2.50
Hdl Handle:
http://hdl.handle.net/10755/162982
Type:
Presentation
Title:
Meeting Primary Stroke Center Standards: Stroke Alert
Abstract:
Meeting Primary Stroke Center Standards: Stroke Alert
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:Celia, Cheryl A., RN, BSN, ENPC-I
P.I. Institution Name:Lehigh Valley Hospital and Health Network
Contact Address:1200 S. Cedar Crest Blvd., Allentown, PA, 18105, USA
Contact Telephone:(610) 402-8160
Clinical Topic: The 2004 launch of Primary Stroke Center Certification by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO became a catalyst for hospitals across the nation to develop programs that provide a trauma-like response to stroke. Central to this idea is the role that emergency department staff (ED) plays in initiating care and treatment in a timely manner. Implementation: The Primary Stroke Center Certification emphasizes the Brain Attack Coalition and American Heart Association targets for stroke care. Our facility implemented standardized evidenced-based hospital protocols, developed algorithms, revised triage/first nurse guidelines, improved communication between emergency physicians and neurologists, and provided education for Emergency Medical Services (EMS) personnel and hospital staff. An internal alert system, developed specifically for the acute stroke patient, enhanced department resuscitation response and allocation of resources. Monthly meetings with interdisciplinary stroke team members were scheduled as a forum for case reviews and ongoing identification of issues for continued process improvement. Outcomes: One out of every four Stroke Alert patients is treated with thrombolytics. This protocol has allowed us to achieve improvements in clinical targets for door-to-physician evaluation times (8 minutes), door-to-CT scan times (40 minutes), door-to-lab times (20 minutes), and door-to-thrombolytic therapy (88 minutes). Physician, patient and staff satisfaction have shown significant improvement. One hundred percent of emergency department (ED) staff maintained 8 hours of yearly stroke specific education. This program has proven so successful that it has been adapted and implemented to enhance the process for inpatient care of acute stroke patients. Attention to systematic coordination of stroke services has provided dramatic results in improving our ability to offer acute treatment in a timely and efficient manner. Primary Stroke Center Certification has enabled us to market this specialty certification to the community and to increase stroke awareness in the community. Recommendations: Since the introduction of JCAHO's Primary Stroke Center Certification, 80 hospitals nationwide have achieved designation and several states have adopted statewide stroke-center standards of care. EMS personnel have begun to adapt their field triage protocols to accelerate patient identification and transport to stroke-center facilities. Primary Stroke Center Certification provides our facility with the ongoing opportunity to improve our identification and treatment of patients at risk of stroke more effectively.
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.titleMeeting Primary Stroke Center Standards: Stroke Alerten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162982-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Meeting Primary Stroke Center Standards: Stroke Alert</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Celia, Cheryl A., RN, BSN, ENPC-I</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital and Health Network</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1200 S. Cedar Crest Blvd., Allentown, PA, 18105, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(610) 402-8160</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Cheryl.celia@lvh.com</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The 2004 launch of Primary Stroke Center Certification by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO became a catalyst for hospitals across the nation to develop programs that provide a trauma-like response to stroke. Central to this idea is the role that emergency department staff (ED) plays in initiating care and treatment in a timely manner. Implementation: The Primary Stroke Center Certification emphasizes the Brain Attack Coalition and American Heart Association targets for stroke care. Our facility implemented standardized evidenced-based hospital protocols, developed algorithms, revised triage/first nurse guidelines, improved communication between emergency physicians and neurologists, and provided education for Emergency Medical Services (EMS) personnel and hospital staff. An internal alert system, developed specifically for the acute stroke patient, enhanced department resuscitation response and allocation of resources. Monthly meetings with interdisciplinary stroke team members were scheduled as a forum for case reviews and ongoing identification of issues for continued process improvement. Outcomes: One out of every four Stroke Alert patients is treated with thrombolytics. This protocol has allowed us to achieve improvements in clinical targets for door-to-physician evaluation times (8 minutes), door-to-CT scan times (40 minutes), door-to-lab times (20 minutes), and door-to-thrombolytic therapy (88 minutes). Physician, patient and staff satisfaction have shown significant improvement. One hundred percent of emergency department (ED) staff maintained 8 hours of yearly stroke specific education. This program has proven so successful that it has been adapted and implemented to enhance the process for inpatient care of acute stroke patients. Attention to systematic coordination of stroke services has provided dramatic results in improving our ability to offer acute treatment in a timely and efficient manner. Primary Stroke Center Certification has enabled us to market this specialty certification to the community and to increase stroke awareness in the community. Recommendations: Since the introduction of JCAHO's Primary Stroke Center Certification, 80 hospitals nationwide have achieved designation and several states have adopted statewide stroke-center standards of care. EMS personnel have begun to adapt their field triage protocols to accelerate patient identification and transport to stroke-center facilities. Primary Stroke Center Certification provides our facility with the ongoing opportunity to improve our identification and treatment of patients at risk of stroke more effectively.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:31Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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