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Sioux Falls nurse helped Avera Health abandon using pagers

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SIOUX FALLS, S.D. (AP) — Pagers might still beep at the hips of TV show doctors, but they have no place at Avera Health.

The way doctors and nurses communicat­e at Avera is different.

It’s more comprehens­ive. More connected to Avera’s other communicat­ion networks. And it’s far more appropriat­e given the capabiliti­es of modern technology and the life-and-death scenarios that play out daily in clinics and hospitals.

Avera’s evolution beyond beepers might not seem like a major step, but it’s a departure from an industry that still by and large relies on the 1960s technology.

For Candice Friestad, it was more about helping the nurses. They were being overwhelme­d by pagers and giant wireless phones. She wanted an alternativ­e that wouldn’t make them feel like “Tim ‘The Tool Man’ Taylor,” Friestad said.

“The nurses came up to us and said, ‘stop this,’” said Friestad, who worked as a nurse in Avera’s critical care units for 17 years.

Friestad led the charge when Avera first made the switch in 2014 from Motorola alphanumer­ic pagers to smartphone­s and agreed to sign a contract with Voalte, a growing medical technology company out of Sarasota, Florida.

She dumped the beepers into boxes and orchestrat­ed a technologi­cal evolution across the hospital system, departing from an industry norm with a gusto that only comes with a clear sense of purpose.

Friestad knew it would be better for patients.

Her vision for the future earned her a special nod from Voalte. The company named her “Innovator of the Year” in October at its 2018 user conference in Sarasota.

“Our entire customer base has benefited from her hard work,” Oscar Callejas, co-founder and vice president of services for Voalte. “Anybody that’s around her is just totally captivated by her and they immediatel­y get the vision.”

Nearly 8 in 10 clinicians in the United States still use pagers for patient carerelate­d communicat­ion, according to a 2017 report in the Journal of Hospital Medicine.

Hospitals resist change because it comes with the upfront costs of installing a new telecommun­ications network, throwing away already paid-for pagers and buying enough smartphone­s to equip the entire staff of providers, Friestad told the Argus Leader .

When she first started looking for an alternativ­e, Voalte was one of a few tech firms creating software for using smartphone­s in patient care-related communicat­ion.

Voalte offered three things she was looking for: encrypted security, a variety of alarms and something that would work on any device — iPhones or Android, Friestad said.

Voalte founder and CEO Trey Lauderdale was working in health care tech for Emergin when he first realized the potential benefits smartphone­s to patient carerelate­d communicat­ion.

“He saw the frustratio­n from the nurses first hand,” Callejas said. “They were saying ’why is it we’ve got all this sophistica­ted equipment that can save lives and do all of these really advanced things but at the end the day, the output is the pager.”

Instead of relying on one-way beeper and the availabili­ty of a phone on both ends, doctors can communicat­e instantly with a team of providers by using text messages and file sharing. Friestad heard of one instance where providers shared a photo of a patient’s heart monitor reading and then immediatel­y took action to save the person’s life.

“All I have to do is go for the patient, pull them up by name or by room number and then I see, oh here’s the nurse who’s caring for this person or the pharmacist,” Friestad said.

Friestad digs through her desk, looking for an old Avera beeper.

“At one point I had saved them as a relic,” she said. “As in, ‘oh, this used to be a pager.’”

Friestad speaks with a no-frills authentici­ty, softened by a dry sense of humor.

She jokes about the floral-pattern couch across from her desk — a secondhand piece of furniture she inherited from a retired physician and now feels obligated to keep. She tells a story about bringing the Voalte award through airport security, how its pointy top drew extra attention from TSA. KILLINGTON, Vt. (AP) — The Green Mountain Club says it is now offering digital trail maps that people can purchase, download and view on a mobile phone.

GMC’s Operations and Publicatio­ns Coordinato­r Matt Krebs showed off the new technology on a trail near Killington. He tells Vermont Public Radio that users can take photos and add them on to the digital maps to customize them.

The new Green Mountain Club digital map program shows trails and shelters and water sources, just like a paper map. It even works when cell service isn’t available by using GPS technology.

Krebs says it could be a way to encourage more people to get out into the woods and onto trails. But he also says people should always carry a physical map and compass when hiking.

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