2.50
Hdl Handle:
http://hdl.handle.net/10755/162935
Type:
Presentation
Title:
Implementation of a New Directive for Acute Myocardial Infarction Patients
Abstract:
Implementation of a New Directive for Acute Myocardial Infarction Patients
Conference Sponsor:Emergency Nurses Association
Conference Year:2002
Author:Fielden, Nina, RN, MSN, CEN
P.I. Institution Name:Cleveland Clinic Foundation
Contact Address:9500 Euclid Avenue, E19, Cleveland, OH, 44195, USA
Contact Telephone:(216) 444-0153
Co-Authors:Susan Loney, BSN, RN; and Deborah Klein, MSN, RN, CCRN, CS
Clinical Topic: Time to treatment (TTT) for acute myocardial infarction (AMI) patients has been reviewed since 1994 by an interdisciplinary workgroup of nurses and physicians from cardiology and emergency services. Times for intervention with AMI patients have inconsistently met the standards set by the American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines. Implementation: An AMI directive was developed to include: 1) decision for percutaneous coronary intervention as the default therapy for patients with AMI; 2) development of an algorithm to use with patients presenting to the emergency department (ED) with ST segment evaluation MI; 3) improvement in communication between team members to facilitate patient arrival to the cardiac catheterization lab; 4) initiation of nursing interventions through the use of a revised Coordinated Care Track; and 5) distribution of pocket cards of the directive and algorithm to the nurses and physicians. Outcomes: The directive was drafted in September 2001 and implemented in late November 2001. Nurses from the ED, cardiac critical care, and cardiac catheterization lab perform monthly quality monitoring of all AMI patients presenting through the ED, reviewing charts for times and any delays to intervention. Data are shared with the AMI Directive Workgroup. Specific patients are reviewed in monthly AMI Rounds. Nine months of data will be available with this poster. Recommendations: This directive will improve patient outcomes through immediate nursing assessment of the patient upon arrival to the ED, activation of the team, implementation of appropriate interventions, and role clarification of tem members, including increased autonomy and enhanced communication. [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.titleImplementation of a New Directive for Acute Myocardial Infarction Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162935-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of a New Directive for Acute Myocardial Infarction 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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fielden, Nina, RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cleveland Clinic Foundation</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9500 Euclid Avenue, E19, Cleveland, OH, 44195, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(216) 444-0153</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">fielden@ccf.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Loney, BSN, RN; and Deborah Klein, MSN, RN, CCRN, CS</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Time to treatment (TTT) for acute myocardial infarction (AMI) patients has been reviewed since 1994 by an interdisciplinary workgroup of nurses and physicians from cardiology and emergency services. Times for intervention with AMI patients have inconsistently met the standards set by the American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines. Implementation: An AMI directive was developed to include: 1) decision for percutaneous coronary intervention as the default therapy for patients with AMI; 2) development of an algorithm to use with patients presenting to the emergency department (ED) with ST segment evaluation MI; 3) improvement in communication between team members to facilitate patient arrival to the cardiac catheterization lab; 4) initiation of nursing interventions through the use of a revised Coordinated Care Track; and 5) distribution of pocket cards of the directive and algorithm to the nurses and physicians. Outcomes: The directive was drafted in September 2001 and implemented in late November 2001. Nurses from the ED, cardiac critical care, and cardiac catheterization lab perform monthly quality monitoring of all AMI patients presenting through the ED, reviewing charts for times and any delays to intervention. Data are shared with the AMI Directive Workgroup. Specific patients are reviewed in monthly AMI Rounds. Nine months of data will be available with this poster. Recommendations: This directive will improve patient outcomes through immediate nursing assessment of the patient upon arrival to the ED, activation of the team, implementation of appropriate interventions, and role clarification of tem members, including increased autonomy and enhanced communication. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:41Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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