Professional Documents
Culture Documents
Functional description:
AQURA Essentials
nurse call system
2021-12-22
Version
Version......................................................................................................................................................................... 2
Contents ...................................................................................................................................................................... 3
1 The ward nurse call system background................................................................................................................ 6
1.1 The challenges 6
1.2 The solution 6
2 System overview .................................................................................................................................................. 7
3 Functionality ......................................................................................................................................................... 8
3.1 Introduction 8
3.2 Nurse call features 8
3.2.1 The different nurse call types 8
3.2.2 Room and bed level nurse call 10
3.2.3 Nurse presence in patient room 11
3.2.4 Nurse signalling 11
3.2.5 Voice intercom 14
3.2.6 Universal nurse call outlets in the room 16
3.2.7 Reliability 17
3.3 Features of the call units 18
3.3.1 Materials 18
3.3.2 Push buttons properties 18
3.3.3 Pull cord properties 19
3.3.4 Outlet unit properties 20
3.3.5 Push pear properties 22
3.3.6 Overdoor light properties 22
3.4 Software features 23
3.4.1 Web-based software build-in 23
3.5 Installation features 25
3.5.1 Modular clickable units and frames 25
3.5.2 Removable connectors 26
3.5.3 Protection 26
3.5.4 Software out-of-the-box 26
3.5.5 Easy to setup 27
3.5.6 Power supply 29
3.5.7 Data cabling and testing 29
3.5.8 Other cabling 33
This document describes the functionalities of the AQURA Essentials ward nurse call system. As a background introduction the
solutions to the challenges the AQURA Essentials ward nurse call system provides is described below.
Selecting a nurse call system can be challenging for healthcare organizations, especially when it is for a single ward or multiple
independent wards and when needs may evolve over time. Some of the challenges are:
• Do we a need a large scale and complex nurse call system from the start, especially if our organization is organized per
ward and wants to start with the essential nurse call needs?
• How do we spread the investment over time? Since we want to start with one ward but do not want to be forced into
having a heavy initial investment for a full-blown system. We rather want to invest as the organization and the system
grows.
• We want to make a future-safe investment so we can start with essential features but be prepared for upcoming needs
and technologies without having to physically replace systems or re-invest in another system.
• Our renovation/renewal plan is phased and to be executed ward by ward; what is the best system to facilitate this
gradual switch from old to new?
• Patients and nurses rely on a nurse call system to get help and assistance 7 days per week 24 hours per day. Any
downtime will lead to frustrations and possibly life-threatening situations. So, a highly reliable system is key and takes
away a lot of risks and worries.
• Nurse call systems are used in a harsh environment and take a lot of wear and tear. If we want to control the total cost of
ownership a good quality and maintenance friendly system is important.
• A nurse call system is embedded in the building, it will be there for many years to come. Selecting a reliable supplier with
long term support is crucial.
• There are many complex systems in a building, all need to be managed and maintained. A system that is easy to setup,
configure and maintain with minimal knowledge and training is a big advantage in getting up and running fast, delivering
support, and organizing knowledge transfers easily if needed.
• Many (old) systems lack modern design and do not leveraging the use of the latest technologies. This does not reflect our
organizational image and future-oriented approach.
To address the challenges and needs described above, the solution described in this document has the following properties:
• The “AQURA Essentials nurse call system” is a simple, yet powerful nurse call system that autonomously functions on
ward level. This document will give an overview of all its functionalities.
• This system is part of the AQURA product family of Televic Healthcare. It is not a separate system but a subset of the
AQURA care platform. The AQURA Essentials system makes use of the same hard and software as the full system and can
be upgraded to the full system at any point in time without having to change any of the infrastructure already in place.
This makes the system scalable, ever evolving and a future-proof investment.
• AQURA Essentials is a reliable system with room fallback functionality and system checks to ensure maximum uptime
without worries. The system is designed with over 70 years of experience in developing healthcare products. Robustness,
high quality materials and maintenance friendly products ensure a low total cost of ownership.
• No servers or software to install. Pre-configured and functional out-of-the-box.
• Easy to install, maintain and use. Fast learning curve.
• The system has a modern look and feel, fitting any environment and is very user friendly.
• The system leverages the latest technologies to make it as effective as possible.
• Easy to upgrade the system to make extra features available over the lifetime of the product, evolving with the needs of
care organizations.
The AQURA Essentials nurse call system is a ward nurse call system, the image blow shows the components of a typical ward:
THE WARD CONTROLLER - This is the central unit that manages the ward and ward connections (1 per ward required)
- Up to 40 rooms per ward.
- It runs the applications for system configuration, the nurse station and signage screens out of
the box.
THE NURSE STATION - This is a touch screen optimized application for the nurse that runs on an Android touch screen
TOUCH PHONE phone. (The touch screen phone hardware is supplied by Televic)
- Typically placed at the nurse desk and/or nurse office.
