2.50
Hdl Handle:
http://hdl.handle.net/10755/162987
Type:
Presentation
Title:
Development and Implementation of a Rapid AMI Transfer Protocol
Abstract:
Development and Implementation of a Rapid AMI Transfer Protocol
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:Kamara, Cindy, RN, BSN
P.I. Institution Name:Unity Hospital
Title:Nursing Education Specialist
Contact Address:550 Osborne Road, NE, Fridley, MN, 55432, USA
Contact Telephone:(763) 236-4941
Co-Authors:Karen Doran, RN, MSN, CCNS; Lisa Hovde, RN, BSN, Nurse Manager
Clinical Topic: Multiple international research studies have shown that the best practice for patients who present with ST elevation acute myocardial infarction (AMI) is direct percutaneous transluminal coronary angioplasty (PTCA). A Rapid AMI Transfer (RAT) protocol was implemented to provide direct coronary angioplasty within 75 minutes of diagnosis for patients with AMI who present to a hospital that cannot provide direct PTCA. Implementation: Representatives from two hospitals -one with and one without direct coronary angioplasty capabilities -determined the best method for implementation of the RAT program. Three phases were defined. Phase 1 was outlined as the identification of the AMI patient meeting RAT criteria at the initial hospital, notification of transportation staff and the receiving hospital, and stabilization of the patient for transfer. Phase 2 was defined as transportation time between initial hospital and receiving hospital, a distance of nine miles. Phase 3 was identified as the time from patient arrival in the receiving hospital to inflation of the balloon in the culprit artery. A goal was established for the time needed to complete each phase: 30 minutes for phase 1; 15 minutes for phase 2; and 30 minutes for phase 3. Three methods were developed to assist with the program. The first of these methods was the implementation of a RAT packet that included the RAT protocol for the emergency department, the RAT transfer orders, and a data collection form for tracking patients at the receiving hospital. The second method involved using Code 3 transportation for transporting the RAT patient to the receiving hospital. Finally, the third method entailed contacting the receiving hospital to alert the appropriate catheterization lab staff. Outcomes: Since the RAT program began in September 2004, two of 11 patients have been successfully identified, transferred, and given coronary angioplasty within 75 minutes of diagnosis with AMI. Due to unforeseen complications, the 75-minute protocol was not achieved for nine of these patients. Staff from both hospitals involved in the care of the AMI patient has been dedicated to providing and improving safe and timely care. Recommendation: The Rapid AMI Transfer protocol has improved patient care and has contributed to saving heart muscle in AMI patients. Due to the successful implementation of the RAT protocol in the emergency department, it has been implemented in all hospital departments that handle inpatients with acute ST elevation myocardial infarction.
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 Rapid AMI Transfer Protocolen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162987-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of a Rapid AMI Transfer Protocol</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">Kamara, Cindy, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Unity Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Education Specialist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">550 Osborne Road, NE, Fridley, MN, 55432, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(763) 236-4941</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Cindy.Kamara@Allina.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen Doran, RN, MSN, CCNS; Lisa Hovde, RN, BSN, Nurse Manager<br/></td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Multiple international research studies have shown that the best practice for patients who present with ST elevation acute myocardial infarction (AMI) is direct percutaneous transluminal coronary angioplasty (PTCA). A Rapid AMI Transfer (RAT) protocol was implemented to provide direct coronary angioplasty within 75 minutes of diagnosis for patients with AMI who present to a hospital that cannot provide direct PTCA. Implementation: Representatives from two hospitals -one with and one without direct coronary angioplasty capabilities -determined the best method for implementation of the RAT program. Three phases were defined. Phase 1 was outlined as the identification of the AMI patient meeting RAT criteria at the initial hospital, notification of transportation staff and the receiving hospital, and stabilization of the patient for transfer. Phase 2 was defined as transportation time between initial hospital and receiving hospital, a distance of nine miles. Phase 3 was identified as the time from patient arrival in the receiving hospital to inflation of the balloon in the culprit artery. A goal was established for the time needed to complete each phase: 30 minutes for phase 1; 15 minutes for phase 2; and 30 minutes for phase 3. Three methods were developed to assist with the program. The first of these methods was the implementation of a RAT packet that included the RAT protocol for the emergency department, the RAT transfer orders, and a data collection form for tracking patients at the receiving hospital. The second method involved using Code 3 transportation for transporting the RAT patient to the receiving hospital. Finally, the third method entailed contacting the receiving hospital to alert the appropriate catheterization lab staff. Outcomes: Since the RAT program began in September 2004, two of 11 patients have been successfully identified, transferred, and given coronary angioplasty within 75 minutes of diagnosis with AMI. Due to unforeseen complications, the 75-minute protocol was not achieved for nine of these patients. Staff from both hospitals involved in the care of the AMI patient has been dedicated to providing and improving safe and timely care. Recommendation: The Rapid AMI Transfer protocol has improved patient care and has contributed to saving heart muscle in AMI patients. Due to the successful implementation of the RAT protocol in the emergency department, it has been implemented in all hospital departments that handle inpatients with acute ST elevation myocardial infarction.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:36Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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