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922-020 – MCS 5100 Rls.4.0 Installation and Commissioning Practice Test

MCS 5100 Rls.4.0 Installation and Commissioning

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Test Number : 922-020
Test Name : MCS 5100 Rls.4.0 Installation and Commissioning
Vendor Name : Nortel
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Use of cell and wireless know-how Jumps in Hospitals | 922-020 Cheatsheet and boot camp

Dec. 7, 2006 | expertise replace: besides the fact that adoption of digital health data (EHR) and different medical IT remains relatively anemic, at least one aspect of health-IT has taken big steps ahead in the last few years: the use of mobile and wireless technology the place decisions are proliferating.

“This in reality is the third generation of wireless in healthcare,” says Neil Martin, M.D., chief of neurosurgery on the David Geffen faculty of medication on the college of California, los angeles. docs and other healthcare gurus have improved from pagers to simple cell phones and now to statistics-enabled “smartphones.”

bear in mind very own digital assistants (PDAs) with docks or infrared beams for synching? it truly is soooo Y2K. Even Wi-Fi cards for desktop computers have all started to appear dated.

“we now have viewed evolution from cradle synching,” says Mireille Gotsis, a Redmond, Wash.-primarily based healthcare industry supervisor for Cingular instant (Atlanta). Physicians have been buying and selling of their old, disconnected PDAs for modern PDA smartphones with cellular integration and built-in Wi-Fi and Bluetooth wireless performance to be used inside the clinical environment.

“Now everybody is asking at the shiny, new gadgets that provide these built-in capabilities,” Gotsis says. “You are attempting to attain the medical professional or the clinician anyplace they are.”

And practitioners need to be reached. “As a neurosurgeon, i am everywhere the health facility,” Martin says. “I wager i am the optimal cellular knowledgeable.” And he needs more than vmail.  Martin wants access to pictures when consulting on patients in essential care.

An MRI or CT scan viewed on a PDA or smartphone can also no longer be diagnostic-fine for a radiologist, but for a neurosurgeon or other professional assisting to treat lifestyles-threatening emergencies, the resolution is just pleasant, in keeping with Martin. He says that a smartphone monitor just happens to be in regards to the measurement of one square of a 12-graphic MRI movie, which is good enough for him.

“We’re not trying to find tiny things after we’re referred to as about adjustments to patients in intensive care,” Martin says. “The issue is not: Will you miss some tiny details? The problem is: can you entry the information if you happen to get known as from the ER? there may be got to be a real-time option to get the counsel.”

along with his all-in-one cellular gadget, Martin can study EKG wave kinds from afar, now not simply lab experiences, allowing him to alert the working room that a patient is on the way. “It shortens the resolution cycle,” Martin says.

“It eliminates unnecessary trips to the clinic,” he says. In congested southern California traffic, that’s an important plus.

because the hardware has advanced, so has the network infrastructure in the back of it. It has been viable for years to connect a cellular phone to a computer modem and get dial-up internet access from well-nigh anyplace, however anybody who has cable or DSL internet service at domestic knows how painfully sluggish a fifty six-kilobit-per-2d (kbps) dial-up connection can also be.

Three years ago, it used to take 30 seconds to switch an image over cellular airwaves. by way of subsequent year, Martin expects down load time to cut back to a mere three seconds, because of a brand new technology of wireless broadband expertise. “Now the know-how that they expected years in the past is possible,” says Martin, who also is chief scientific officer and co-founder of international Care Quest, a mobile healthcare software developer in Aliso Viejo, Calif.

He says that the networks of Verizon instant and sprint Nextel had been upgraded enormously, based on a data-transmission protocol called Evolution facts Optimized (EVDO).

Late final month, sprint upgraded its broadband network through debuting EVDO Revision A within the San Diego area, and the enterprise announced plans to add 20 additional markets through yr’s conclusion and to have the quickly statistics change obtainable nationwide with the aid of the third quarter of 2007.

Revision A of the know-how increases down load velocity a little, to about 450-800 kbps, however hurries up upload velocity to 300-four hundred kbps, roughly six instances faster than the outdated latitude. height down load speed may “burst” as high as 3.1 megabits per 2nd and uploads to 1.8 Mbps, in keeping with Verizon and expertise associate Nortel. Verizon has not referred to when it intends to movement to Revision A.

“it’s going to supply us DSL pace over a mobile community,” Martin raves.

For its half, Cingular has high-velocity information networks in 52 metropolitan areas the use of a protocol referred to as commonplace cellular mobile system/high velocity Downlink Packet entry (UMTS/HSDPA). These networks deliver sustained obtain speeds of four hundred-seven hundred kbps, with bursts topping 1 Mbps.

whatever thing as quick as domestic DSL definitely cannot compete with a neatly-developed clinic community, however pace is relative. in the hospital, physicians would cease the usage of instant devices if it took a several seconds to drag up an image. “if you are sitting in a restaurant a half-hour from the clinic, taking 10 seconds doesn’t appear so dangerous,” Martin says.

