2.50
Hdl Handle:
http://hdl.handle.net/10755/162715
Type:
Presentation
Title:
Staff Driven Cardiac Care: Revamping the Old, Creating the New
Abstract:
Staff Driven Cardiac Care: Revamping the Old, Creating the New
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Smith, Deborah D., RN, BSN, CNIV
P.I. Institution Name:Duke University Medical Center
Contact Address:107 Mosswood Court, Chapel Hill, NC, 27516, USA
Contact Telephone:(919) 684-4461
Co-Authors:Georgeanne Mullis, RN, BSN, FNE, CEN, CCRN, CNIV; and Kathy Finch, RN, BSN
Clinical Topic: The goal of the cardiac committee was to get to the "heart" of inconsistencies, delays and decreased quality of care of the Acute Coronary Syndrome (ACS) patient from triage to discharge/admission. Areas for improvement were identified through QI data, multidisciplinary staff feedback and observation. Despite "chest pain protocols" and acute care algorithms, nursing staff was uncomfortable with the latest treatment strategies and research protocols. Implementation: We implemented the following initiatives: 1) developed a cardiac triage assessment form; 2) extended triage form to encompass all care of patients throughout their ED stay, including prompts to follow protocol, capture QI parameters by documenting enzymes, serial EKGs, drug therapies and required assessments; 3) collaborated with cardiology researchers to support a research nurse in ED with focus on patient study enrollment and staff education; 4) designed an 8 hour CORE Cardiac Class with a didactic component to include update on ACS care, mock arrest scenarios, cardiac assessment and documentation; 5) established dialogue/workgroups with ED and Cardiology MDs to review cardiac issues, improve RN/MD communication; (6) secured a nursing research grant to develop a streamlined Acute Coronary Syndrome Triage Assessment Tool. Outcome: Our positive initiatives accomplished the following: 1) recruitment of newer staff to the cardiac committee; 2) better communication between cardiology and ED staff with monthly review of cardiac issues; 3) decreased length of stay by early identification of requests for cardiac care unit admissions, telemetry; 4) increased staff comfort levels in caring for ACS patients, particularly with research protocols, and newer drug therapies; 5) improved time to treatment; 6) increased staff accountability and pride in caring for these patients; 7) obtained valuable QI data using the new form; and 8) facilitated protocol changes and quality care. Recommendations: Recommendations from our committee include: 1) staff driven committee action to tackle issues and streamline care; 2) critical, ongoing review by staff of your current system; 3) collaboration between cardiology and emergency departments with RN/MD teams; 4) implementation of nurse driven initiatives; and 5) research to improve identification and treatment of patients with ACS in the ED. Upon completion of this poster review, the participant will be able to: 1) Discuss methods to update nursing staff regarding cardiac issues;
2) Review cardiac assessment and data collection to improve cardiac care of the ACLS patient; and 3) State the three ways to involve staff in implementing changes in cardiac care in the ED setting. [Clinical Poster Presentation]
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.titleStaff Driven Cardiac Care: Revamping the Old, Creating the Newen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162715-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Staff Driven Cardiac Care: Revamping the Old, Creating the New</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">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Smith, Deborah D., RN, BSN, CNIV</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Duke University Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">107 Mosswood Court, Chapel Hill, NC, 27516, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(919) 684-4461</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">debsmith072@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Georgeanne Mullis, RN, BSN, FNE, CEN, CCRN, CNIV; and Kathy Finch, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The goal of the cardiac committee was to get to the &quot;heart&quot; of inconsistencies, delays and decreased quality of care of the Acute Coronary Syndrome (ACS) patient from triage to discharge/admission. Areas for improvement were identified through QI data, multidisciplinary staff feedback and observation. Despite &quot;chest pain protocols&quot; and acute care algorithms, nursing staff was uncomfortable with the latest treatment strategies and research protocols. Implementation: We implemented the following initiatives: 1) developed a cardiac triage assessment form; 2) extended triage form to encompass all care of patients throughout their ED stay, including prompts to follow protocol, capture QI parameters by documenting enzymes, serial EKGs, drug therapies and required assessments; 3) collaborated with cardiology researchers to support a research nurse in ED with focus on patient study enrollment and staff education; 4) designed an 8 hour CORE Cardiac Class with a didactic component to include update on ACS care, mock arrest scenarios, cardiac assessment and documentation; 5) established dialogue/workgroups with ED and Cardiology MDs to review cardiac issues, improve RN/MD communication; (6) secured a nursing research grant to develop a streamlined Acute Coronary Syndrome Triage Assessment Tool. Outcome: Our positive initiatives accomplished the following: 1) recruitment of newer staff to the cardiac committee; 2) better communication between cardiology and ED staff with monthly review of cardiac issues; 3) decreased length of stay by early identification of requests for cardiac care unit admissions, telemetry; 4) increased staff comfort levels in caring for ACS patients, particularly with research protocols, and newer drug therapies; 5) improved time to treatment; 6) increased staff accountability and pride in caring for these patients; 7) obtained valuable QI data using the new form; and 8) facilitated protocol changes and quality care. Recommendations: Recommendations from our committee include: 1) staff driven committee action to tackle issues and streamline care; 2) critical, ongoing review by staff of your current system; 3) collaboration between cardiology and emergency departments with RN/MD teams; 4) implementation of nurse driven initiatives; and 5) research to improve identification and treatment of patients with ACS in the ED. Upon completion of this poster review, the participant will be able to: 1) Discuss methods to update nursing staff regarding cardiac issues;<br/>2) Review cardiac assessment and data collection to improve cardiac care of the ACLS patient; and 3) State the three ways to involve staff in implementing changes in cardiac care in the ED setting. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:55Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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