1-21-2021 Question on Nurse Calls.pdf

Questions that were asked on January 21, 2021

Mainly pertaining to Nurse call stations and Smart Bed requirements,

1. To prevent call blocking between patients and their caregiver/nurses’ station, will no more than two beds be allowed onto a dedicated room control board?

2. Will each room control board then have a dedicated home run cable to the unit server without daisy chaining more than two beds together?

3. Is the staff control screen digital with the capabilities to have icons placed on it to cancel a patient call?

4. Is the staff control screen digital with the capabilities to have icons placed on it to alert Rapid Response

Teams?

5. Is this staff control screen digital with the capabilities to have icons placed on it to alert EVS?

6. Is the staff control screen digital with the capabilities to have icons placed on it to alert Security?

7. Is the staff control screen digital with the capabilities to have icons placed on it to call room to room for assistance?

8. Will the VA Portland consider using a wireless connection between the beds and the call system as an alternative to a 37-pin bed connection? This will cut down on the initial cost of deploying and maintaining the nurse call system.

9. Will the corridor dome light utilize a three zone multicolor visual communication reference to communicate Patient call?

10. Will the corridor dome light utilize a three zone multicolor visual communication reference to communicate Caregiver in the room?

11. Will the corridor dome light utilize a three zone multicolor visual communication reference to communicate Falls risk patient?

12. Will the corridor dome light utilize a three zone multicolor visual communication reference to communicate Patient elopement from bed?

13. Will the nurses station also be required to provide a status board for visibility to caregiver location on the floor and Smart Bed status and alarms?

14. What is the manufacturer of the Real Time Locating System (RTLS) currently in use?

15. Will the new nurse call system be connected to the automatically cancel the patient call when a caregiver responds to the call and enters the room?

16. Per DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, Hillrom ensures employees supporting Cybersecurity functions are appropriately certified. Whereas I. below suggests that Hillrom’s Voalte Nurse Call shall be an appropriately and satisfactorily cybersecurity engineered and tested, technical capability, it is presumed that, here, in G., the “DOD security clearance” (a personnel approval process) requirement is thusly applied to personnel requiring remote and/or administrative access with certain privileges. If this clarification is correct, would the VA sponsor said clearance process, or shall the persons be “DoD cleared” as a condition of award?

17. Pursuant to DD FORM 2875 “SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR),” would the VA require IAT Level II access?

18. If the VA will not require IAT Level II access, what level will be required?

19. For proof of cybersecurity awareness training, a DoD requirement for privileged system access and support of clearance maintenance, does the VA have access to the DoD’s Joint Knowledge Online (JKO) website for verification?

20. If does the VA does not have access to the DoD’s Joint Knowledge Online (JKO) website for verification not, what VA-provided cybersecurity awareness training would be required?

21. If does the VA does not have access to the DoD’s Joint Knowledge Online (JKO) website for verification not, what VA-provided Security certifications will be required?

22. While it is assumed that the DoD’s rigorous requirements for cybersecurity engineering as well as testing satisfy the VA’s 6550 requirements (and presuming that Section I above applies, instead to a technical systems approval, and not personnel, privileged access approval, to what degree does the VA reciprocate the DoD’s compliancy with its Host Based Security Service (HBSS), Public Key Infrastructure (PKI), FIPS 140-2 compliant encryption, Information Assurance Vulnerability Management (IAVM), and Information System Continuous Monitoring (ISCM) Strategy initiatives?

23. Will the communication of safety alerts to these wireless devices (at a minimum) communicate Bed Exit alarm going off?

24. Will the communication of safety alerts to these wireless devices (at a minimum) communicate Brake is not set reminder?

25. Will the communication of safety alerts to these wireless devices (at a minimum) communicate Side Rails are not up per VAMC protocol?

26. Will the communication of safety alerts to these wireless devices (at a minimum) communicate Bed is not in the low and safest position?

