home.
The benefit of this is that cardiology staff can be allocated to reporting and will be able to report holters from a more flexible and appropriate environment, rather than a busy office with other competing priorities. This will increase productivity and efficiency of being able to monitor holter monitors and provide the relevant feedback in a timely manner to aid further clinical decisions on a patients care.
Exercise Tolerance Testing Equipment for Paediatric Cardiology
This equipment is an ECG that is recorded while the child is exercising on a treadmill or an exercise bike. The test assesses how well their heart works when they are active and their heart rhythm during physical exertion.
This upgraded system is of a higher specification than existing equipment and will enable clinicians to review test data retrospectively and be able to link the machine with a new bike that has been recently purchased and the existing treadmill. This upgrade will enable the BRHC to link the test results electronically to the UHBW Trust IT system and links to the patient administration system, thus providing greater efficiency to the staff team. This will also enable patients to receive feedback on their tests in a timelier fashion. Additionally, the upgraded system will also support the cardiology department’s agenda to increase its audit and quality assurance of the services they provide, through greater visibility and analysis functions. This will provide additional opportunities for research projects that require exercise tolerance testing as part of their data collection
Phillips MX450 Monitoring System Purchase for Penguin Ward Purchase
Phillips MX450 Monitoring System for Penguin Ward
In today’s complex healthcare environment, the demands on nursing time have never been greater. To care for our population of sicker patients with fewer resources, and to help us make better clinical decisions on the spot, as well as document changes in a patient’s condition at every stage, the Phillips MX450 monitoring system has been vital on Penguin Ward, which is our post-operative surgical ward.
The monitors pick up the child’s heart rate, the amount of oxygen circulating in their blood (oxygen saturations) and their breathing rate. These observations are constantly monitored, and alarm levels are set so that if they fall below a safe level an alarm is sounded. This alarm alerts the nursing staff to there being a change in clinical status which can help to prevent deterioration of the patient, and prevent emergency situations due to early awareness.
The installation of the Phillips MX450 monitoring system enables the team to enhance their outcomes and improve clinical performance in a busy ward environment, as well as better supporting patients who are in their care.
What the monitors show
Thromboelastography (TEG) Machine Purchase’
Thromboelastography (TEG) machine
The TEG machine is a point of care monitoring tool to assess whole blood clotting. TEG assesses the amount of time it takes for a clot to form, the strength of the clot, and stability of the clot.
Results can appear after 10-20 minutes in both number form and also as a graph. The results can guide on Heparin effect on the clotting, if the patient needs clotting factors such as platelets, Cryoprecipitate or plasma, and if the patient’s clots are breaking down too quickly requiring treatment. As the results are quicker than formal lab results, it means we can treat any deficiencies more quickly or find that no blood products are required at that time. By having the results quickly it can also give us a real time report of whether our interventions have been successful, or can allow invasive procedures to happen more quickly.
Since having TEG to guide us, it has helped with clinical decision making in a range of patients from post-operative cardiac patients, to patients on Extracorporeal Membranous Oxygenation (ECMO) and patients on Continuous Renal Replacement Therapy (CRRT). TEG has allowed us to react more quickly to patients who are bleeding, enabling us to give the blood product or treatment to most effectively correct the issue in a timely manner. It allows us to tailor the transfusion process for each individual patient, increasing the chances of correcting a coagulopathy and should prevent wasteful use of blood products.
Several nurses on PICU have been trained in how to use the machine and start a test, and ECMO specialist nurses have been taught about basic interpretation of the results provided. Medics on the unit are able to then look at the results and interpret them to meet patient needs.
Photos of TEG machine
We are extremely grateful to have received a generous legacy donation gratefully received from Mr Guillick who has enabled us to make these recent purchases of specialist equipment for The Bristol Royal Hospital for Children.
Haemodialysis Machine Purchase
In January we received the following from the sister of the Renal Ward…
“Huge thanks to the Guild of Friends for purchasing a brand new AK98 Haemodialysis Machine for Ward 37. Our haemodialysis cohort of patients has significantly increased recently and the new machine (along with others fundraised by The Grand Appeal) has had a significantly positive impact on the lives of these children and their families.
We now have more room for families as the machines are much smaller than their predecessors.
The machines have the most current technology and therefore we can offer our patients the best level of care.
The machines are reliable.
The machines have the capacity to deliver new techniques in haemodialysis therefore allowing us to develop and progress our service and keep striving forward to offer our patients the best evidence based practice possible.
The machines are quicker to set up and close up therefore allowing nurses a bit more time to deliver essential patient care.
"Thank you Guild of Friends we use your donation daily and as a whole unit, staff and families alike, we are grateful for your support.”
We have funded the interior furnishing and equipping of the amazing new Sensory Lodge in the garden of the Play Centre. We have also purchased some much-needed specialist weighing equipment.
This is alongside our ongoing monthly support for the Safe Guarding team, craft equipment purchases for Easter and Christmas, as well as our continued support of the wonderful POD entertainments.
Our former Chair, Helen Thornhill, has been awarded a League of Mercy Award. This was given to Helen for her exceptional voluntary work for theGuild of Friends on which she has served for over 30 years. The League of Mercy Award honours the work of volunteers within various areas of care and recognises their distinguished work.
The photos show Helen with her award and with our current Chair, Jane Tovey.
We are most grateful to various committee members who have run in a 10km race, donated special birthday gifts, dedicated concert proceedings and put us forward to receive funds from a charitable trust…..all these generous donations are so wonderful while Covid has stopped our fund raising. Thank you!
For more details of all this and more please have a look at our support page.
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