2.50
Hdl Handle:
http://hdl.handle.net/10755/162371
Type:
Presentation
Title:
Life Saving Minutes: A Pre-hospital Care ECG Transmission Program
Abstract:
Life Saving Minutes: A Pre-hospital Care ECG Transmission Program
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Burnie, Jeannie, RN, MS, CEN
P.I. Institution Name:Bethesda North Hospital
Title:Emergency Department Staff Educator
Contact Address:10500 Montgomery Road, Cincinnati, OH, 45242, USA
Contact Telephone:513-865-1496
Co-Authors:Jeffrey Heist, RN, CEN, NREMT-B, EMSI; Bonnie Sheedy, RN, BS; Ginger LaMar, RN, MSN, CCRC
[ENA Annual Conference - Evidence-based Practice Presentation]
Purpose: To decrease time in minutes from door-to-balloon time for S-T Segment Elevation Myocardial Infarction (STEMI) patients by ensuring that pre-hospital care providers (EMS) have the ability to transmit electrocardiograms (ECG) from the field.
Design: A quality improvement project team consisting of members from the emergency department (ED), cardiac catheterization lab (CCL), emergency medical services (EMS) group and clinical quality specialists was charged with evaluating STEMI processes. This team had seen positive results from participation in a multi-center study utilizing ECG transmission by EMS providers to the ED. The study revealed a significant decrease in door-to-balloon time. In an attempt to capitalize on the study findings the team, funded by a hospital grant, provided local EMS providers with the ability to transmit pre-hospital ECG's.
Setting: A 360 bed suburban Midwestern Hospital System Level III Trauma Center. This hospital system cares for more STEMI patients than any other facility in the region.
Participants: All primary advanced life support units within a four county area that transport patients to the ED in the hospital system were included. The ED staff nurses, unit coordinators and ED physicians were also participants in the project.
Methods: The hospital purchased transmission modems allowing paramedics to transmit ECG's. The multidisciplinary team members met with individual EMS leaders to determine equipment requirements and then formalized the ECG transmission device process.
In March and April, 2009, 45 EMS agencies were included, with deployment of 170 ECG transmission devices. Training of EMS providers and ED staff included transmission requirements and process changes. The new process began May 15, 2009. ECG's are transmitted from the field to a computer at the unit coordinator and charge nurse desks. An alarm sounds to ensure visualization, the ECG is printed, shown to the ED physician and if the patient is experiencing a STEMI, the CCL team and Interventional Cardiologist are paged immediately.
Results/Outcomes: From May û November 2009, 42 STEMI patients were cared for, with 13 transmitted from the field. The door-to-balloon times have decreased from a median time of 75 minutes to 67 minutes when comparing May- November, 2008 to May - November, 2009, resulting in a eight minute decrease. Monthly team meetings continue to ensure improvement efforts.
Implications: Minutes saved from door-to-balloon times result in the ultimate goal of improving patient outcomes. First responder care in the community is key to saving time in door-to-balloon care for STEMI patients. Combining technology with collaborative, multidisciplinary team work can assist organizations in meeting and exceeding the ACC/AHA guidelines for STEMI care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLife Saving Minutes: A Pre-hospital Care ECG Transmission Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162371-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Life Saving Minutes: A Pre-hospital Care ECG Transmission Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</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">Burnie, Jeannie, RN, MS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Bethesda North Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Department Staff Educator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">10500 Montgomery Road, Cincinnati, OH, 45242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">513-865-1496</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jeannie_burnie@trihealth.com; jjburnie@embarqmail.</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jeffrey Heist, RN, CEN, NREMT-B, EMSI; Bonnie Sheedy, RN, BS; Ginger LaMar, RN, MSN, CCRC</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/>Purpose: To decrease time in minutes from door-to-balloon time for S-T Segment Elevation Myocardial Infarction (STEMI) patients by ensuring that pre-hospital care providers (EMS) have the ability to transmit electrocardiograms (ECG) from the field. <br/>Design: A quality improvement project team consisting of members from the emergency department (ED), cardiac catheterization lab (CCL), emergency medical services (EMS) group and clinical quality specialists was charged with evaluating STEMI processes. This team had seen positive results from participation in a multi-center study utilizing ECG transmission by EMS providers to the ED. The study revealed a significant decrease in door-to-balloon time. In an attempt to capitalize on the study findings the team, funded by a hospital grant, provided local EMS providers with the ability to transmit pre-hospital ECG's.<br/>Setting: A 360 bed suburban Midwestern Hospital System Level III Trauma Center. This hospital system cares for more STEMI patients than any other facility in the region.<br/>Participants: All primary advanced life support units within a four county area that transport patients to the ED in the hospital system were included. The ED staff nurses, unit coordinators and ED physicians were also participants in the project.<br/>Methods: The hospital purchased transmission modems allowing paramedics to transmit ECG's. The multidisciplinary team members met with individual EMS leaders to determine equipment requirements and then formalized the ECG transmission device process.<br/>In March and April, 2009, 45 EMS agencies were included, with deployment of 170 ECG transmission devices. Training of EMS providers and ED staff included transmission requirements and process changes. The new process began May 15, 2009. ECG's are transmitted from the field to a computer at the unit coordinator and charge nurse desks. An alarm sounds to ensure visualization, the ECG is printed, shown to the ED physician and if the patient is experiencing a STEMI, the CCL team and Interventional Cardiologist are paged immediately.<br/>Results/Outcomes: From May &ucirc; November 2009, 42 STEMI patients were cared for, with 13 transmitted from the field. The door-to-balloon times have decreased from a median time of 75 minutes to 67 minutes when comparing May- November, 2008 to May - November, 2009, resulting in a eight minute decrease. Monthly team meetings continue to ensure improvement efforts.<br/>Implications: Minutes saved from door-to-balloon times result in the ultimate goal of improving patient outcomes. First responder care in the community is key to saving time in door-to-balloon care for STEMI patients. Combining technology with collaborative, multidisciplinary team work can assist organizations in meeting and exceeding the ACC/AHA guidelines for STEMI care.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:03Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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