# Smart Intravenous Infusion Dosing System
## 4 Case Study: Oncology Department  
The efficiency of medical staff depends on a number of factors; however, the response time is crucial. According to [35; 36; 37; 40; 43], the response time of medical staff directly depends on the configuration of the department and the layout of the rooms. If the rooms for medical staff are positioned centrally in relation to the patient rooms surrounding them, then the path to the farthest patient is the shortest and thus the efficiency is the highest. On the other hand, the distance traveled by medical staff in a rectangular configuration department is longer, and thus as the number of patient rooms increases, the distance that the staff needs to cover increases as well. However, a combination of centralized and rectangular \begin{table}
\begin{tabular}{c c c c c c} \hline \hline
**Protocol** & \begin{tabular}{c} **IV Bottle** \\ **500 (mL)** \\ \end{tabular} & **IV Bottle Label** & **Cytostatic** & \begin{tabular}{c} **RDT** \\ **(min)** \\ \end{tabular} & \begin{tabular}{c} **Total RDT** \\ **(min)** \\ \end{tabular} \\ \hline \multirow{4}{*}{\begin{tabular}{c} PEB \\ (5 bottles) \\ \end{tabular} } & 1 st & \begin{tabular}{c} Glucose infundibile 5\% or \\ Natri chloridi infundibile 0.9\% \\ \end{tabular} & \multirow{4}{*}{Etoposide} & \multirow{4}{*}{45–60} \\ \cline{2-2} \cline{4-4}  & 2 nd & Natri chloridi infundibile 0.9\% & & Cisplatin & 120 \\ \cline{2-2} \cline{4-4}  & 3 rd & \begin{tabular}{c} Manitol HF 10\% \\ \end{tabular} & / & 10 \\ \cline{2-2} \cline{4-4}  & 4 th & \multirow{2}{*}{Natri chloridi infundibile 0.9\%} & / & 10–15 \\ \cline{2-2} \cline{4-4}  & 5 th & \multirow{2}{*}{1 st} & \begin{tabular}{c} Natrii chloridi infundibile 0.9\% \\ \end{tabular} & \multirow{2}{*}{\begin{tabular}{c} Cisplatin \\ \end{tabular} } & \multirow{2}{*}{10–15} \\ \cline{2-2} \cline{4-4}  & 1 st & \
\begin{tabular}{c} Natrii chloridi infundibile 0.9\% \\ \end{tabular} & & Cisplatin & 120 \\ \cline{2-2} \cline{4-4}  & 2 nd &
\begin{tabular}{c} Glucose infundibile 5\% or \\ Natri chloridi infundibile 0.9\% \\ \end{tabular} & \multirow{2}{*}{Etoposide} & \multirow{2}{*}{45–60} \\ \cline{2-2} \cline{4-4}  & 3 rd & \multirow{2}{*}{Natri chloridi infundibile 0.9\%} & & \multirow{2}{*}{10–15} \\ \cline{2-2} \cline{4-4}  & 4 th & \multirow{2}{*}{Natri chloridi infundibile 0.9\%} & / & 10–15 \\ \cline{2-2} \cline{4-4}  & 5 th & & / & 10–15 \\ \hline \hline \end{tabular}
\end{table} 
Table 1: Daily IV chemotherapy in the treatment of testicular cancer according to cisplatin/etoposide/bleomycin (PEB) and cisplatin/etoposide/ifosfamide (PEI) protocols: order of receiving IV bottles and recommended drip times (RDT) of infusion for each IV bottle. configurations reduces the maximum distance and response time of medical staff by as much as 60%. In addition, the efficiency of medical staff is affected by the existence of a unique system for monitoring the condition of patients. The distribution of work tasks and good cooperation and exchange of information between medical staff also has a positive effect on reducing the overall response time, which results in greater efficiency. Bearing in mind that IV chemotherapy is inconceivable without the use of IV infusion, an analysis of the medical staff response time (depending on the staff's gender and age), for a typical oncology department with rectangular configuration was performed. It should be emphasized that oncology patients, due to cytostatics, have a very low number of leukocytes, which causes a decline in the immune system, leaving the body unprotected from many bacteria and viruses, which is why strict control at the entrance of the department is crucial, especially today, due to the COVID-19 pandemic. Although it increases the medical staff response time, the rectangular configuration is of exceptional importance in oncology departments, which implies the use of modern systems for detection and monitoring of IV infusion therapy at a remote location.