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Patient stays on 2nd floor, maid stays in basement, approx 50m away. Something similar to door bell (wireless). If patient in pain, can alert maid by pressing for help.

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PAM IS RIGHT. Maybe add a whistle if patient knows how to use it. Move maid upstairs....
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50 meters? 164 feet? I would suggest a baby monitor, but they don't range out that far. You need walkie-talkies or a wired intercom.
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