With the Patient Is In app for the doctor, you can perform the following:
First, make sure that nearby there is an iPad on to which the the charge nurse app is installed and properly configured. Also make sure that your iPhone is using the same WiFi network as the iPad. Enure that you are logged in and using a unique iCloud account.
The first step in the setup process is to configure the Patient is in app with the correct iOS permissions. When you launch the app, you will be presented with a request to allow the app to receive Notifications and Critical Alerts. If allowed, you will receive a notification or critical alert when the charge nurse sends you a patient assignment, changes your team participation, or an authorized patient requests a FaceTime call, ECG review, or streams his live pulse to your device:
The Critical Alerts permission authorizes the doctor app to play critical sounds that ignore the iOS “Do Not Disturb” feature and your iPhone’s mute switch. You will learn how to customize notifications and critical alerts in a later section:
You will be prompted to authorize the app to access your location. This is required during setup so that the charge nurse app can authenticate your iPhone from the iPad app. The location of your iPhone is also used to streamline checking-in with the charge nurse. Rather than updating the charge nurse in person or calling her when you go on break, you can have the doctor app automatically update her with your on-site or off-site location. And lastly, your location is used to allow or deny your colleagues to contact you via FaceTime if you are off-site. Tap authorize “Always Allow” to allow the charge nurse to be automatically updated with both on-site and off-site location. Alternatively, authorize “Only While Using the App” to update the charge nurse with your location only when the app is in use. The benefit in selecting “Always Allow” is that you will still can customize if and when the charge nurse is updated with your location. The privacy of your location is always under your control. Location updates are discussed is a later section:
You will also be prompted to authorize the app to use Siri to enable you to respond with your voice to patient assignments. You may use accept or reject assignments using Sir from your iPhone, your Apple Watch, and nearby HomePods:
Finally, you will need the charge nurse version of the Patient is in app to authorize your device. In the Settings view, add your preferred name and FaceTime contact information. After the charge nurse authorizes your iPhone, tap the “Ask to Join a Facility” button. In a few moments, your facility information will be transferred from the charge nurse app to your app and you will be authorized to receive patient assignments:
With iOS 12, Apple introduced Critical Alerts which are high priority notifications which ignore the iOS “Do Not Disturb” setting and your iPhone’s mute switch and will play a critical sound at a higher volume than regular notifications. The app uses Critical Alerts to ensure that you hear your patient assignments, team alerts, and patient requests. Tap on “Notification Settings” to choose to use regular notifications instead, a default sound or a verbal announcement, or change the volume of a critical alert:
You may also configure the notification and critical alert settings from any notification:
You can configure the doctor app to inform the charge nurse of your on-site and off-site location:
On-site location update feature was requested by doctors who work at large medical campuses and want their charge nurse to know their location prior to being assigned to a patient. As we see from this screenshot from the charge nurse app, since the doctor requires 30 minutes to walk across the campus, it would make more sense to assign an alternative doctor and reduce patient wait time:
The off-site location update feature was requested by sole practitioners who might have to drive to the office for emergency surgery during the weekend and want the charge nurse to see their location on a live map.
On-call doctors have the option to allow their colleagues to call them with FaceTime audio or FaceTime video:
and can disable this feature when their shift has concluded.
When your charge nurse sends you a patient assignment, you will receive a notification or critical alert on your iPhone or Apple Watch:
You can respond directly from the notification or from the app:
You can confirm or reject an assignment using Siri:
When your charge nurse assigns you to a team or removes you from a team, you will receive a notification or a critical alert:
You can view your team assignments on the “Today’s Staff” tab:
and you can also view the members of a team which may include both your colleagues and patients if you are part of a care continuity and remote patient monitoring team for cardiac patients:
In the example below, several patients are live streaming their pulse to their cardiac team:
Adjacent to the names of some of the team members is a FaceTime icon which means that they are available for a FaceTime call. With one-touch a FaceTime call with be placed without the need for their contact information to be stored in your address book.
If your charge nurse has assigned you to a remote patient monitoring team for cardiac patients, then patients may send you a FaceTime conference call request:
an ECG analysis request:
and stream their pulse directly to your device:
When requesting an ECG report analysis, the patient app will also securely transmit both the ECG PDF report and the last 24 hours of heart rate data to provide context to the ECG. To view the ECG PDF report or the heart rate spreadsheet file, launch the built-in iOS Files app and expand the “Patient” folder:
Patients may also send their updated heart rate data prior to an appointment. In that case you will need to manually refresh the Today’s Staff view so that the latest files are made available in the Files app.
Please contact us if you have questions about your data privacy.