2.50
Hdl Handle:
http://hdl.handle.net/10755/157029
Category:
Abstract
Type:
Presentation
Title:
A Creative Solution Using Innovative Collaboration to Reduce Door to Balloon Time
Author(s):
Perez, Cynthia R; Spiering, Mary
Author Details:
Cynthia R. Perez, RN,CNS,MS,CCRN, Oregon Health & Science University, Portland, Oregon, USA, email: perezc@ohsu.edu; Mary Spiering
Abstract:
PURPOSE: Our goal was to create a system driven by the needs of patients and families in which acute and critical care nurses make their optimal contribution. By combining the critical care expertise of the rapid response team (RRT) nurse with the clinical expertise of the cardiac catheterization laboratory (CCL) team our purpose was to initiate a seamless, collaborative process to reduce door-to-balloon times at our institution. DESCRIPTION: The American College of Cardiology/American Heart Association guidelines recommend a door-to-balloon time of no more than 90 minutes. In 2007, the mean emergency department (ED) door-to-balloon time at our institution was 94 minutes. Several approaches failed to help meet the 90-minute goal. In March 2008, the cardiology division contacted the RRT to explore the possibility of responding to ST-elevation myocardial infarction (STEMI) activations. A collaborative effort produced a creative process. For all STEMI activations, to ensure prompt response and immediate treatment, a page goes out to several key health care personnel in the organization. The RRT is one of the responders and has a specific role of assisting with the initial treatment based on a STEMI checklist. Once activated, the RRT arrives in the ED with a portable defibrillator and STEMI medications, and is prepared to rapidly transport the patient to the CCL. The RRT is familiar with CCL processes and helps prepare the patient for a cardiac catheterization. A STEMI cart with patient preparation items was especially designed for the RRT to ensure efficient processes. In addition to ED response, the RRT meets the patient on the helipad for all STEMI life flight transfers and assists with direct transport to the CCL. EVALUATION/OUTCOMES:Creating a STEMI checklist and putting together a STEMI cart were part of the creative tools to improve the process. Including the RRT in STEMI activations made a tremendous difference. In 2008, the mean ED door-to-balloon time was reduced to 67 minutes and in 2009 the mean ED door-to-balloon time was 47 minutes. Since implementation, the RRT collaboration has helped reduce door-to-balloon time by 47 minutes. With this creative solution and the dedicated effort of the RRT, ED, and CCL, Our institution was able to set a new ED door-to-balloon time goal of 45 minutes.
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.titleA Creative Solution Using Innovative Collaboration to Reduce Door to Balloon Timeen_GB
dc.contributor.authorPerez, Cynthia Ren_GB
dc.contributor.authorSpiering, Maryen_GB
dc.author.detailsCynthia R. Perez, RN,CNS,MS,CCRN, Oregon Health & Science University, Portland, Oregon, USA, email: perezc@ohsu.edu; Mary Spieringen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157029-
dc.description.abstractPURPOSE: Our goal was to create a system driven by the needs of patients and families in which acute and critical care nurses make their optimal contribution. By combining the critical care expertise of the rapid response team (RRT) nurse with the clinical expertise of the cardiac catheterization laboratory (CCL) team our purpose was to initiate a seamless, collaborative process to reduce door-to-balloon times at our institution. DESCRIPTION: The American College of Cardiology/American Heart Association guidelines recommend a door-to-balloon time of no more than 90 minutes. In 2007, the mean emergency department (ED) door-to-balloon time at our institution was 94 minutes. Several approaches failed to help meet the 90-minute goal. In March 2008, the cardiology division contacted the RRT to explore the possibility of responding to ST-elevation myocardial infarction (STEMI) activations. A collaborative effort produced a creative process. For all STEMI activations, to ensure prompt response and immediate treatment, a page goes out to several key health care personnel in the organization. The RRT is one of the responders and has a specific role of assisting with the initial treatment based on a STEMI checklist. Once activated, the RRT arrives in the ED with a portable defibrillator and STEMI medications, and is prepared to rapidly transport the patient to the CCL. The RRT is familiar with CCL processes and helps prepare the patient for a cardiac catheterization. A STEMI cart with patient preparation items was especially designed for the RRT to ensure efficient processes. In addition to ED response, the RRT meets the patient on the helipad for all STEMI life flight transfers and assists with direct transport to the CCL. EVALUATION/OUTCOMES:Creating a STEMI checklist and putting together a STEMI cart were part of the creative tools to improve the process. Including the RRT in STEMI activations made a tremendous difference. In 2008, the mean ED door-to-balloon time was reduced to 67 minutes and in 2009 the mean ED door-to-balloon time was 47 minutes. Since implementation, the RRT collaboration has helped reduce door-to-balloon time by 47 minutes. With this creative solution and the dedicated effort of the RRT, ED, and CCL, Our institution was able to set a new ED door-to-balloon time goal of 45 minutes.en_GB
dc.date.available2011-10-26T19:21:31Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:21:31Z-
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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