- An interactive interface showing all active alarms of the ward.
- An intercom conversation with the patient room can be started from the alarm notification.
NURSE CALL OVERVIEW - This is a software web-application designed for signage screens. (The hardware for signage
WEB-APPLICATION screens and associated box-pc or devices is universal and not supplied by Televic)
- Displays an overview of the highest priority active alarms of the ward in real-time.
- Typically placed at the nurse desk and/or corridors
OVERDOOR LIGHT WITH - This is an intelligent unit that manages a room (1 per room required)
HUB - It has a fallback mode for room autonomous functionality.
- It has a 4 LED bars integrated for indicating nurse calls in the room
- It provides connectivity for the passive units and the smart room units.
- Up to 20 smart units per room.
PASSIVE ROOM UNITS - Buttons and LED’s for normal call, sanitary call and presence.
SMART ROOM UNITS - Smart units that are digital units interconnected with a free topology communication bus
offering the most flexible and cost-efficient cabling architecture.
- Smart units can be used as bed units with identification of the bed and generating different
types of nurse calls per bed.
- Typically placed at each bed e.g., 4 beds room with an outlet at each bed numbered from 1 to
4.
DIGITAL INTERCOM - The digital intercom unit serves as hands-free voice communication device between a nurse
and patient or colleague.
- Auto-pickup will happen if a nurse calls the device after a nurse call has been made from a
room or bed.
- Excellent speech intelligibility up to 5 meters, due to digital audio with advanced echo- and
noise-cancellation.
- Can be used per room or per bed.
3 Functionality
3.1 Introduction
The AQURA Essentials system works completely autonomously for one ward up to:
- 40 rooms
- 80 intercom units
- 20 smart units per room
The system offers different types of nurse calls depending on the nature of the request. Nurse call types allow to quickly assess the
urgency and type of call and thus improving the work efficiency. The following nurse call types are supported by the system. They
are listed in the order of priority (from low to high):
PULL OUT - A call when the magnetic connector is “pulled out” of its socket
- A pull-out call is on bed level
- Activated when the magnetic connector (e.g., from a push pear) is released from its socket
- Is indicated in red on the overdoor light and a notification on the call overview screens
- Reset a pull-out call by pushing the green cancel button at the bed unit (while nurse presence
is active)
SANITARY - A call for help from the patient in the bathroom area of a room
- A sanitary call is on room level
- Activated by pushing a red button or pulling a pull cord of a wall unit in the bathroom area.
- Is indicated in yellow on the overdoor light and a notification on the call overview screens
- Reset sanitary calls by activating nurse presence in the room
ASSISTANCE - A call for assistance from the staff to ask assistance from a colleague
- An assistance call can be on room level or on bed level
- Activated by pushing a red button on a wall unit or push pear in the room area while presence
is active.
- Is indicated in red (blinking) on the overdoor light and a notification on the call overview
screens
- Reset room level calls by activating nurse presence in the room
- Reset bed level calls by pushing the green cancel button at the bed unit (while nurse presence
is active)
SANITARY ASSISTANCE - A call for assistance from the staff, initiated in the bathroom area of a room
- A sanitary assistance call is on room level
- Activated by pushing a red button or pulling a pull cord of a wall unit in the bathroom area
while presence is active.
- Is indicated in yellow (blinking) on the overdoor light and a notification on the call overview
screens
- Reset sanitary calls by activating nurse presence in the room
The AQURA Essentials nurse call system supports bed level nurse calls in addition to room level nurse calls. A bed level nurse call
will clearly indicate the bed from which the nurse call originated, this is particularly useful in multi-beds rooms. Moreover, it
reduces the risk of forgetting to help patients in case of multiple calls per room. Bed level nurse calls must be reset at the bed unit
itself, making sure the nurse was physically at the bedside. Bed level nurse call is essential for improving efficiency and patient
safety in multi-beds rooms.
Nurse calls initiated on room level are activated for the entire room, all room related nurse call buttons will light up. Room nurse
calls get reset by activating the presence in the room. The notification screens will only show the room where the call originates
from.
The system supports multiple bed calls per room and identification of the bed (the smart outlet unit and blue button unit can get
assigned to a bed). The nurse stations and signage screens will visualize the bed number from where a nurse call originated. Inside
the room, only the bed units with an active call will light up. This is very efficient over classical systems where you only know the
room number but not the bed number. Moreover, this feature allows to have multiple calls from multiple beds simultaneously.
Bed calls will be reset by using the cancel button at the bed unit during presence, that way staff is sure that all calls of every bed
have been handled and a nurse was actually at the bed side with the patient. This way of working improves the patient safety and
reduces the risk of forgetting or reset a call by mistake.
