A surgical telemedicine clinic in a correctional setting.

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dc.contributor.authorLavrentyev, Vladimir
dc.contributor.authorSeay, Arden
dc.contributor.authorRafiq, Azhar
dc.contributor.authorJustis, Deborah
dc.contributor.authorMerrell, Ronald C
dc.date.accessioned2020-02-10T17:16:44Z
dc.date.available2020-02-10T17:16:44Z
dc.date.issued2008-06-23
dc.description.abstractThe telemedicine network between Virginia Commonwealth University Health System VCUHS and the Department of Corrections in Virginia has seen a steady increase in the number of disciplines involved in consultation Hardware integration and methodologies between VCUHS and correctional facilities were supported by Polycom videoconferencing technology During consults a VCUHS based surgeon was provided with patient records picture archiving and communication system images and laboratory data or text reports sent by fax A registered nurse at the correctional site assisted the surgeon at VCUHS Electronic stethoscope and dermascope were also used for physical examination of inmates Preoperative encounters included physical examination and informed consent from video Electronic scheduling and preoperative orders were issued at the time of consultation Of the 55 consultations completed this past year 27 were followed by surgical procedures In one case the referral diagnosis was corrected and one case required minor change in diagnosis at an in person examination on the day of surgery Twenty patients had postoperative examination by telemedicine and five of these required a second follow up telemedicine visit All patients confirmed their informed consent and acknowledged their surgeon upon first meeting face to face at the hospital Telemedicine consultation for general surgery is an effective asset and can limit patient transfer
dc.identifier.urihttp://dx.doi.org/10.1089/tmj.2007.0061
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/25085
dc.relation.uriTelemedicine journal and e-health : the official journal of the American Telemedicine Association
dc.titleA surgical telemedicine clinic in a correctional setting.en
dcterms.abstractThe telemedicine network between Virginia Commonwealth University Health System VCUHS and the Department of Corrections in Virginia has seen a steady increase in the number of disciplines involved in consultation Hardware integration and methodologies between VCUHS and correctional facilities were supported by Polycom videoconferencing technology During consults a VCUHS based surgeon was provided with patient records picture archiving and communication system images and laboratory data or text reports sent by fax A registered nurse at the correctional site assisted the surgeon at VCUHS Electronic stethoscope and dermascope were also used for physical examination of inmates Preoperative encounters included physical examination and informed consent from video Electronic scheduling and preoperative orders were issued at the time of consultation Of the 55 consultations completed this past year 27 were followed by surgical procedures In one case the referral diagnosis was corrected and one case required minor change in diagnosis at an in person examination on the day of surgery Twenty patients had postoperative examination by telemedicine and five of these required a second follow up telemedicine visit All patients confirmed their informed consent and acknowledged their surgeon upon first meeting face to face at the hospital Telemedicine consultation for general surgery is an effective asset and can limit patient transfer
dcterms.contributorLavrentyev, Vladimir
dcterms.contributorSeay, Arden
dcterms.contributorRafiq, Azhar
dcterms.contributorJustis, Deborah
dcterms.contributorMerrell, Ronald C
dcterms.identifierhttp://dx.doi.org/10.1089/tmj.2007.0061
dcterms.relationTelemedicine journal and e-health : the official journal of the American Telemedicine Association
dcterms.titleA surgical telemedicine clinic in a correctional setting.en
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