Friday, March 6, 2009
HIPPA'ed Intraoperative radiology
In a stroke of high tech brilliance our hospital now has all digital xrays. All you have to do is pull them up on the computers in the operating rooms. In the old days, you put all the films on the viewing boxes so that in the surgical case you could look over and see all the films. Now, you have to pull them up on the computer. Of course on the computer to look at the different films you have to just scroll through them. Oh, wait a minute. If you are operating you are sterile so you have to have someone scroll through the films for you! To add to the confustion, HIPPA is concerned that someone might accidentally see the films so the computer goes to sleep and you must re-enter the passwords to see the films every few minutes. This ties up the circulating nurse up as she now is the "mess with the computer nurse" in addition to other duties of constantly filling out the JACHO paperwork. Then of course, the computer decides to not talk to the server and crashes when it tries to autoupdate in the middle of the case. I never had the old xrays and ct films "crash" in the middle of the case. I did have one fall on the floor once. The nurse just picked it up and rehung it. When the computer crashes she has to reboot it, call tech support (in India) and spend an hour trying to fix the problem. The last case, I had to unscrub and go to radiology to look at the films on the main system because the whole thing had crashed. Of course it was an emergency case in the middle of the night. Aint technology wonderful, especially when the government gets involved!