Being prepared is important part of any veterinary hospital, clinic or emergency center. 


Smart Flow can be a critical tool in managing patient's visits, treatments & anesthetic events. Digital flowsheets, anesthetic sheets & whiteboards facilitate greater accuracy; & make patient information visible to all staff in real-time from many locations. Being a cloud-based system it is easy to think that a loss of power, internet service or server connection might shut you down & negatively affect patient care.

This would be an incorrect assumption!


With a little planning, there is no reason that your patients can't keep getting all the care they need & all the benefits that Smart Flow brings to your clinic. Please read this document carefully, evaluate your clinic's risks, put appropriate safeguards in place & make sure that all of your staff are trained to know how to respond should an emergency happen. This is no different than having your staff prepared to handle a "hit by car" or cardiac arrest. 


PREP- Prepare Relax Educate Perform

Stay Calm

You are already prepared in that your iPads will simply continue to work in offline mode. You will be prompted that the connection has been lost. Simply chose to "Work Offline". Your Whiteboards will be out if you have no power, so rely on the iPads to manage treatments and know which patients need care and when.



Once the power or internet connection returns, the iPads will sync automatically.


Your only issue is:

  • Managing the same patient with the same iPad.
  • How long your server connection is lost, power is out or internet service is disrupted. 


Assess your needs and risks

  • How many iPads do you have?
  • How many departments?
  • How many technicians/nurses work at once?
  • How many Anesthetic procedures at once?
  • Is your location prone to natural disaster (e.g. hurricanes, snow storms, flooding, etc.)?
  • Does your facility have emergency power backup (e.g. generator(s)? If so, how long will they continuously run?)


Solutions to increase your "Offline" time and continue patient care uninterrupted

If you lose power, phone service or internet, we understand that your clinic is going to be struggling to take care of clients and patients. Using Smart Flow does not have to be one of those concerns if you put some backup plans in place.


Label the iPads so the same iPad is used for the same patients

Consider color coordinating or labeling your iPads to be used on specific wards or departments. During a disaster, keep those iPads in that location. If you perform treatments on one patient using one iPad, you want to make sure that th same iPad is used for all that patient's treatments until it is able to be synced again. If the internet, server or router are down, the iPads don't communicate with each other. That specific iPad is how you will know when that patient's treatments are due and what has been done.


You could have all the red iPads in Sx, green iPads in ICU, blue iPads in boarding, and black iPads in radiology. Decide what will work best before the power goes out. If you have more than one iPad of the same color, number them or label them with individual names. You can then make sure the same iPad is either used in one location, or an individual keeps the same iPad for the same patient. Keep a list of patients at your iPad station listing which patient is being managed with which iPad.

  • Blue iPad #1 is Ward #1
  • Blue iPad #2 is Ward #2

If you have a large clinic, following these steps can be useful as a normal practice, not only will you need to not make any changed if a disaster happens, you will not have to worry about someone disregarding a brief "offline" event.


Extend the life of your iPads

You should always make sure your iPads are kept charged. All clinics should create "charging stationswhere iPads are kept while not in use. There are commercial iPad charging stations for multiple devices or you can create your own with cabinets, paper trays or DIY creations. If needed, get "crafty". 


 


Decide if you need just one iPad station or if you want one in each department or ward. The bigger your clinic the more likely you will want a station for each area. 


Once you have your iPad station or stations in place, make sure that they are all connected to a backup system. If your clinic doesn't have a system-wide backup generator, make sure that the iPad stations are all connected to portable battery backups

These are the same battery packs that are often used for computers in case the power goes out. Just calculate how much power you need and what the longest time you might need it. 

  • How many iPads do you have?
  • What is the maximum time that you might be down? 
  • If it may be days without power, consider having two or more battery packs for each station.
  • Once the power goes out, turn off the battery backups when not in use.
  • Once one battery backup runs out, then to replace the battery pack with the next one. This can get you many days of iPad power.


Conserve, Conserve, Conserve

Keep your iPads in "airplane mode" or "sleep mode" when not in use and don't charge them until they need to be recharged. 


What if we didn't prepare? 

You will pretty much do the same thing.

  • Stay calm. There may be numerous emergencies that your staff needs to deal with, but using Smart Flow isn't one of them.
  • Immediately grab some medical tape and number all your iPads.
  • Write on piece of paper each patient's name or location and the iPad number that will be used for those patients.
  • Turn off the iPads when not in use. If you need to keep one on to check when treatments are due, keep the screen off as much as possible.
  • If you have battery backups for computers that are not in use, commandeer one or more for your iPad station.
  • If you have time and a power outage is expected to be extensive, consider purchasing a battery backup. Some are sold with a full charge.  


Important things to remember!

Although Smart Flow will definitely function even when working offline but, there are a few things you need to remember to be sure no data or information is ever lost. It is VERY important to check the information provided below once you are back online:


Checklist when back online:

1. Make sure all iPads have been successfully synced to the server. You may even want to manually do this by clicking on the sync button. See below:

2. Any patient who has had anesthesia should have the web checked to be sure the anesthetic report is present before any patient is discharged. If this does not happen, information could be lost permanently.  

3. Should your clinic have billing integration with your EMR, carefully check all billing items from the billing PDF before bill is finalized, to be sure of no missed charges. 


Conclusion 

As you can see, there isn't a lot that you need to do to prepare for a disaster to be able to keep using Smart Flow uninterrupted. In fact, if you do nothing except stay calm & use your iPads offline you will be okay. But take the time to set up your clinic to be ready should your patients need you while a long unexpected disaster strike & you will be able to focus on what you really care about: Providing patient care and not worrying about caring for devices.