St. Antonius Hospital

MultiBel at St. Antonius Hospital

Before MultiBel was used, alarms were made by telephone with conventional call lists and call circles. The disadvantage was the duration and management of a wide diversity of lists and keeping them up to date.

MultiBel is very user-friendly after gaining some experience. A very specific alarm can be programmed with simple building blocks. The support by MultiBel is personal and service-oriented. The online manual provides clear instructions.

Hospital Disaster Relief Plan (ZiROP)

In the first instance, MultiBel is only used for the initial alarms within the Disaster Response Plan. Because continuity issues arise in daily practice, the need has gradually arisen to deploy MultiBel Alarm more widely. Even as an extension of regular patient care. One spell is central to all MultiBel scenarios:

Time savings on alarming promote quality of life.

The newest applications (outside the Disaster Response) of MultiBel within St. Anthony are:

Full house procedure

In the Netherlands, many Emergency Departments face capacity problems due to shortages on the labor market. Many Emergency Rescue Assistants fill up quickly, as a result of which the ambulance service has to drive further to be able to discharge patients. The loss of time that occurs with this can ultimately be at the expense of the patient’s quality of life.

To ensure the flow of patients within St. Antonius, MultiBel is used to indicate to the various partnerships that the Emergency Aid is at risk of filling up and that people will have to be referred unless capacity can be made available. On the other hand, the partnership can also indicate to the emergency department that capacity problems arise in the department of medical specialism.

All members of the partnership have been introduced for this purpose, and scenarios have been drawn up within MultiBel. Both the emergency department and the partnership can start an alarm scenario.

Medical substantive procedures:

• thrombolysis

In thrombolysis, the benefit of using MultiBel is that a multidisciplinary team is ready at the ambulance entrance in time to receive and treat a thrombolysis patient. Because a pre-announcement of the emergency ambulance care is followed internally by a MultiBel call, the necessary team has the opportunity to prepare themselves, which saves time and is ultimately in the interest of the patient. He will receive the necessary medical care as soon as possible.

That time savings can be life-saving. MultiBel ensures that we do not have to reach several officers separately. With one action we immediately alerted the relevant group and also informed them. Darabij is the profit that you can immediately give any details in case of an alarm.

• rethoracotomy

The St Antonius hospital owes its fame largely to the high-quality heart-lung surgery. A substantial part of the patient population within this specialty undergoes heart-lung surgery at a rather complex level. Occasionally, a serious complication could arise that gives the acute need to open the patient’s chest cavity within half to one minute to accelerate emergency medical intervention. There is then not even time to transfer to an operation complex, in most cases it is necessary to perform the rethoracotomy in the cardiology nursing department on site.

The faster the better.

In addition, the clinical chemical lab technicians must provide transfusion blood as soon as possible in order to compensate for blood loss. There too “every second counts”.

With a conventional alarm by telephone list, it was possible that the alarm of a multidisciplinary team was 6 to 8 minutes. In fact you are already too late. With the Rhetoracotomy bell scenario, the St. Anthony quickly alert the team concerned and inform you very precisely which department, which room number and which patient it concerns. That information can also be critical to ensure that the team may already have 15 seconds of running gains.

MultiBel is regularly used and also intensively practiced. At St. Antonius, the experience is that a high frequency of practice immediately gives a higher confirmation percentage of the people called up.