For example, in a 3 beds room: the patient of bed 2 initiates a nurse call, this will result in the LED of that unit and the push pear of
that bed lighting up; on the notification the bed number where the calls originated from will be visualized.
The ‘nurse or staff presence’ means a nurse is in a patient room. An active green LED bar on the overdoor light indicates that staff is
present in that room.
Typically, the nurse presence is activated when a nurse enters a room and de-activated when a nurse leaves the room. It works as
follows:
• The nurse presence is activated by pushing the green button when entering the room.
• The nurse presence can be toggled off by pushing the green button again on the condition that no room level calls are
active in the room and the presence state is active.
• When room level calls are active, a push on the green button will first reset room level calls. If the presence state was not
active yet, it will be activated (e.g. reset a normal room call). When the presence state was already active, it will remain
active after resetting the room calls (e.g. to reset an assistance call).
During the presence call-forwarding will be activated for that room (see nurse signaling below) and the nurse can initiate an
assistance call to request assistance from a colleague.
Signaling the currently active nurse calls to nurses is crucial for patient safety and satisfaction. It is important to do this in several
convenient ways to ensure the active nurse calls are known by the staff at all times. The several ways of nurse signaling for AQURA
Essentials are listed below:
Overdoor lights
The state of a room will be indicated on the overdoor light. This is a very efficient way to see in what rooms nurse calls are active
and where nurses are present. The overdoor light unit has four LED powered light fields in different colors. Usually, it is placed in
the corridor above or next to each patient room door. The room light indications are as follows:
When the nurse presence is active in a patient room an auditive signal will sound when another nurse call is active in the ward. The
rhythm of the tone indicates the type and urgency of the highest priority nurse call in the ward. This informs the nurse of other
active calls in the Ward, the tone allows the nurse to evaluate if the other room needs more priority help.
This interactive app runs on an Android touch screen phone. It is typically placed at the nurse station desk. This desk phone can be
supplied by Televic.
- Show a clear overview of all the active calls of the ward. Each nurse call notification has a color, call type, room and bed
number.
- Notification are ordered by priority in real time. The priority depends on the nurse call type and calls of the same type
will be ordered by the oldest first.
- Show the time each call has been active.
- Make a sound when a new nurse call is activated in the ward.
- Repeat a sound rhythm of the most prioritize call.
- Mute the sound rhythm in case it is disturbing.
- Be able to have an intercom conversation with the patient room by one touch of a button (when intercom unit is present
in that room).
This web-interface displays an overview of the active nurse calls in the ward. It is a view-only overview. It runs in a web-browser
and is meant to be used on signage displays, signage tablets or alike. This common hardware is not supplied by Televic.
- Show an overview of the 4 highest priority nurse calls of the ward. Each nurse call notification has a color, call type, room
and bed number.
- Notifications are ordered by priority in real time. The priority depends on the nurse call type and calls of the same type
will be ordered by the oldest first.
- Show the time each call has been active.
- Repeat a sound rhythm of the most prioritize call.
- Mute the sound rhythm in case it is disturbing.
- Make a sound when a new nurse call is activated in the ward.
The digital intercom allows the nurse to have a conversation with the patient or colleague when there is an active nurse call at the
bed or room. The voice call can be initiated from the nurse station phone by a single touch on the alarm notification icon, the user
can use the horn, headphones, or speakerphone to talk with the person in the room. Intercom conversations bring peace of mind
and improve the efficiency of the nurses:
• Nurses can speak with a patient or co-worker and re-assure help is on the way.
• Nurses can ask for the context of the call (e.g., a patient is thirsty), assess the situation and act accordingly. This is more
efficient than having to walk back and forth to the room several times.
• It reduces the physical contact avoid possible infection risk while a personal contact remains.
If a room is equipped with intercom and a nurse call is active, then an intercom callback button is automatically displayed on the
nurse station interface. When an intercom unit is being called, a ring tone will sound while the blue LED of the intercom unit will
blink. After a few seconds the unit will auto-pickup so a voice conversation can take place. The blue LED on the intercom unit will
be on as long as the speech-connection is active (privacy feedback). The sound levels of the ringtone and intercom can be
controlled separately. There is a maximum speech time of 2 minutes for an intercom call to ensure the speech-connection gets
cancelled in case someone forgets to hang up or to avoid that the intercom function is misused for non-critical communication.
Voice intercom units can be placed on room level, at bed level or at multi-bed level:
- One intercom per bed: one intercom per bed, an intercom unit assigned to a bed will be addressed for nurse call types
originating from that bed. In the case where only bed level intercom units are present in the room other nurse calls of
that room (room level calls, sanitary calls, etc.) will be addressed to the first intercom unit in the room.
