2.50
Hdl Handle:
http://hdl.handle.net/10755/152902
Type:
Presentation
Title:
Time is Muscle: Developing a New Reperfusion Goal
Abstract:
Time is Muscle: Developing a New Reperfusion Goal
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Duncan, Cheryl Lynn, BSN, RN, CVN
P.I. Institution Name:Michael E. DeBakey VA Medical Center
Title:Staff Nurse
Co-Authors:Lucy E. Lacy, BSN; Camille Dixon, MBA, MSN, RN
21st INRC [Evidence-Based Practice Presentation] Cardiovascular Disease is the "Single Largest Killer" of people in the United States.ÿ ÿAccording to American College of Cardiology (ACC) and American Heart Association (AHA)ÿ guidelines, the patient outcomes for ST Elevation Myocardial Infarction (STEMI) can be markedly improved with achieving the door-to-balloon time of <90 minutes. An interdisciplinary multi-unit collaborative work group was created to analyze and evaluate the door-to-balloon time process for STEMI patients.ÿ Out of this work group, two major efforts occurred; the Heart Attack Team was created and a chest pain mystery shopper presented to the Emergency Center. The initiative incorporated a group web-based paging system which allowed the EC doctor to activate the Heart Attack team without consultation with the cardiologist. The mystery shopper findings have resulted in alleviating avoidable barriers or delays.ÿ Changes included an immediate (within 5 minutes) EKG once a patient enters the EC with complaints of chest pains. The patients having an acute MI is rapidly processed through the EC using the AMI protocol (EKG with ST elevation, cardiac catheterization consent, ASA, oxygen, 2 large bore IVs, and lab work.ÿ The patient is rushed to the cath lab for a timely Percutaneuous Coronary Intervention (PCI).ÿ On-call Cath Lab staff arrives within 30 minutes to the Cath Lab. The Heart Attack team is activated and the patient is transported to the Cath Lab within 30 minutes.ÿ In FY 2003 door-to-balloon-time was approximately 202 minutes.ÿ FY 2005 the mean was 144 minutes; in FY 2007 the mean was 66 minutes.ÿ FY 2008 the mean was 84 minutes.ÿ The door-to-balloon time currently is 57 minutes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTime is Muscle: Developing a New Reperfusion Goalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152902-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Time is Muscle: Developing a New Reperfusion Goal</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Duncan, Cheryl Lynn, BSN, RN, CVN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Michael E. DeBakey VA Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Cheryl.Duncan@va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lucy E. Lacy, BSN; Camille Dixon, MBA, MSN, RN</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Cardiovascular Disease is the &quot;Single Largest Killer&quot; of people in the United States.&yuml; &yuml;According to American College of Cardiology (ACC) and American Heart Association (AHA)&yuml; guidelines, the patient outcomes for ST Elevation Myocardial Infarction (STEMI) can be markedly improved with achieving the door-to-balloon time of &lt;90 minutes. An interdisciplinary multi-unit collaborative work group was created to analyze and evaluate the door-to-balloon time process for STEMI patients.&yuml; Out of this work group, two major efforts occurred; the Heart Attack Team was created and a chest pain mystery shopper presented to the Emergency Center. The initiative incorporated a group web-based paging system which allowed the EC doctor to activate the Heart Attack team without consultation with the cardiologist. The mystery shopper findings have resulted in alleviating avoidable barriers or delays.&yuml; Changes included an immediate (within 5 minutes) EKG once a patient enters the EC with complaints of chest pains. The patients having an acute MI is rapidly processed through the EC using the AMI protocol (EKG with ST elevation, cardiac catheterization consent, ASA, oxygen, 2 large bore IVs, and lab work.&yuml; The patient is rushed to the cath lab for a timely Percutaneuous Coronary Intervention (PCI).&yuml; On-call Cath Lab staff arrives within 30 minutes to the Cath Lab. The Heart Attack team is activated and the patient is transported to the Cath Lab within 30 minutes.&yuml; In FY 2003 door-to-balloon-time was approximately 202 minutes.&yuml; FY 2005 the mean was 144 minutes; in FY 2007 the mean was 66 minutes.&yuml; FY 2008 the mean was 84 minutes.&yuml; The door-to-balloon time currently is 57 minutes.</td></tr></table>en_GB
dc.date.available2011-10-26T11:54:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:54:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.