2.50
Hdl Handle:
http://hdl.handle.net/10755/162874
Type:
Presentation
Title:
Development and Implementation of a Myocardial Infarction Alert Process
Abstract:
Development and Implementation of a Myocardial Infarction Alert Process
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Lewis, Christina, RN, BSN. MPH
Contact Telephone:484/884-2213
Co-Authors:Mark S. Gutekunst RN, CEN; Diana Haines, RN, MSN, CEN; and Kathy Herron-Butillo, RN, BS
Clinical Topic: The intent of this project was to develop and implement a Myocardial Infarction (MI) Alert Process that evolved from Primary Thrombolytic Therapy to Percutaneous Coronary Intervention. The goal of the MI Alert Process is to assure rapid triage of patients and to mobilize key staff for immediate intervention. The standard of care for the MI patient is Primary Coronary Intervention when cardiac resources are available. This intervention provides rapid and lasting reperfusion to the myocardium. Implementation: A multidisciplinary committee comprised of emergency department staff, physicians, and the cardiac catheterization team developed the new approach. The Committee developed a notification process and determined an implementation timeline. Goal times were benchmarked at the national level. The target time was door to balloon inflation of less than 90 minutes. A process and algorithm was developed to guide team members. A phone log was created to simplify the process and aid with evaluation. The log is used by staff to facilitate notification of the cardiac team. Phone logs are reviewed for performance improvement. An MI Alert box was assembled to include the necessary medications and equipment. MI Alert packets were prepared including standard physician orders, the MI Alert Protocol and Algorithm. The Practice Council served as the education team. The Practice Council is comprised of emergency department staff from each job classification. They presented the education program to each shift and served as resources. Evaluations from mock MI Alerts help fine tune the process. Outcomes: Each MI case treated according to the MI Alert Protocol was evaluated by the Practice Council and the Physician Performance Improvement (PI) Director. Since implementation, the average door-to-balloon inflation times have consistently been below the national standard. The phone log served as a tracking tool and assisted with problem identification. MI Alert times are posted to assure employees are aware of their success. The Practice Council excelled in process development, education, implementation, and evaluation of the process. Due to the multidisciplinary committee, staff teamwork, and clear communication lines, the MI Alert Process resulted in superb care for the MI patient and team pride. Recommendations: The Practice Council will continue to evaluate each case and revise the process. Future plans are to recognize the individuals and team members for expedient door to EKG times and door to balloon inflation times. This process could be utilized in other institutions with in-house cardiac resources as well as for rapid stabilization from facilities without an interventional cardiac catheterization lab. [Clinical Poster]
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.titleDevelopment and Implementation of a Myocardial Infarction Alert Processen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162874-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of a Myocardial Infarction Alert Process</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lewis, Christina, RN, BSN. MPH</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">484/884-2213</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Christina.Lewis@LVH.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mark S. Gutekunst RN, CEN; Diana Haines, RN, MSN, CEN; and Kathy Herron-Butillo, RN, BS</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The intent of this project was to develop and implement a Myocardial Infarction (MI) Alert Process that evolved from Primary Thrombolytic Therapy to Percutaneous Coronary Intervention. The goal of the MI Alert Process is to assure rapid triage of patients and to mobilize key staff for immediate intervention. The standard of care for the MI patient is Primary Coronary Intervention when cardiac resources are available. This intervention provides rapid and lasting reperfusion to the myocardium. Implementation: A multidisciplinary committee comprised of emergency department staff, physicians, and the cardiac catheterization team developed the new approach. The Committee developed a notification process and determined an implementation timeline. Goal times were benchmarked at the national level. The target time was door to balloon inflation of less than 90 minutes. A process and algorithm was developed to guide team members. A phone log was created to simplify the process and aid with evaluation. The log is used by staff to facilitate notification of the cardiac team. Phone logs are reviewed for performance improvement. An MI Alert box was assembled to include the necessary medications and equipment. MI Alert packets were prepared including standard physician orders, the MI Alert Protocol and Algorithm. The Practice Council served as the education team. The Practice Council is comprised of emergency department staff from each job classification. They presented the education program to each shift and served as resources. Evaluations from mock MI Alerts help fine tune the process. Outcomes: Each MI case treated according to the MI Alert Protocol was evaluated by the Practice Council and the Physician Performance Improvement (PI) Director. Since implementation, the average door-to-balloon inflation times have consistently been below the national standard. The phone log served as a tracking tool and assisted with problem identification. MI Alert times are posted to assure employees are aware of their success. The Practice Council excelled in process development, education, implementation, and evaluation of the process. Due to the multidisciplinary committee, staff teamwork, and clear communication lines, the MI Alert Process resulted in superb care for the MI patient and team pride. Recommendations: The Practice Council will continue to evaluate each case and revise the process. Future plans are to recognize the individuals and team members for expedient door to EKG times and door to balloon inflation times. This process could be utilized in other institutions with in-house cardiac resources as well as for rapid stabilization from facilities without an interventional cardiac catheterization lab. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:37Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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