- One intercom for multiple beds: one intercom unit can be associated with multiple beds, for example a 4 beds room can
have 2 intercom units, meaning 1 per 2 beds. The intercom unit assigned to the bed will be addressed for nurse calls
originating from that bed. In the case where only bed level intercom units are present in the room other nurse calls of
that room (room level calls, sanitary calls, etc.) will be addressed to the first intercom unit in the room.
Nurse call outlets are important for connection and interfacing different devices in the room. The most essential is the patient push
pear with a big red nurse call button. Push pears will trigger a normal nurse call type or an assistance nurse call when presence is
active. When their connector is removed from the socket a pull-out alarm will be triggered. Push pears are explained in the next
chapter.
Light control is also provided by AQURA Essentials. Being able to control the light from the bed makes it very comfortable and
convenient for a patient. The light control buttons on a push pear can control up to two different lights, typically one light is a bed
or night light and the other is a room light.
Next to the Televic push pears there is a possibility to connect 3rd party devices to the outlet. Typical examples are low sensitivity
call buttons, blow switches, mattress sensors, etc. These specialized nurse call triggers can be connected to the socket by means of
a Televic monitoring interface cable (this integration is done by a technical service, installer, or partner). The monitoring interface
cable can trigger a normal call or a higher priority monitoring call type (see table above). There is also a pull-out alarm that will be
triggered when the plug is removed from the socket.
3.2.7 Reliability
A nurse call system is relied upon by nurses and patients. Therefore, good operation is vital, 24 hours per day 7 days a week, year
in, year out. AQURA has been designed from the ground up with reliability and longevity in mind.
When a room gets isolated from the rest of the system, the room will fall back to an autonomous room mode. This can for example
happen due to a defect or technical reason. In room fallback mode all nurse call functionality within that room will keep
functioning, nurse calls are always indicated on the overdoor light as well as presence and call cancellation will still work locally.
The intelligence for this room fallback mode runs on the room hub. When a connection is restored between a room hub and a ward
controller the current state and active alarms will be synchronized. So, if nurse calls were activated while the room was isolated,
the active nurse calls will immediately be shown on the nurse station and signage screen when the connection is restored.
The intercom system is physically separated from the nurse call logic, meaning faults or errors in the intercom system will not
impact the functionality of nurse call.
The ward controller, room hubs and call units are all powered by 24VDC. This makes it easy to add a UPS or battery backup
ensuring the system keeps functioning for a certain time during a general power outage.
If, for any reason, a room got switched off from power, it will remember the last active nurse calls, when the power is restored the
last active alarms will be activated again. This makes sure that no alarms get lost, even when the power drops for a short amount of
time.
3.3.1 Materials
All materials have been carefully selected and tested to be used in a healthcare environment:
- Materials are chemical resistant so they can be cleaned by commonly used disinfectants or cleaning fluids in healthcare
environments ensuring the highest hygiene standards without deteriorating the products.
- Materials are protected against UV decolorization avoiding that the units turn into “yellow” after a few months of
exposure to sunlight.
The push buttons for nurse call have a very recognizable design for maximum usability. The primary button of a unit is a big central
button, other functions are smaller side buttons. The primary buttons are concave-shaped to avoid pushing them by mistake.
Nurse call buttons have a red color and are marked with a nurse symbol. In darkness the push buttons are illuminating softly by a
red LED to find them easily. Likewise, the button of the push pear and the lighting control button of the push pear are illuminating
softly in the dark.
All buttons have a clear tactile “click” feedback when pushed and a clear LED feedback when active. For example, a red button will
light up bright when a call is active, this is a very clear indication of the current state for both the user and the nurse.
A pull cord is typically used to trigger a nurse call in bathrooms and toilets, but it can be used anywhere. The advantage of a pull
cord is that it can be reached easily; even when a person is on the floor.
The pull cord itself has a clear red color making it clearly recognizable. It is made out of plastic, so it is easily cleanable and hygienic
(unlike a fabric cord). When a nurse call is active a red LED indication will be shown on the unit.
By using the IP54 mounting frame the pull cord unit has an IP54 waterproof rating.
The pull cord has an egg-shaped ‘clips’ with the following functions:
- When applying a high pull force the clips will release non-destructively, once released it can be ‘clipsed’ back together.
- The self-releasing clips prevents harm to persons:
o Even when the pull cord self-releases, a nurse call will always be triggered. This can for example happen when
somebody grabs the pull cord during a fall. This will trigger a very short pulse that goes undetected in almost
any other solution.
o It provides an extra safety in case patients would get tangled in it.
- The self-releasing clips prevents material damage and reduces the maintenance costs. When a high pull force is applied to
the cord the clips will release rather than break or pull the call unit from the wall.
- The “egg-shaped” clips can be used to change the length of the pull cord: the length of the cord can be adjusted
according to the need.
