2.50
Hdl Handle:
http://hdl.handle.net/10755/164030
Category:
Abstract
Type:
Presentation
Title:
The Hospital and Beyond: A Process Oriented Approach to the Care of the Stroke Patient
Author(s):
Hepburn-Smith, Millie
Author Details:
Millie Hepburn-Smith, MSN, RN, CS, Pinnacle Health System, Harrisburg, Pennsylvania, USA, email: nacnsorg@nacns.org
Abstract:
Purpose/Objectives: The stroke committee of an urban hospital system sought to improve care, treatment and outcomes for stroke patients through a process approach. A multidisciplinary approach to care improves communication, creates innovations in practice, and removes intradepartmental barriers to care activities. Background/Rationale: Many patients who are suffering from stroke symptoms do not receive rapid, effective treatment. Ineffective public education, lack of knowledge by EMS, delays in the emergency room and throughout hospitalization, and ineffective follow up services make a significant difference in outcomes. The American Heart Association recommends that patients who are suffering symptoms of a stroke should receive initial treatment for their stroke symptoms within three hours of onset of symptoms. Unfortunately, although symptoms of a heart attack initiate a sense of urgency for patients and health care workers alike, stroke symptoms often fail to initiate the same response. A proactive change in process serves to enhance changes in outcomes for stroke patients. Description of the Project: The stroke committee expanded membership to include neurology, ER physicians, ER staff, hospital senior administration, hospital staff, radiology, pharmacy, community health and the stroke support group coordinator, as well as representatives from the hospital parish nursing program. Process flow is evaluated throughout the hospital and pre-hospital phase of care. Changes including immediate neurology consult, radiology coverage 24 hours a day, seven days a week education for staff, improvements in the ordering process, a stroke checklist for EMS personnel, initiating and access to community resources, such as local parish communities serve to improve patient education and care. Outcomes: Effectiveness is evaluated through changes in staff and patient perception of the urgency to provide immediate treatment, as well as improvements in discharge morbidity, and length of stay. Interpretation/Conclusion: A standardized, multidisciplinary effort in the care of the stroke patient optimizes care, stimulates education, and creates a unique culture of care, which has impact on both short term and long term stroke recovery. Implications for Nursing Practice: The stroke program development has inspired nurses to become certified in stroke scale assessment, and neuroscience nursing certification. The facility is currently in consideration of application for JCAHO Primary Stroke Center certification, to be recognized as a center of excellence for the care of stroke patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Hospital and Beyond: A Process Oriented Approach to the Care of the Stroke Patienten_GB
dc.contributor.authorHepburn-Smith, Millieen_US
dc.author.detailsMillie Hepburn-Smith, MSN, RN, CS, Pinnacle Health System, Harrisburg, Pennsylvania, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164030-
dc.description.abstractPurpose/Objectives: The stroke committee of an urban hospital system sought to improve care, treatment and outcomes for stroke patients through a process approach. A multidisciplinary approach to care improves communication, creates innovations in practice, and removes intradepartmental barriers to care activities. Background/Rationale: Many patients who are suffering from stroke symptoms do not receive rapid, effective treatment. Ineffective public education, lack of knowledge by EMS, delays in the emergency room and throughout hospitalization, and ineffective follow up services make a significant difference in outcomes. The American Heart Association recommends that patients who are suffering symptoms of a stroke should receive initial treatment for their stroke symptoms within three hours of onset of symptoms. Unfortunately, although symptoms of a heart attack initiate a sense of urgency for patients and health care workers alike, stroke symptoms often fail to initiate the same response. A proactive change in process serves to enhance changes in outcomes for stroke patients. Description of the Project: The stroke committee expanded membership to include neurology, ER physicians, ER staff, hospital senior administration, hospital staff, radiology, pharmacy, community health and the stroke support group coordinator, as well as representatives from the hospital parish nursing program. Process flow is evaluated throughout the hospital and pre-hospital phase of care. Changes including immediate neurology consult, radiology coverage 24 hours a day, seven days a week education for staff, improvements in the ordering process, a stroke checklist for EMS personnel, initiating and access to community resources, such as local parish communities serve to improve patient education and care. Outcomes: Effectiveness is evaluated through changes in staff and patient perception of the urgency to provide immediate treatment, as well as improvements in discharge morbidity, and length of stay. Interpretation/Conclusion: A standardized, multidisciplinary effort in the care of the stroke patient optimizes care, stimulates education, and creates a unique culture of care, which has impact on both short term and long term stroke recovery. Implications for Nursing Practice: The stroke program development has inspired nurses to become certified in stroke scale assessment, and neuroscience nursing certification. The facility is currently in consideration of application for JCAHO Primary Stroke Center certification, to be recognized as a center of excellence for the care of stroke patients.en_GB
dc.date.available2011-10-27T11:40:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:40:40Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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