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REMOTE MONITORING
Online, real-time remote monitoring is the process of viewing
the information generated in the operating room (OR), including
wave morphologies and data, as it is recorded from an outside
location. With the advancement of information technology,
the World Wide Web and wireless technology, the ability to
transmit data securely has come of age.
When real-time, remote monitoring occurs:
- The neurotechnologist (NT) in the OR
accesses an ORIMtec server on the Internet, either by wireless
connection or via direct connection to a hospital local
area data network.
- A supervising physician accesses the
same server where the handshake (the connection between
the NT and MD) is made.
- Special software programs on the biomedical
computer and the physician’s system allow the information
to be viewed in real-time fashion remotely and securely.
ORIMtec NTs work closely with independent
physicians trained in intraoperative neurophysiological monitoring
(IONM) who provide a supervisory function or professional
component. A physician located outside the operating room
monitors the majority of cases monitored by ORIMtec personnel
in real time. The remote monitoring connection depends on
hospital authorization and Internet access. In difficult cases,
constant communication between the NT and supervising physician
increases the likelihood of pinpointing the cause of abnormal
findings. The supervising physician can view and interpret
tracings without delay.
Remote monitoring can be accomplished from
anywhere in the world, providing there is an Internet connection
available. Therefore, patients undergoing spinal or cranial
surgeries monitored by ORIMtec can be assured that the highest
level of care is being exercised at all times.
ORIMtec strictly adheres to HIPAA security
regulations. A two-factor authentication process maintains
identification and authentication of authorized ORIMtec personnel.
Encryption of data transmitted in each individual case is
initiated at the ORIMtec server using a Secure Sockets Layer
(SSL) protocol supporting 128–bit encryption.
ORIMtec Remote Monitorning Model
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