The outlet unit is designed for connecting push pears and other peripherals. It has a robust magnetic socket where a connector can
be plugged into. This interface supports nurse call, pull-out alarm and monitoring alarms combined into one socket. The unit has a
nurse call- and cancellation button to allow cancellation at the bed.
Connectors and connection points historically tend to be a high (and frequently hidden) maintenance cost of a nurse call system.
For example: push pears are often used in the bed, a bed can get moved while the push pear is still connected to the outlet. This
can result in damage to the connector, cable, pulling the outlet unit from the wall, etc. The same can happen when patients pull the
cable of the push pear. The AQURA self-releasing magnetic connector prevents this kind of damage while ensuring a robust and
reliable connection for maximum patient safety.
- The socket is self-releasing, when a pull force is applied on the cable, no matter from what direction, the connector will
safely release from the socket. By avoiding damage to the connector, cable and outlet unit maintenance costs can be
drastically reduced.
- The socket is universal for push pear or monitoring interface connector.
- The socket unit can be mounted horizontally and vertically (e.g., in bedheads) and still provide a robust connection.
- The socket has a LED indication on top of the connection point to indicate alarms from the connected unit.
- A strong double magnet connector and gold-plated contacts ensure a robust and reliable connection at all times.
- The socket is self-guiding for easily and correctly plugging in the connector.
- The connector itself is robust and protected against drops, it has self-retracting connection pins to ensure good
connectivity and preventing damage.
- The outlet unit has 2 relays control outputs on the back for light control.
There are two types of push pears, one for nurse call only, another with extra buttons for light control. Push pears are plugging into
a socket of an outlet unit by using a magnetic connection. A pull-out alarm is triggered when the connector is removed. The auto-
release connector makes sure a robust connectivity ensures the safety of the patient while damage of the equipment is prevented.
• The push pear is very ergonomic and pleasant to hold with a clearly recognizable red button.
• Two variations of the push pear: one with only a red button, and one with a red button and the ability to control two
lights.
• The call button and light control buttons have an orientation light so they can be retrieved easily in the dark.
• The red call button illuminates completely in case of an active nurse call.
• The push pear is easy to clean and is made of chemical resistant materials making sure it is hygienic.
• The push pear has an IP67 waterproof rating.
• The push pear is shockproof so it can withstand a drop from the bed for example.
• The cable of the push pears is smooth and flexible. It is chemical resistant and can be disinfected easily. It is robust and
can withstand reasonable pull force.
• The connector plug itself is ergonomic and has an indication to plug it into the socket correctly.
• There is a push pear wall holder available to put in the push pear when it is not in use.
The overdoor light has 4 colored light fields with the following properties:
- Each field will light up nicely by using high brightness LED’s. The light is diffused for a nice esthetic effect.
- The horizontal visibility is 180°; at least up to 20 meters. This ensures maximum visibility of calls in a corridor.
- The overdoor lights will blink synchronized, this means all lights will blink at the same time in a corridor. This provides a
clear overview. If the blinking is not synchronized amongst several room lights it gets chaotic and induces stress and
confusion.
The user software runs on the ward controller and is accessible through a standard web-browser. This makes it very convenient and
simple to use from any device with a modern web-browser. No need to install server software or client software on a PC.
This is the user facing software for daily use by caregivers as mentioned in previous chapters.
Show a list of active nurse A list of notifications of all active nurse calls in the ward. Each Full list, the user The 4 most priority
calls within the ward notification has: can scroll through notifications are
it. shown.
• A color that matches the type of call
• A text with type of call, room and bed (if bed is
available).
• A time indication how long the nurse call is already
active.
Button for intercom Be able to have a speech conversation through the intercom Yes Not available
unit in the patient room or at the bed. When an intercom unit
is present this button will appear automatically on the
notification.
Switch between loud and Switch the volumes in the ward between loud and silent. E.g., Yes Not available
silent ward at night you do not want loud buzzer sounds for call
forwarding while during the day in a noisy environment you
do want to hear it clearly.
Option to mute the The notification sound can be muted when it is too Yes Yes
notification sound disturbing.
This is the configuration part for managing the configuration of the ward, the following features are supported:
Feature Description
Configuration of the ward name This is the name visualized on the nurse station and signage screens.
Configure volumes for loud and silent The ward can be put in a loud and silent mode. This changes the volume of the buzzers, the
ward intercom ring tone and intercom speech for the ward.
Configuration of the room and bed The rooms and beds can be named and numbered as preferred in the ward. Familiar and
display names recognizable names make it clearer and more efficient for the staff.
Configuration of the call type display The call types can be named as preferred in the ward. Familiar and recognizable names make it
names clearer and more efficient for the staff.
Feature Description
Firmware update This allows to update the entire system (ward controller, room hubs, call units) in a very simple
way enabling the latest features and security patches for the system. After uploading the update
file; the system will push the new firmware to all devices and wait for a user action to apply the
update.
