2.50
Hdl Handle:
http://hdl.handle.net/10755/162377
Type:
Presentation
Title:
Community Hospital and EMS Implement Therapeutic Hypothermia Protocol
Abstract:
Community Hospital and EMS Implement Therapeutic Hypothermia Protocol
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Evans, Tammy, RN, MSN
P.I. Institution Name:Medical Center of Plano
Title:ED Clinician
Contact Address:3901 W. 15th Street, Plano, TX, 75075, USA
Contact Telephone:972-519-1230
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: Improving outcomes of post cardiopulmonary resuscitation with persistent coma after return of spontaneous circulation using evidence based practice in a community hospital. Implementation of protocol included collaboration between critical care and emergency department physicians, leadership, nursing and expanded to local EMS.

Design: This evidence base practice implementation is a patient quality of care improvement project.

Setting: Community hospital in the Dallas/Fort Worth metroplex. The facility is a Magnet certified, Level 3 Trauma Center that is Stroke and Chest Pain accredited.

Participants/Subjects: The inclusion criteria for this protocol were:
Post cardiopulmonary resuscitation with persistent coma after return of spontaneous circulation
Resuscitation time from collapse to return of spontaneous circulation should be less than one hour.
No level of coma short of brain death precludes cooling.
Greater than or equal to 18 years of age.

Methods: Implementing this protocol included many meeting with physicians in neuro, cardiology and emergency department by the neuro-trauma clinical specialist and ED Clinician to begin the interest of implementing the evidenced based practice. This order set was approved in June 2009 and implemented in the facility the same month. The ED physician champion also served as the EMS medical director and began education and initiation of protocol with the pre-hospital providers. EMS starts the cooling process with cooled saline intravenously and the ED implements the Emergency Department Therapeutic Hypothermia after Cardiac Arrest Order Set. The ED physician inserting the internal cooling catheter was agreed upon by the ED physician group to expedite the cooling process. The critical care unit continues with the cooling using the catheter and cooling equipment located in the critical care area

Results/Outcomes: Current survivor outcomes of patients are above the national standard of 6:1. The current survivor outcome at the community hospital is 17:4. The current survivor successes were all in ventricular fibrillation initially before return of spontaneous circulation.

Implications: Continued teamwork and collaboration with improve patient outcomes as the facility departments work together and included education of staff along with allied personnel, such as pre-hospital EMS to implement evidenced based practice. The successes are a direct relationship of collaboration affecting quality patient 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.titleCommunity Hospital and EMS Implement Therapeutic Hypothermia Protocolen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162377-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Community Hospital and EMS Implement Therapeutic Hypothermia Protocol</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">Evans, Tammy, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Medical Center of Plano</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">ED Clinician</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3901 W. 15th Street, Plano, TX, 75075, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">972-519-1230</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">tammy.evans2@hcahealthcare.com</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation]<br/><br/>Purpose: Improving outcomes of post cardiopulmonary resuscitation with persistent coma after return of spontaneous circulation using evidence based practice in a community hospital. Implementation of protocol included collaboration between critical care and emergency department physicians, leadership, nursing and expanded to local EMS.<br/><br/>Design: This evidence base practice implementation is a patient quality of care improvement project.<br/><br/>Setting: Community hospital in the Dallas/Fort Worth metroplex. The facility is a Magnet certified, Level 3 Trauma Center that is Stroke and Chest Pain accredited.<br/><br/>Participants/Subjects: The inclusion criteria for this protocol were:<br/>Post cardiopulmonary resuscitation with persistent coma after return of spontaneous circulation<br/>Resuscitation time from collapse to return of spontaneous circulation should be less than one hour.<br/>No level of coma short of brain death precludes cooling.<br/>Greater than or equal to 18 years of age.<br/><br/>Methods: Implementing this protocol included many meeting with physicians in neuro, cardiology and emergency department by the neuro-trauma clinical specialist and ED Clinician to begin the interest of implementing the evidenced based practice. This order set was approved in June 2009 and implemented in the facility the same month. The ED physician champion also served as the EMS medical director and began education and initiation of protocol with the pre-hospital providers. EMS starts the cooling process with cooled saline intravenously and the ED implements the Emergency Department Therapeutic Hypothermia after Cardiac Arrest Order Set. The ED physician inserting the internal cooling catheter was agreed upon by the ED physician group to expedite the cooling process. The critical care unit continues with the cooling using the catheter and cooling equipment located in the critical care area<br/><br/>Results/Outcomes: Current survivor outcomes of patients are above the national standard of 6:1. The current survivor outcome at the community hospital is 17:4. The current survivor successes were all in ventricular fibrillation initially before return of spontaneous circulation. <br/><br/>Implications: Continued teamwork and collaboration with improve patient outcomes as the facility departments work together and included education of staff along with allied personnel, such as pre-hospital EMS to implement evidenced based practice. The successes are a direct relationship of collaboration affecting quality patient care.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:09Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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