Description:
Number of Pictures: of
. General
Nightingale is a signalling system for nurse call, which enables command and control
Have up to 256 end units. Elements are connected in parallel on a single cable with4
Leads.
Nightingale provides advanced patient-nurse signalling and interphones
Communications at an affordable price to hospitals and nursing homes. Easy to
install and economical to operate. Patient ward, room, bed and priority status are
displayed on the station screen. Waiting calls are automatically stored in non-
volatile memory, in order of priority with date and time.
Nightingale is user-programmable, so it can always deliver the service which best
fits the immediate need.
Nightingale is a modular system and can be easily extended.
1.1 Main properties of the system
* Only 4 wires being required to carry supply current and signals
* Receiving of call indication on the bed level
* Display of calls, including number ward and room, number of bed/toilet,
intercom call, including the date and hour of the event.
* Real confirmation of indication (from the system) by output on the bed, room
overdoor and/or corridor level.
* Different approach to calls from bed, calls from the toilet or emergency calls to
Doctors staff with distinct tones and visual indication.
* Programmed canceling of calls on each one of the levels.
* Silencing of a siren for a programmable period of time.
* Direct talking connection of indication intercom to nurse station.
* Possibility of calling from nurse station each intercom position separately.
* Use of a single system for a number of wards, while receiving an indication of
the ward number in addition to the room and bed numbers on the operating
board at nurse station.
* It is possible to transfer control between different nursing stations in the facility.
The flexibility is important during nighttime operation or periods of low census.
* Possibility of combining a number of wards on each operating board, including
dynamic change.
* The system interface with several pocket page systems to instantly notify staff
of incoming calls.
* Display of the history of calls as well as cancellation times (time of arrival of
the nurse to the patient), mute times, failures and
intercom calls.
* Current printing of calls, cancellations, mute and failures as well as printing of
the history Log on a printer.
* Connecting of up to 32 operating boards to control the system.
* Special working mode for the Sabbath. In this mode, the system enters
automatically the Sabbath condition on the beginning of Sabbath and quits
this condition at the end of Sabbath.
* The "Tsomet" Institute, headed by Rabbi Israel Rosen, has approved the
Sabbath operation of the system.
2. Structure of the system
Nightingale system requires minimal wiring which means less time, less labor, and
less cost to install. The system's circuits are modular in design so they're easy to
maintain and service.
The system consists of the following submits: (see figure 1).
SYSTEM BLOCK DIAGRAM
2.1. Main control unit
This unit, the core of the system, is connected to a voltage of 220V and a
chargeable battery and, in turn, end units, a printer, a computer, operating
boards for the nurse station and operating boards for wall mounting are
connected to the unit.
2.2. End units
The end units are digital units, interconnected in parallel on a common
Multiplex line that leaves the system.
The cards are coded by dipswitches to obtain indications. There are 4 types of
Cards:
2.2.1. Input cards
These cards are designed for connection to call buttons installed at
bedside or in the toilet as well as for connection to call cancellation
buttons and emergency buttons for calling of medical personnel.
2.2.2. Output cards
These cards are designed for connection of call indication lights (a
single call, section indicators, some combination of calls or direction
indicators) and/or acoustic devices and intercom operation.
2.2.3. Input/Output cards
Cards for combination of calls and indication lights,
calls+indication+call cancellation, calls and intercom or
calls+intercom+call cancellation.
2.2.4. Buffer separating cards
Cards that isolate the line leaving the main control unit from the
Multiplex lines that leave them, thus enabling isolation of failures.
Failures occurring in the units connected to the Buffer separators will
generally not pass to the main line and will not disturbs the entire
system. Short circuits between lines beyond the separator will not
affect the preceding lines. The separators also serve for restoration of
signals and amplification in long and/or noisy lines.
2.3. Operating boards
All operating boards are connected in parallel. The operating boards enable:
temporary delay of a siren until arrival at the patient's bed, various displays,
history as well as more complicated operations, such as temporary cancellation of
calling stations and system programming. Via the operating boards intercom
connections to each bed and listening to the patient's bed can be performed.
There are two types of operating boards
2.3.1. Wall-mounted operating board
An operating board with an illuminated alpha-numeric screen permits
display of events (calls), including the time of the event as well as
faults, cancellations and delay of the siren. Displays historical
events.