Device overview This overview shows all the detected devices in the system and shows a status if they are currently
online or not. This comes in handy to troubleshoot a system if needed.
The nurse call units are clickable units, meaning each unit is clicked into a frame to be mounted to a wall or wallbox. Different
frames exist providing modularity and flexibility. The frames have screwing holes at 60mm and can be mounted on various wall
boxes or surfaces.
- Single frame
- Single surface mounting frame of 30mm height
- Double frame: can be used to combine two call units on a single wallbox.
- IP54 single mounting frame for pull cord: this frame makes the pull cord unit IP54 for use in wet areas.
Note that “the hub with overdoor light” and the “intercom unit” require a wall-box or a surface mountable box in order to be
mounted because of the connectors on the back need more depth.
There is also a blind plate to cover a mounting frame, it can be used for future extensions, hiding wires, wall boxes, etc.
Each unit has pluggable connectors on the back, this makes it easy for cabling and connecting the units comfortably. Also replacing
units is very easy, unplug the connector and put it on the new unit and you’re done.
3.5.3 Protection
Each unit is closed at the back, so the electronics is protected from damage or touching wires.
All products are electronically protected against most common wiring mistakes and have internal or external fuses.
All user software runs on the ward controller itself, no server needed, no software to install. The user software is accessible from a
standard web-browser.
The Android nurse station runs the AQURA nurse station app to provide maximum reliability of the nurse station, once the app is
running and the nurse station is connected to the network the app will automatically detect the ward controller and start working.
By following some simple instructions this system can be up and running in no time. The installation process is straight forward and
the system facilitates the setup for all steps. In fact, once cabling and connections are made, the system will already work without
doing any configuration.
Making sure all data and power cables are installed and connected correctly as specified in the documentation and cabling
guidelines.
Room cabling:
This can be done room by room. This requires the room hub to be powered.
The service mode on a room hub can be activated and de-activated by:
- The LEDs of the room lamp will blink to indicate the service mode.
- All LEDs of the room units connected to this hub will be activated. Meaning if one is not activated this indicates a problem
in the cabling or connection, so it can be fixed and verified again.
Ward cabling:
To test the ward cabling the ward service mode should be enabled. To enable/disable the ward service mode:
- all room hubs of that ward will be put in service mode. If not all room hubs go into service mode, this indicates a problem
in the cabling or connections.
Furthermore, through the web-interface, there is a device list page, listing all discovered hubs on the ward bus and their according
smart units.
This step is only needed if you have signage screens or nurse stations. It ensures displaying the correct room and bed name when a
nurse call has been activated. This step is needed to tell the system in what order rooms and beds are organized in the ward.
Setting the sequence can be done by (also refer to the example below):
1. Activate the ward service mode (pushing the service button on the ward controller).
2. Go to each room in the order you want the sequence to be. The first room will be numbered 1, the second 2, etc.
3. In that room look for units that have a blinking LED:
o Always push a button unit with a blinking LED first (this will number the room and the unit as being the 1st unit
in the room).
o When intercom units are present in the room, these need a sequence number as well, this can be done by
presenting the magnet to the intercom unit just after you pressed the button from the call unit you want to
associate with the intercom unit. If only one intercom unit is in the room it will be assigned to the room instead
of a bed.
o Repeat for as many call units and intercom units you have in the room in the order you want to number them.
4. When no more LEDs are blinking in the room, go to the next room and repeat.
5. When all rooms are done, disable the ward service mode.
Now all rooms and beds are numbered sequentially starting from 1 in the order you went to the rooms and beds.
Example flow:
The system is fully up and running now. However, some configuration could be changed to fully match the preferences of the
organization.
When sequence numbers were assigned, all alarms will be displayed by using that sequence number. For example: “Normal call –
Room 1 – Bed 2”. However, if you want to change the words, room- and bed numbers displayed on the software; this can be done
by configuring aliases from the web-interface. That way display of the alarm notifications can be altered into for example: “Appel
normal – Chambre 201 – Lit 2”.
Changing volumes:
The intercom ring tone, speech volume and buzzer volume can be changed to the desired level for this ward. For both loud and
silent mode. These modes can be switched easily from the software to reflect the current operation mode.
Except for the nurse station phone, all components of the nurse call system are powered by 24VDC. This makes it uniform and
allows to have a backup power supply for the system in case of power outage.
The nurse station has its own power adapter or can be powered over PoE.
The ward bus connects the ward controller with the room hubs in the corridor. This is a double terminated bus topology,
connecting room hub to room hub making it easy to have a cable in corridor of the ward going from room to room. T shaped
cabling is not allowed.
It is possible to have the ward controller placed as an element of the bus. Then both ends of the line needs to be terminated with a
resistor (120 Ohm, these resistors are supplied with a ward controller).
