[QUOTE=Mama Zappa]
Nearly every hospital I’ve had occasion to visit, in the past 10+ years, has had prominent signs saying in Big, Unfriendly Letters that “if you don’t turn off your cell phone when you’re within 20 miles of this building you’ll kill every patient inside and most of their visiting relatives”.
…or something like that.
The one exception (until the other day) was the hospital where my mother died a couple of years ago - no such sign, and we siblings had our cell phones on - and in use - for several days while Mom was ill. We’re pretty sure we didn’t do her in.
The other day, Typo Knig was in for surgery at a place near our house. I looked for such signs at the hospital entrance, and didn’t see them, so I left my phone on (Typo told me they used to have the signs, but had taken 'em down). Wasn’t until after he’d been wheeled away and was in surgery for most of an hour that I saw such a sign, displayed behind the receiptionist’s desk in the surgery waiting room.
Fortunately at that point there were only two patients left in the place; I know the other patient survived and certainly Typo appears to have done so,
so I don’t think I committed involuntary manslaughter.
But really - what is it about cell phones and hospital equipment? Is this another of those “use it and your gas pump will explode” myths? I once used one in the ER in California (long story but it was essential we speak with someone on the east coast) right in front of a doctor and she didn’t even blink.
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The main concern with cell phones in hospitals is interference with medical equipment. Factors involved include the strength of the signal, GPRS v CDMA phones, proximity to the equipment, and the age of the equipment itself. In particular older equipment tends to be less adequately shielded.
This is a longish topic with a disproportionate amount of hysteria (in my personal opinion) around an unenforceable ban. The ubiquity of cell phones means no ban is going to work. If your IT/Engineering department is concerned, you better buy shielded equipment…
One of the things that happens is that engineers are asked if it’s a problem, since we physicians aren’t engineers. The engineer does tests which are legitimate concerns in a lab but which don’t translate into real life. Here is an example from my home hospital (where we allow, encourage, and enable cell phones ((by putting in a whole network of cellular antennas inside the hospital to make sure cell phone reception is excellent inside the hospital)): one of our patients had a funny wiggle on the telemetry monitor. Cause? His cell phone was resting on an EKG lead. Now to an engineer, that’s a bad thing. To a clinician who looks into the room to check on the patient? “Sir, let me put your cell phone back on the bedside stand.”
I’ve done a number of presentations at national meetings around our hospital’s decision. An opposing view at one meeting was presented by a guy from McGill University who had spent many years researching EDI (Electronic Data Interference) and was convinced it was a huge safety concern to have cell phones in the hospital. His index case was a baby incubater which was dangerously overheating for unknown reasons. Cause: microwave transmissions coming through a nearby window from an antenna across the street.
I replied that that was my point exactly: if you are concerned about EDI, you need to specify properly shielded equipment. Worrying about 0.3W cell phones in every visitor’s purse and pocket, and trying to police use within a hospital is not going to work, nor is it going to help much when the rest of the spectrum is being bombarded with external signals.