Abstract: Healthcare facility nurse-patient ratios are minimized by providing patients with in-room devices to request and receive real time audio visual (AV) communications with advocates responsible for the patients' healthcare. Each device enables the patient to see and hear their assigned advocate, as well as to communicate to the advocate a category of the patient's present subjective pain level. While advocates assume communication and coordination responsibilities for non-medical services provided to their assigned patients, they also assume responsibilities on behalf of their assigned patient with nursing staff whose responsibilities will preferably exclude non-medical services but will rather be limited to medical services provided to the advocate's assigned patients. Advocate operated work stations can remotely adjust AV and vital site monitoring equipment in the hospital room, thereby enabling the selective seeing and hearing of real time events.