The ward bus can easily be tested by putting the ward in service mode. The room hubs will illuminate their fields, that way a good
connection and function of the ward bus can be verified.
The audio bus connects the ward controller with the digital intercom units. This is a daisy chain topology, connecting intercom units
from one to another. The audio bus does not need termination, T shaped cabling is not allowed.
Example of the data connections on the intercom unit (excl. power), the connectors can be swapped:
The audio bus can easily be tested by putting the ward in service mode. All intercom units will light their blue LED, that way a good
connection and function of the audio bus can be verified.
- Passive room units are connected to the inputs and outputs on the hub and can be put in parallel cabling if they share
the same functionality. By connecting the units to the according contact input and output of the room hub the following
functions are possible:
o Normal call / assistance call
o Sanitary call / sanitary assistance call
o Presence
- Smart bed units are connected to the room hub through a digital room bus. This is a free topology bus and does not need
termination, this provides maximum flexibility in how the beds are cabled. Smart units will be detected automatically by
the system, they have a microcontroller inside providing logic for intelligent features and can generate various types of
alarms with identification of the bed and cancellation at the bed. Furthermore, smart units can be monitored and
updated over the bus.
The free topology bus allows flexible wiring to ensure the least and easiest cabling possible while allowing advanced
features and reliability. Here are some example free topology setups:
Example connection in the room with both the passive and smart units:
The outlet units have 2 build-in low-current relays which get controlled by the light control buttons on the push pear. This provides
maximum flexibility in connecting various light control switches. (Do not connect high current directly to these outputs!)
A separate cable can be connected to a 3rd party device by means of a dry contact (Normal open). When this contact is closed it will
trigger a monitoring alarm type within the system.
AQURA Essentials is a ward nurse call system, each ward functions autonomously and independent from other wards:
The system can evolve by integrating it into the full AQURA care platform offering multi-ward functionality and a lot more.
The frames and connectors are not included with the call units and hubs for the following reasons:
Power supply, backup battery, UPS and fuses are not provided by Televic (unless specified otherwise). It is advised to select a power
supply equipment that complies to the local regulations and guidelines.
- The ward controller, room hubs and call units are all powered over 24 VDC.
- The nurse station has a power supply (EU only) included and can be powered with PoE.
- Other equipment that might be added to the system such as PC’s or signage screens will depend on the properties of
these devices.
Ward
Room
- Data and power can be combined in 1 UTP cable, minimum UTP cat. 5
- 2x data wires; 2x2 power wires (= 3 pairs of the UTP cable)
Digital audio
The signage application is web-based, this means it needs a web-browser to run. The following browsers has been tested
successfully:
What hardware that is used to run the web browser and what screen is used to display will depend on the integration and the
needs in the project. The advised resolution for the signage web-application is:
The ward controller, nurse station and signage screen application communicate over IP over the local network.
A network router with a DHCP server is needed in the network (not supplied by Televic).
The appropriate light control impulse relays (available on the market) will be needed according to the situation at hand to control
the lights.
Many wall boxes have been tested. The single and double frames for the AQURA units can be mounted on a single wall box with
screws at 60mm. For a double frame it is advised to add a wall screw at the farther end of the frame to fixate the frame. The wall-
box may not exceed 80x80mm because it would not be covered by the frame anymore.
- Screwdrivers
- Cable tools
- Wall mounting boxes
- Screws and wall plugs
- Drilling machine (if needed for plugs)
- …
50.10.0220 Passive pull cord to call for help or Choice Typically placed in SAN I/O on
assistance. The pull cord can be reached the bathroom. Use a roomhub
from the floor to make an alarm in cause IP54 frame where
of a fall. required.
50.10.0210 Passive pull cord or button to call for help Choice At the toilet SAN I/O on
or or assistance from different parts in the roomhub
50.10.0220 bathroom where needed.
or
50.12.0030 Smart single magnetic outlet with call Choice Typically placed at RBUS on
and cancelation button every bed. When roomhub
Auto releasing magnetic socket for there is a chair next
plugging in a push pear. The unit has a call to the bed it is best
button to call for help or assitance and a to place the unit in
bed call-cancellation button to cancel the between the bed
call from that bed. and the chair so it
can be used in both
situations.
50.15.0010 Push pear with red button and magnetic Choice Connects to the -
or connector. Has an illuminated red button magnetic socket of
50.15.0050 allowing the patient to call for help. There an outlet unit.
is also a pear with light controls to
conveniently control the light from the
bed.
50.14.0020 Smart blue button for a doctor, Optional Typically placed at RBUS on
reanimation, or code blue call. every bed. roomhub
50.10.0210 Passive button to call for help or Optional Typically at a NOR I/O on
assistance from different parts in the separate table/chair roomhub
room where needed. in the room.