2.3.2. Operating system for the nurse's station
A sloping box with a large illuminated alpha-numeric display. In addition
to the functions included in the wall-mounted operating board, the box
contains an internal loudspeaker volume control, a separate
pushbutton (not on the keyboard) for siren mute and telephone handset
for clear 2-way conversation.
3. The system has 3 operating modes
- A Programming mode: for programming of the system parameters - intended for
the installer.
Walk-Test mode: user friendly checking and operating every input and output.
-An operating mode: which is the normal condition of the system in operation -
intended for the user.
4. The system operates as follows:
4.1. The patient pushes the call button in his room.
The call is received in a number of modes:
1. A light is turned on at the Bed/Room/Corridor.
2. A message is recorded on the nurse's screen and a buzzer sounds at the
nurse's station.
3. The higher priority patient bed interphone is automatically connected.
4. The call is received by a beeper (option).
5. Nurse responds by pressing on the mute button of the console. Muting is
automatically canceled after a presentable time delay, or when a call button in
the area concerned is actuated.
6. Nurse enters to patient room and presses on the button at the door or bed
unit. This cancels the call but allow buzzer signals from other calls to operate.
4.2 Patient's call from the toilet (emergency) or nurse initiates emergency call:
1. Fast blinking light above the room.
2. A message is recorded on the nurse's screen, rapid sound of the buzzer at
the nurse's station.
3, 4, and 5 as above.
The call is displayed at the nurse's station: on the level of room or bed, date
and hour of the call as well as any operation performed in the system. Silencing
of the alarm is recorded as well as the hour and date of cancellation of the call
from the room, faults and mute are also recorded.
The Buzzer at the nurse's station after pressing silencing button (mute) will
repeats itself at intervals that can be programmed by the installer. Final
cancellation of the call will take place only from the calling room by pressing a
cancellation button. The nurse may abolish call buttons as she chooses.
4.3. Printer link:
An optional printer link can log to paper continuous and history report of system
status and any occurring events. All activities done by the user including time of
calls or messages and time of their cancellation will be printed.
5. Operating an intercom in the NIGHTINGALE system (option).
With an intercom integrated in the system, there are different options for operating:
* The display at nurse's station shows an intercom call message with the numbers of
the calling room and bed.
* The higher priority patient calling bed interphone is automatically connected.
* Call (dial) from a nurse's station to a bed.
* Call and listening from the station.
* Switch from call to call by pressing "E" in the case of a number of calls at manual mode.
* Switch from call to automatic call after termination of the next call, at automatic mode.
In the case of a call from a bed, a physical connection takes place, between the calling
intercom and the receiver at the nurse's station. It is then possible to speak to the calling
intercom. During the conversation, the red led at the nurse's station will be permanently on and
a note on the connection to the intercom will appear. The connection will be disconnected after
a preprogrammed period of time or by pressing the C keyA on the keyboard.
In the case of several calls, it will be possible to pass to the next call by pressing the E
key. The routed call will be the one displayed, another possibility is the automatic
connection to the next priority calling interphone.
When there are calls, pressing the "1" key will give the automatic connection mode. After
completing the conversation with the first intercom (at the end of the time or afterA pressing
the C key), the intercom will be automatically switched to the next call. Pressing the "1" key
again will discontinue this mode.
Connection to any intercom station can be initiated by pressing the PHONE button
followed by the (3-digit) intercom number.
6. Example of planning a "nurse-patient" system.
In the following example the system controls three wards, with two rooms in each
ward and with a toilet and two beds in each room. (Figure No. 2) indication will be on
the bed level, including intercom. Three nurse stations (KP) will be connected to the
system, so that each station will control one ward.
In the third ward (D3) there will be an emergency call button for medical staff in each
room.
An indicator light at the entrance to each room will indicate a call. The output indicator
light will blink if the call is from toilet or emergency, and be permanently "on" if the call
is from bed. It should be connected to an Input/Output card integrated in the system for
two purposes: Calls from toilet and indicator. There is an additional use of another
Input/Output card: a call from a bed and an intercom call.
All system parameters like the function of every E.O.L., the A connection of E.O.L's to
words/room/bed, parameters as time duration of an intercom call and time of bell
silencing by theA button at the nurse's station, will be programmed See figure No. 3
for the inputs and outputs that are needed inA this example.