27. Will the VA Portland consider using a wireless connection between the beds and the call system as an alternative to a 37-pin bed connection? This will cut down on the initial cost of deploying and maintaining the nurse call system.

28. Will the Nurse Call System be required to capture and report on the weight of the patient provided from the bed data?

29. Will the Nurse Call System be required to capture and report on the status of the brakes provided from the bed data?

30. Will the Nurse Call System be required to capture and report on the status of the side rails provided from the bed data?

31. Will the Nurse Call System be required to capture and report on the degree of the head rest provided from the bed data?

32. Will the Nurse Call System be required include graphical touchscreen nurse workflow station with A/B bed soft toggle selection option?

33. Will the Nurse Call System be required include Automatic Nurse Call and Bed Cancel upon nurse entry into the room and automatic re-arm of alarms/alerts for nurse call and Hillrom smart beds?

34. Will the Nurse Call System be required to include a native interface with Cerner and the existing Hillrom smartbeds for automatic alarm set, automatic alarm reset and clinical documentation?

35. Will the nurse call system be required to consume demographic information via HL7 ADT to define the Hillrom Smart Bed Alarm state?

36. Because Soft button code option is not acceptable due to 508 compliance, Will the Nurse Call System be required to include physical down pull Code Blue lever on the graphical touchscreen patient status station?

37. Will the Nurse Call System be required to include a dedicated Room Control Board setup which maintains a single-point-of-failure?

38. Will the Nurse call system be designed to prevent from connecting more than 2 beds in a daisy chain to minimize system outage in the event of component failure?

39. Will the Nurse Call System be required to include a graphical touchscreen patient status station near each patient bed or beds in each patient room to provide graphical icons representing the alarm, alert, and soft button state of the patient in that bed?

40. Will the Nurse Call System be required to include a graphical touchscreen patient status station near each patient bed or beds in each patient room to provide graphical icons representing the alarm state of the patient in that bed?

41. Will the Nurse Call System be required to include a graphical touchscreen patient status station near each patient bed or beds in each patient room to provide graphical icons representing the alert state of the patient in that bed?

42. Will the Nurse Call System be required to include a graphical touchscreen patient status station near each patient bed or beds in each patient room to provide graphical icons representing the soft button state of the patient in that bed?

43. Will the Nurse Call System be required to include an all in one pillow speaker and 37 pin smartbed plug?

44. Will the Nurse Call System be required to include graphical touchscreen patient status station that must display visible, graphical icons (not just text)?

45. Will the Nurse Call System be required to include graphical touchscreen patient status stations that can support dual bed functionality from one screen?

46. Will the Nurse Call System be required to include Hillrom smart bed safety status indicator displaying patient weight?

47. Will the Nurse Call System be required to include Hillrom smart bed safety status indicator displaying side rail status protocol being met?

48. Will the Nurse Call System be required to include Hillrom smart bed safety status indicator displaying brakes on or off?

49. Will the Nurse Call System be required to include Hillrom smart bed safety status indicator displaying bed exit alarm on or off?

50. Will the Nurse Call System be required to include Hillrom smart bed safety status indicator displaying bed in lowest position?

51. Will the Nurse Call System be required to provide a graphical touchscreen patient status station that shows the Reposition ETT and Extremities on the touchscreen next to each smart bed?

52. Will the proposed nurse call system be required to OIT TRM approved?

Response from VA, The majority of these question do not relate to what we currently have installed at this location in the Syracuse VA. The work being done in this area needs to interface with the existing nurse call system. Any additional materials needed to complete this renovation need to match the existing system with same call stations, and indication lights. The beds in these rooms are not smart beds the model of these are “Hill Rom Care assist ES”, they do not communicate with any other devices. The existing Nurse Call is a Rauland system Model Responder. There are corridor multi-function dome lights, and hallway annunciation panels that show a lite alarm. The pictures below show the installed items that are in this area to be used as a guide to match.

Thank you,