One problem is easing the transition between huge-enviornment networks like mobile broadband and native-enviornment networks equivalent to a Wi-Fi hot spot, Gotsis says. She mentions a Seattle-based business known as NetMotion wireless that has developed a cellular digital private community (VPN) peculiarly for healthcare and public-security usage to smooth the handoff between instant WAN and LAN environments.

previous this 12 months, Cingular launched workplace attain a product that connects wireless devices to latest PBX mobilephone systems, enabling a cell phone to work like simply another internal telephone extension. “we now have considered rather a little of pastime there,” Gotsis says.

quickly, mobile data networks should be capable of observe a person’s presence on a VPN. If a person is busy updating data, that adult isn’t instantly available for one more appointment. “This in fact helps with the scheduling of a homecare nurse,” Gotsis says.

Cingular is also trying out a web-based technology called IP Media Subsystem (IMS),  that allows you to allow the simultaneous transmission of voice and statistics; as an instance, a person in a clinic may send pictures and verify results to a remote, consulting health professional. If the medical professional has a close-by desktop with Bluetooth connectivity, the cellular telephone may characteristic as a modem while the doctor is speaking.

area-via-place introduction of here’s deliberate starting in 2007, Gotsis says.

Laying the groundwork for such future innovations, the university of Chicago Hospitals put in a complete instant infrastructure, overlaying about 95 percent of its campus — including the hallways, stairwells and elevators in its older structures — on distinctive frequencies.

Even phone alerts are now as strong deep inner getting older constructions as they are within the college’s gleaming, new toddlers’s hospital. “We additionally found that their pagers and radios work flawlessly,” says vice chairman and chief tips officer Eric Yablonka.

“Mobility within the constructing is important,” Yablonka explains. The health center has replaced its historical paging equipment with instant IP phones for those on the movement. The flooring are quieter and clinician response is sooner. “And the nurses adore it,” Yablonka adds.

Campus protection is instant-enabled, and some other building capabilities such as lighting fixtures and HVAC might go wireless if management desired to make the switch, Yablonka says. The infrastructure is secure and potent enough that Yablonka is comfy presenting instant internet access to patients and friends on a segmented a part of the community that doesn’t compete with vital medical institution systems.

“here is a disruptive, enabling know-how,” he says. during this case, disruptive is a favorable in that it challenges historical, inefficient techniques of doing issues.

it is precisely the manner it would be, suggests Intel senior healthcare strategist Ron Ribitzky, M.D. “Mobility by using itself isn’t a panacea for the beginning of facts,” Ribitzky observed in a fresh Webcast geared up by using ambulatory digital medical facts (EMR) dealer Allscripts. Mobility only makes it possible for start.

“If they do not take into account the company proposition, it will no longer work,” Ribitzky says. what’s the desired effect of IT investment? It may be monetary, it may well be clinical great development, or it could be workflow optimization to permit outcomes measurement.

In his view, mobility has three add-ons: tagging, moving, and connecting. Tagging is the capacity to identify and account for what’s relocating, Ribitzky says. “the key element is to permit americans to hook up with the facts from at any place they are.”

For Albert Einstein Healthcare community, a part of Jefferson fitness system in Philadelphia, the purpose of IT was more accurate cost capture and better communication between greater than two dozen sites.

every of the 60 clinicians contains a Hewlett-Packard iPaq PDA loaded with an Allscripts e-prescribing module and linked to an IDX scheduling equipment. constructed-in instant connectivity allows can charge seize at the aspect of care.

The follow created “exploding units” that open up customized templates and populate numerous records fields as a doctor clicks on a specific technique or order. “we’re a lot less more likely to omit [charges for] procedures that are being achieved,” explains scientific director Julie Massey, M.D.

The prescribing part connects in real time to payer formularies, gives interaction signals, and may learn health practitioner “favorites” to store time sooner or later. The gadget also gives practitioners pursuits clinical reminders for particular sorts of affected person visits.

Massey reviews that physicians in the beginning had been reluctant to take over can charge seize from office staff, and it often takes a couple of months for brand new doctors to program their favored medications into the equipment. “as soon as they get over that studying hump, physicians like it,” Massey claims. They now not need to fill out paper encounter slips, and the expenses are submitted electronically so claims are cleaner.

and there is an additional side benefit of the mobile devices. “Our kids, in particular, just love us carrying round their iPaqs,” says Massey, a pediatrician.

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