ORDER LIST INFORMATION
SHABATI |
USUAL
|
DESCRIPTION |
CODE |
MAIN CONTROL |
MINIGHT |
||
NURSE STATION |
MINTLCD |
||
SUB NURSE STATION |
MILCDKP |
||
INPUT CARD |
MIEGLI |
||
OUTPUT CARD |
MIEGELO |
||
------------ |
IN/OUT CARD |
MIEGELIO |
|
BUFFER CARD |
MIEGBUF |
||
RELAY CARD |
MIEGRL |
||
DIRECTION ARROW |
MINARK |
||
BUNDEL CARD FOR 14 IN/OUT |
MIEGMB |
||
HAND PUSH BUTTON |
MINGANLIG |
||
HAND PUSH BUTTON ILLUMINATED |
MINGAND |
||
FOOT PUSH BUTTON |
MINFOOT |
||
INTERCOM |
MININTER |
||
PUSH BUTTON (ON WALL) |
MIN0019 |
||
INDICATION LAMP RED |
MIN0030 |
||
INDICATION LAMP RED+GREEN |
MIN0036 |
||
INDICATION LAMP PANEL |
MIN0037 |
||
CANCEL BUTTON |
MIN0023 |
||
LAVATORY EMERGENCY BUTTON |
MIN0026 |
||
LAVATORY EMERGENCY BUTTON WATER PROTECTED |
MIN45SP4 |
||
CANCEL BOTTON WITE NURSE PRESENCE |
MIN0035 |
||
COMPUTER CONNECTION |
MIEGLP |
||
NOTE : WHEN THE REQUESTED SYSTEM IS FOR “SHABAT-KEEPING” PLEAS INDICATE IT CLEARLY.
TECHNICAL SPECIFICATION FOR NURS CALL SYSTEM NIGHTINGLE
STREAM |
LENGHE |
WIDTH SIZE |
DEPTH SIZE |
WEIGHT |
ITEM |
4.2 MA |
5.2 CM |
4.2CM |
1.5 CM |
12 gr. |
INPUT CARD |
4.2 MA 20MA IN WARK |
5.2 CM
|
4.8 CM |
1.6 CM |
20 gr |
OUTPUT CARD |
MA4.2 20MA IN WARK |
5.2 CM |
4.8 CM |
1.6 CM |
23 gr. |
IN/OUT CARD |
MA 65 |
13.5CM |
11 CM |
3 CM |
190 gr. |
NURSE PLASTIC SUB NURSE STATION |
MA 65 |
28 CM |
23 CM |
9 CM |
1.8 Kg. |
NURSE STATION |
MA 14 |
6.2 CM |
5.9 CM |
2.3 CM |
15 gr. |
BUFFER CARD |
MA 95 |
20.5 CM |
14 CM |
3.9 CM |
320 gr. |
MAIN CONTROL BOARD |
24.4 CM |
10.3 CM |
6.3 CM |
gr.80 |
BUNDEL CARD FOR 14 IN/OUT |
|
24VDC 1.25A 125VAC 1A |
5 CM |
2.85 CM |
1.5 CM |
12 gr. |
RELAY CARD |
30 CM |
30 CM |
9 CM |
4 Kg. |
MAIN SYS.BOX |
NOTE: THE BUFFER FUSE CAN BE MAX 2A.
NIGHTINGALE NURSE CALL SYSTEM
INSTALLED IN:
GOVERNMENTAL HOSPITALS:
RAMBAM – HAIFA
NAHARIA –GALIL
PORIA –TVERIA
BARZILAY – ASHKELON
LANIADO – NATANYA
HERZOG – JERUSALEM
KUPAT HOLIM HOSPITAL
YOSEFTAL – EILAT
KAPLAN – REHOVOT
MEER – KFAR-SABA
OLD AGE HOMES
NAHARIA – 7 HOMES
AMIGUR HOMES IN: EYLAT, AFULA, NAZERET, NAHARIA, ASHKELON, BEER-SHEVA, JERUSALEM, K.SABA, PETAH-TIKVA, SHELOMI, RAMAT-HASHRON, GEDERA, HAIFA, IN KIBUTZIM, TIRAT-HAKARMEL, RESHON-LEZION, ASHDOD.
AND IN A LOT OF PRIVETS OLD AGE HOMES.