A patient monitoring system includes a patient data acquisition system (12) to acquire patient data via patient physiological sensors (28). A first patient monitor display (16) and first audio system (18) is disposed inside a patient room. A second patient monitor display (20) and audio system (22) is disposed outside the patient room. A control system (14) outputs acquired patient data via at least one of the first patient monitor display and the second patient monitor display and outputs a patient audio monitor signal (60) generated based at least in part on acquired patient data using at least one of the first and second audio systems (18, 22). The control system (14) provides a first audio configuration (42) for operating the first audio system (18) and a second audio configuration (44) for operating the second audio system (22).