2.50
Hdl Handle:
http://hdl.handle.net/10755/162486
Type:
Presentation
Title:
An Interdisciplinary Approach to Cardiac and Respiratory Arrest Patients
Abstract:
An Interdisciplinary Approach to Cardiac and Respiratory Arrest Patients
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Roethle, Kathleen G., RN, BSN, CEN
P.I. Institution Name:Aurora Medical Center: Washington County
Title:Registered Nurse-Emergency Room
Contact Address:1033 East Sumner Street, Hartford, WI, 53027, USA
Contact Telephone:(262) 673-2300
[Clinical Poster] Clinical Topic: Despite advances and improvements in the treatment of heart disease, the outcome of patients experiencing sudden cardiac arrest remains poor. Aurora Medical Center-Washington County is a rural Magnet recognized hospital serving a two county area that includes both rural and urban populations. The purpose of this project was to provide the highest quality of care and to ensure positive outcomes for patients in a community hospital; we undertook a performance improvement project to improve the care provided to cardiac and respiratory arrest patients (Code 4).

Implementation: An interdisciplinary team reviewed the evidence-based literature related to Code 4s as well as the AHA, ACLS and PALS guidelines. The team conducted a retrospective chart review as well as participated in a prospective qualitative study utilizing a continuous quality improvement design. This interdisciplinary team developed and implemented a quality improvement tool utilized immediately after the Code 4 to evaluate the effectiveness of the team approach. The interdisciplinary team reviewed the roles of staff that participated in the Code 4 based on best practice, AHA, ACLS and PALS guidelines. The team then updated these roles as well as educated all staff utilizing as an annual competency. As a result, the staff that responds to the code provides physical, spiritual and emotional support to the patients and families experiencing this life-changing event. Utilizing continuous quality improvement methods the team evaluates each and every cardiac and respiratory arrest situation.

Outcomes: Through education and simulation, this community hospital has achieved great outcomes for this patient population. Improvement efforts based on evidence-based protocols included improvement of the paging system, improvement of processes, and an increase in availability and access of carts utilized in the code situation. As a result of this interdisciplinary effort our success rate in 2005 for Code 4s was 40% and in 2007 the success rate was over 68%.

Recommendations: The utilization of evidence-based protocols as well as retrospective chart reviews was successful in improving the outcomes of patients with cardiac and respiratory arrest. Continuation of this interdisciplinary team to monitor and improve all Code 4's is highly recommended due to its efficiencies and outcomes. These evidence-based interventions could be replicated at other medical centers to improve patient outcomes.
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.titleAn Interdisciplinary Approach to Cardiac and Respiratory Arrest Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162486-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Interdisciplinary Approach to Cardiac and Respiratory Arrest Patients</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Roethle, Kathleen G., RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Aurora Medical Center: Washington County</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Registered Nurse-Emergency Room</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1033 East Sumner Street, Hartford, WI, 53027, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(262) 673-2300</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ann.kratz@aurora.org</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Poster] Clinical Topic: Despite advances and improvements in the treatment of heart disease, the outcome of patients experiencing sudden cardiac arrest remains poor. Aurora Medical Center-Washington County is a rural Magnet recognized hospital serving a two county area that includes both rural and urban populations. The purpose of this project was to provide the highest quality of care and to ensure positive outcomes for patients in a community hospital; we undertook a performance improvement project to improve the care provided to cardiac and respiratory arrest patients (Code 4). <br/><br/>Implementation: An interdisciplinary team reviewed the evidence-based literature related to Code 4s as well as the AHA, ACLS and PALS guidelines. The team conducted a retrospective chart review as well as participated in a prospective qualitative study utilizing a continuous quality improvement design. This interdisciplinary team developed and implemented a quality improvement tool utilized immediately after the Code 4 to evaluate the effectiveness of the team approach. The interdisciplinary team reviewed the roles of staff that participated in the Code 4 based on best practice, AHA, ACLS and PALS guidelines. The team then updated these roles as well as educated all staff utilizing as an annual competency. As a result, the staff that responds to the code provides physical, spiritual and emotional support to the patients and families experiencing this life-changing event. Utilizing continuous quality improvement methods the team evaluates each and every cardiac and respiratory arrest situation. <br/><br/>Outcomes: Through education and simulation, this community hospital has achieved great outcomes for this patient population. Improvement efforts based on evidence-based protocols included improvement of the paging system, improvement of processes, and an increase in availability and access of carts utilized in the code situation. As a result of this interdisciplinary effort our success rate in 2005 for Code 4s was 40% and in 2007 the success rate was over 68%. <br/><br/>Recommendations: The utilization of evidence-based protocols as well as retrospective chart reviews was successful in improving the outcomes of patients with cardiac and respiratory arrest. Continuation of this interdisciplinary team to monitor and improve all Code 4's is highly recommended due to its efficiencies and outcomes. These evidence-based interventions could be replicated at other medical centers to improve patient outcomes. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:01Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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