Video Surveillance and Nursing Workforce Safety

Patricia A. Quigley, PhD, MPH, MS, APRN; Lisbeth Votruba, MSN, RN; Jill Kaminski, MS


Am Nurs Today. 2019;14(12):39-41. 

In This Article

Scope of Surveillance

In the United States, 176 acute-care and rehabilitation hospitals have implemented a PEVS system (AvaSure®) and subscribed to its database. Between January 1 and December 31, 2018, data were collected from 78,746 patients, totaling 204,588 video-monitoring in-hospital days. In each hospital, primary bedside nurses selected appropriate patients for PEVS based on the nurses' clinical judgment (with guidance of hospital-specific policies) that the patients were a risk to themselves and/or staff. After patients were selected, primary bedside nurses explained the PEVS program to them and their families and that it was part of their individualized plan of care. Because the system is for monitoring only (it doesn't record audio or video) and the monitoring station isn't visible to the public, written consent wasn't required. During surveillance, the monitoring staff learned each patient's behaviors and verbally engaged with him or her to help prevent abuse events. In the case of an urgent or emergent observed behavior, the monitoring staff triggered the PEVS alarm. Monitoring staff reported prevented abuse events and actual abuse events they observed and included brief descriptions.