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Devices

The IHealth project devices team has worked to find the best and most compatible computer technology for each use of the electronic health record. This page contains a summary of the suite of devices, along with links to more details about each one.  They have been chosen to be compliant with:

  • Occupational Health and Safety
  • Privacy and security
  • Compatibilities with current technologies
  • Operating costs

When planning implementation of EHR technology at Island Health, we encourage you to review the available options, and discuss with the devices specialists what mix will be required for your unit. Please contact the project team directly to initiate ordering of devices.

Working safely with devices

Island Health’s Occupational Health and Safety department has produced resources related to computer workstation ergonomics and safety concerns. For more information on safe set-up and use of workstations and WoWs, click the link see our page on safe use.

Physician Workstation on Wheels (WOW)

Intended roles

Hospitalist, ERP, surgeon, family practice, medical learners, nurse practitioners, midwifery

Cart dimensions

  • 31″ maximum depth
  • 22.38″ max. width
  • 50.5″+ height

Specific workflows

All areas of the hospital including acute and ambulatory

Reason for exceptions

Physical space constraints

Application

Charting in the moment, using Dragon microphone dictation

Benefits

  • mobile
  • ease of infection control
  • provides workspace

Cost

$$$

Integrated Medication Cart (IMC)

Intended roles

Nursing – acute care, primary care with medication distribution

Cart dimensions

  • 31″ maximum depth
  • 22.38″ max. width
  • 50.5″+ height

Specific workflows

Medication distribution

Reason for exceptions

Physical space constraints

Application

Positive patient identification

Benefits

  • mobile
  • ease of infection control
  • lockable drawers

Cost

$$$

Nurse Workstation on Wheels (WOW)

Intended roles

Acute care nursing, allied health professionals, health care aides

Cart dimensions

  • 31″ maximum depth
  • 22.38″ max. width
  • 50.5″+ height

Specific workflows

All areas of the hospital including acute and ambulatory

Reason for exceptions

Physical space constraints

Application

Charting in the moment

Benefits

  • mobile
  • ease of infection control
  • provides workspace

Cost

$$$

Standard desktop

Intended roles

Hospitalist, ERP, surgeon, family practice, medical learners, nurse practitioners, midwifery, acute care nursing, allied health professionals

Specific workflows

All areas of the hospital including acute and ambulatory; non-clinical locations (admissions, NUAs)

Reason for exceptions

Requirement for mobility; spaces without power or network connections

Application

All applications

Benefits

  • capacity for multiple monitors
  • established location
  • processing power

Cost

$$

Tower desktop

Intended roles

Heart health, some laboratory applications, some medical imaging roles

Specific workflows

Commonly used for heart health and imaging applications

Reason for exceptions

N/A

Application

Based on physical technology requirements, e.g. video graphics card or interface card

Benefits

  • capacity for multiple monitors
  • established location
  • processing power

Cost

$$

Notes: Not intended for common use

Workstation

Intended roles

Radiologist

Specific workflows

Required for diagnostic quality use of Inteleviewer and imaging systems

Reason for exceptions

N/A

Application

Viewing of medical images for diagnosis

Benefits

  • application-specific requirements (e.g. additional processing power, graphic card and memory)
  • capacity for multiple monitors
  • established location

Cost

$$$$

Notes: Not intended for common use

Thin Client

Intended roles

  • Anaesthesiology
  • Operating room
  • Fetalink carts

Specific workflows

Operating room

Reason for exceptions

N/A

Application

Charting and chart review in the moment

Benefits

  • avoiding restarts
  • fanless – useful for infection control

Cost

$

Notes: Not intended for common use. Not generally intended for applications with high multimedia requirements or unique application combinations, nor applications requiring specific hardware add-ons (graphic cards, etc.)

Tablet (running Windows)

Intended roles

Community health worker

Specific workflows

Community health work

Reason for exceptions

N/A

Application

View only; limited data entry

Benefits

  • mobile
  • touch screen

Cost

$$$

Notes: Not intended for workflows with heavy input requirements, or concurrent presentation of large amounts of data (e.g. PowerChart)

iPad

Intended roles

Bring your own device (BYOD) only

Specific workflows

N/A

Reason for exceptions

Requirement for mobility; spaces without power or network connections

Application

N/A

Benefits

  • N/A

Cost

$

Notes: Not intended for workflows with heavy input requirements, or concurrent presentation of large amounts of data (e.g. PowerChart). Prior trials have demonstrated the devices go missing, break, do not perform as expected in terms of screen size and usability under the current application sets. 

Standard Laptop

Intended roles

Non-clinical leadership; some allied health; respiratory therapists

Specific workflows

Non-clinical leadership; only considered for allied health when space for other device types is unavailable

Reason for exceptions

Physical space constraints; spaces without power or network connections

Application

Charting in the moment

Benefits

  • mobile
  • transportable between sites

Cost

$$

Notes: Not intended for clinical spaces, full-shift work, non-incidental use; not intended for workflows with heavy charting and data entry requirements, concurrent presentation of large amounts of data (e.g. PowerChart). Occupational Health & Safety has identified concerns with long-term use of laptops for a full day’s use. Because the screen and keyboard are close together they induce chronic ergonomic problems. 

Specialty Workstation on Wheels (WOW)

Intended roles

Telehealth

Specific workflows

Videoconferencing

Reason for exceptions

Telehealth / Video conferencing; dialysis clinic

Application

Telehealth applications (BC Virtual Visit, video-conferencing systems )

Benefits

Simultaneous display of video and application

Cost

$$$$$

Notes: Not intended for common use