Telemedicine: Providing Stroke Expertise to Patients at Rural Facilities Via a Highly Integrated and Coordinated System

2.50
Hdl Handle:
http://hdl.handle.net/10755/156977
Category:
Abstract
Type:
Presentation
Title:
Telemedicine: Providing Stroke Expertise to Patients at Rural Facilities Via a Highly Integrated and Coordinated System
Author(s):
Fahey, Aimee J.; Roberts, Gretchen; Roscoe, Georgianne; Boak, Charles; Locher, Kathleen
Author Details:
Aimee J. Fahey, RN,BSN,CCRN, OhioHealth, Columbus, Ohio, USA, email: aimeef91@yahoo.com; Gretchen Roberts; Georgianne Roscoe; Charles Boak; Kathleen Locher
Abstract:
PURPOSE: Strokes are the third-leading cause of death in the United States and the leading cause of serious long-term disability. Many community hospitals only see a few stroke patients a month, making it difficult to maintain nurse competency in stroke care. Almost none of these emergency departments (EDs) have access to an onsite neurologist. The purpose of our telemedicine stroke network is to improve patient outcomes by providing access to stroke specialists, electronic critical care RNs, and electronic documentation. DESCRIPTION: Although stroke networks are common throughout the country, using a telemedicine approach is innovative for this system and region. We currently have a unit that provides remote nursing and physician support to critical care patients and staff by using 2-way video and electronic documentation. We have used this existing unit to implement the network. The network links the community hospital ED with neurologists and critical care RNs at a primary stroke center. A mobile cart equipped with 2-way video is placed into the room of any patient being ruled out for stroke, which allows the telemedicine RN and neurologist to view the patient. Documentation is then done using a program that has an imbedded algorithm with built in timers and alerts that let all caregivers know how long it has been since onset of symptoms and how much time is left before specific tests or procedures should be done. The telemedicine RN helps document, notifies the neurologist of the admission, and serves as a resource for the ED RN. The stroke specialist then collaborates with the ED physician to evaluate treatment options and to decide if the patient should be kept at the community hospital or transported to a primary stroke center. EVALUATION/OUTCOMES:Patients now have access to a stroke specialist, which most of them would not have had before the telemedicine stroke network. The ED nurses have access to the telemedicine RNs who can help monitor the ED patients and assist with questions or concerns. Software imbedded into the documentation system allows the health system to instantly pull reports that track compliance related to the "Get With the Guidelines" criteria, which previously required an outcomes manager to spend approximately 45 minutes per patient to obtain. The transfer time is shortened, and there is increased usage of TPA and an increased number of hospitals using the telemedicine stroke network.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTelemedicine: Providing Stroke Expertise to Patients at Rural Facilities Via a Highly Integrated and Coordinated Systemen_GB
dc.contributor.authorFahey, Aimee J.en_GB
dc.contributor.authorRoberts, Gretchenen_GB
dc.contributor.authorRoscoe, Georgianneen_GB
dc.contributor.authorBoak, Charlesen_GB
dc.contributor.authorLocher, Kathleenen_GB
dc.author.detailsAimee J. Fahey, RN,BSN,CCRN, OhioHealth, Columbus, Ohio, USA, email: aimeef91@yahoo.com; Gretchen Roberts; Georgianne Roscoe; Charles Boak; Kathleen Locheren_GB
dc.identifier.urihttp://hdl.handle.net/10755/156977-
dc.description.abstractPURPOSE: Strokes are the third-leading cause of death in the United States and the leading cause of serious long-term disability. Many community hospitals only see a few stroke patients a month, making it difficult to maintain nurse competency in stroke care. Almost none of these emergency departments (EDs) have access to an onsite neurologist. The purpose of our telemedicine stroke network is to improve patient outcomes by providing access to stroke specialists, electronic critical care RNs, and electronic documentation. DESCRIPTION: Although stroke networks are common throughout the country, using a telemedicine approach is innovative for this system and region. We currently have a unit that provides remote nursing and physician support to critical care patients and staff by using 2-way video and electronic documentation. We have used this existing unit to implement the network. The network links the community hospital ED with neurologists and critical care RNs at a primary stroke center. A mobile cart equipped with 2-way video is placed into the room of any patient being ruled out for stroke, which allows the telemedicine RN and neurologist to view the patient. Documentation is then done using a program that has an imbedded algorithm with built in timers and alerts that let all caregivers know how long it has been since onset of symptoms and how much time is left before specific tests or procedures should be done. The telemedicine RN helps document, notifies the neurologist of the admission, and serves as a resource for the ED RN. The stroke specialist then collaborates with the ED physician to evaluate treatment options and to decide if the patient should be kept at the community hospital or transported to a primary stroke center. EVALUATION/OUTCOMES:Patients now have access to a stroke specialist, which most of them would not have had before the telemedicine stroke network. The ED nurses have access to the telemedicine RNs who can help monitor the ED patients and assist with questions or concerns. Software imbedded into the documentation system allows the health system to instantly pull reports that track compliance related to the "Get With the Guidelines" criteria, which previously required an outcomes manager to spend approximately 45 minutes per patient to obtain. The transfer time is shortened, and there is increased usage of TPA and an increased number of hospitals using the telemedicine stroke network.en_GB
dc.date.available2011-10-26T19:18:43Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:18:43Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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