Creators of the Quiet ICU

Training Guide

Our mission is to decrease the bedside nurse’s workload.

CalmWave was selected by your medical and nursing leadership to help produce a quieter environment and decrease the cognitive overload associated with excessive alarming of bedside monitors. Our recommended parameter adjustments have been approved by your medical and nursing leadership. No additional physician order is required to make a vital sign monitor setting change.

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Creators of the Quiet ICU

Training Guide

Our mission is to decrease the bedside nurse’s workload.

CalmWave was selected by your medical and nursing leadership to help produce a quieter environment and decrease the cognitive overload associated with excessive alarming of bedside monitors. Our recommended parameter adjustments have been approved by your medical and nursing leadership. CalmWave was designed by clinicians, for clinicians.

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Getting Started

When assessing your patient or settling a new admit, log in to the EHR as normal.

Then, log in to CalmWave by going to your browser and clicking the following button:

calmwave-wellstar-login-button

You’ll see the following screen, where you will use your WorkDay login to access CalmWave via single sign on (SSO):

calmwave-wellstar-login

Please check CalmWave every 2 hours or during each patient assessment for recommended setting updates. The circle with a number in it signals there is a CalmWave recommendation for that patient.

Threshold Manager

If you were in the EHR of the patient in 307, for example, and there is a CalmWave vital sign monitor setting recommendation, the screen will look like this:

Setting-Recommendation

You will only receive a recommendation when you’re in a specific patient’s chart. For example, you won’t receive a recommendation for the patient in 308 while taking care of the patient in 307.

CalmWave will never make a Vital Sign change recommendation that’s outside of the physician’s orders. For example, if the order states that titrate dopamine should have a SBP of greater than 90, then CalmWave will never recommend an alarm limit for an SBP of 89.

CalmWave Recommendations

Responding to Recommended CalmWave Settings
Recommended Settings
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See the new recommendations in the Recommended Settings Component (above).

changing vital sign settings
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Make one vital sign change at a time on the patient’s bedside monitor.

Recommended Settings
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Click “Done” on the Recommended Settings Component.

Recommended Settings
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The “Done” button will change to “Monitor Adjusted,” then go away once the changes have been validated by CalmWave.

In the Recommended Settings Component, you can find a tutorial on how to make changes under “How to Adjust Monitor”.

How to Adjust Monitors

Once selected, the following linked tutorial will appear:

Tutorial-and-Guide
Reject Recommendation
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See the new recommendations in the Recommended Settings Component.

reject recommended update
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Make one vital sign change at a time on the patient’s bedside monitor.

Recommendation Rejected
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Click “Done” on the Recommended Settings Component.

Understanding CalmWave’s Recommendations

Click inside the navy blue box to see the patient’s data:

Recommended settings updates

First, select your desired “Lookback” Time. The selected timeframe will be applied to all the vital signs.

AI for hospital management

In this example, the patient has received IV Sedation, Blood Products, Diuretics, Hemodynamic Support, and IV Fluid medications in the last 12 hours.

AI for hospital management

Click on the farthest right green square inside the vital sign graph to see CalmWave’s rationale for the most current recommendation.

AI for hospital management

Here is where the current Upper and Lower Heart Rate limit is set, along the patient data that supports the new CalmWave Recommendation (CWO).

AI for hospital management

Now that you’ve seen the Vital Sign data, you can accept the CalmWave recommendation for APBD, adjust the monitor, and click “done”.

AI for hospital management
AI for hospital management

Clicking on the green box reveals CalmWave’s 5 Safety Gates.

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CalmWave will never make a Recommendation unless all five safety gates are met.

why an ABPD low limit update to 42 was recommended

CalmWave shows how many monitor setting recommendations there are at a glance:

threshod settings

Changing Your View

For Charge Nurses or Nurse Managers who want to see at a glance how the unit is doing:

unit
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Select the “Unit” lens in the left side Navigation

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Select the “Threshold Manager” view in the top Navigation

Here is the view of the entire unit, where the Charge Nurse and/or Nurse Manager can see which patient assignments are alarming the most and require more support. A circle with a number in it indicates that CalmWave has a recommendation for the patient.

Unit Lens

A Nurse can also look at previous CalmWave Recommendations by clicking on the green squares earlier in the timeline.

AI for hospital management

Additional Support

CalmWave support is available 24/7, 365 days a year.

+1.888.688.5098

support@calmwave.ai

Designed by clinicians, for use by clinicians.