Yes, this is possible, the same hardware can stay in place, and it will connect to the system instead of functioning stand-alone. This
will enabling advanced and enterprise features.
5.1.2 What if I want to extend the system to more wards over time?
You can either extend the system by adding AQURA Essentials systems, they will independently and autonomously function per
ward. If you want a full system with more advanced features, central management, and capabilities to combine multiple wards,
then you can upgrade to the AQURA Care platform. The existing hardware can stay in place and will work seamlessly together with
the AQURA Care platform.
5.1.3 What if I want to have more features over time such as wandering detection, wireless buttons, person
localization, mobile alarming, etc.?
Upgrade the system any time to the full AQURA Care platform which does not only offer wired nurse call but a range of other
applications. The existing hardware can stay in place and will work seamlessly together with the AQURA Care platform.
Yes, in multi-beds rooms the bed where the call originates from will be indicated on the displays. Cancellation of a bed call happens
on the call unit at that bed, this ensures someone went to the bed.
5.2.2 Can the push pear socket be used for monitoring devices?
Yes, a monitoring device can be plugged into a socket and the alarm that will be triggered will be different from the push pear
indicating a monitoring call has been triggered.
No, only light control is foreseen. Blend control is possible in the full AQURA Care platform.
No, this system has no separate sanitary cancellation in this release, a sanitary call is cancelled by the room presence button.
No. Currently you need to upgrade to a full system for this feature.
Yes, it is possible to have multiple nurse stations and signage screens per ward. The total is limited to 10.
5.3.2 Can I change the information displayed on the screens e.g., room names, numbers, etc.?
Yes, you can provide aliases for room and bed names, you can use a custom numbering and change the names of the nurse call
types. Unicode characters are used, meaning any language is possible (even emoji-icons are possible).
No, notifications of calls are visible on the overdoor lights of the system and through the nurse station and signage screen. One
could consult the signage screen web-interface as well on a tablet or mobile phone, however this method is for consulting only and
not to be used for acute notifications.
5.3.4 Is there a small display to put in the room to display the call forwarding?
No, when a display is desired one can upgrade to the full AQURA Care platform which has a small color touch screen unit.
The 4 most priority notifications are visualized, and the total number of active nurse calls is displayed. When alarms get cancelled
the other calls will be displayed dynamically.
The system is a ward nurse call system, it functions on a ward basis. However, the signage is a web-interface, multiple web-browser
windows could be used next to each other to visualize the alarms from multiple ward as a workaround. For a true centralized
system with functionalities over wards the AQURA Care platform is needed.
5.3.8 How does the priority of the calls on the signage display work?
The 4 most priority calls will be displayed. They are displayed in the order of the priority of the type of call (see call-types table);
multiple calls from the same type will be ordered oldest first.
No, the intercom units are only used for intercom after a nurse call has been activated.
5.4.3 Can I make an intercom call a room from the nurse station without an active call?
Any 24V DC power supply delivering enough current for the size of the installation should work, check local regulations to choose
the right type and if emergency power supplies are needed. All nurse call devices have a separate connector for power.
The nurse station is supplied with its specific power supply. Refer to the documentation for more details about power supplies.
No, everything is self-contained. No internet connection is needed for operation of the system.
No, this system is autonomous and runs without the need of a server. The ward controller controls the ward and web-applications,
and the room hubs control each room.
Yes, a DHCP server is needed. This can be established with each standard consumer router.
From the moment you can access the network where the ward controller is connected to you can do all configuration and system
checking from the web-interface of the ward controller. Typically, this is done through VPN or Teamviewer connection to a PC on
the network.
Search for “Televic AQURA Essentials’, download the App and follow the update procedure
AQURA Essentials nurse call system can evolve with your needs by connecting it to the full AQURA care platform at any point in
time. It can be done without changing any infrastructure in your ward.
API
✓
SIP trunk
✓
Televic Healthcare is part of the Televic Group, an international technology company with headquarters based in Belgium. Televic is
specialized in different niche markets and provides professional and reliable systems using the latest communication technologies
to create innovative products that solve the needs of our users in the best possible way.
Televic Healthcare has over 70 years of experience in designing and manufacturing nurse call- and nurse communication systems.
With over 10 generations of nurse call systems, Televic has built a unique and vast expertise in the healthcare communication
market. Televic Healthcare has a reputation as a long term, reliable partner in healthcare communication systems all over the
world.
Televic ensures it’s quality, flexibility and long term availability and support by designing and developing all niche products in-
house from idea, to engineering, production and support; Televic has it under control. Furthermore Televic has his own European
based manufacturing facilities.
Care givers are there for their patients 24-7. We believe care givers deserve a system that supports their work 24-7 by giving them
the tools to focus on taking care of patients in the most efficient way.