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Hoglund and Varga: Building a Reliable Wireless Medical Device Network


        7.  Reproducing field conditions and modeling “what if   9.  Ongoing lab and site testing of network firmware
           ” scenarios in the lab to simulate individual hospital   changes and devices software upgrades
           environments
                                                                The WLAN patient monitoring deployment: what and why
        Figure 1. Wireless patient monitoring integration process
                                                                   In the area of patient monitoring, the actual patient-use
                                                                model is critical to a successful monitoring selection and
                                                                implementation. Before the technical requirements can
                                                                be solved, the clinical requirements need to be addressed
                                                                and understood, including:

                                                                   •  Where are the patients going to be monitored? A good
                                                                     starting point is to sit down with CAD drawings of the
                                                                     hospital floor plan and have clinical staff highlight
                                                                     all the areas where patients need to be monitored.
                                                                     For example, would a patient need to be transported
                                                                     from the ICU down the elevators to radiology and/or
                                                                     therapy areas? If so, then adequate wireless coverage
                                                                     would be needed to ensure real-time connectivity.

                                                                   •  How many patients are going to be monitored simul-
                                                                     taneously, at maximum patient census?

                                                                   •  Where will the staff monitoring these patients be
                                                                     located?
                                                                   Once the clinical requirements are vetted out and agreed
                                                                to, then the technical requirements can be addressed. The
                                                                following questions should also be discussed:
                                                                   •  What are the anticipated growth requirements (scale)?
                                                                   •  What is the current network infrastructure in place
                                                                     to support the new patient monitoring system
                                                                     requirements?
                                                                   •  What, if any, network remediation needs to be
                                                                     completed?
                                                                   Based upon an understanding of the medical device’s
                                                                network characteristics and the existing network infra-
                                                                structure, an accurate WLAN design can be initiated. The












        8.  Onsite assessment to ensure successful deployments
           out of the gate                                     Figure 2. Example of marked up hospital floor plan, highlighting
                                                               all places where patients will be monitored





        47                                                         J Global Clinical Engineering Special Issue 1: 42-49; 2018
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