Utilization of a One Call System to Improve Outcomes for ST Elevation Myocardial Infarction Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/182027
Category:
Abstract
Type:
Presentation
Title:
Utilization of a One Call System to Improve Outcomes for ST Elevation Myocardial Infarction Patients
Author(s):
Romero, Patricia
Author Details:
Patricia Romero, BSN, RN, CCRN, email: patricia.romero@jax.ufl.edu
Abstract:
Research with IRB approval: UF IRB-03 2008-69 in progress. Purpose: Purpose of the study is to evaluate a "One Call" activation process for cardiac emergencies to expedite patient placement, transportation and treatment as facilitated by critical care nurses, to reduce mortality and meet AHA Guidelines of 90 minutes or less. Current data for our door to balloon time reveals we are not meeting this guideline. Method: Using a cell phone with text capabilities and WAP (Wireless Application Protocol) experienced Cardiac Critical Care Nurses will activate the STEMI STAT system when indicated and serve to facilitate communication between key providers such as Cardiologist on call and Emergency Medicine Physicians and Charge Nurse. While performing these tasks the nurse can go to the bedside and expedite transfer to the catheterization laboratory. He or she can also relay clinical information from the bedside to assist with the triage of patients who made need further evaluation before going directly to the lab. Findings: Data collection has been ongoing since 9/1/08 and will continue through to 9/1/09 at which time the data will be compiled from the One Call STEMI Data forms, patient records, and existing quality improvement reports (all data will be reported in aggregate). A decrease in door-to-balloon time will reveal if this protocol has been successful. The use of Critical Care Nurses as initiators of the call/page ( versus non clinical operators ), the facilitators of STEMI team response and communication using a one call methodology, and the nurse care provider before and after catheterization, has not been studied to date. Discussion: Delays can occur in several parts of the process between suspected STEMI, patient hospital arrival, and balloon inflation. Although variation in this complex process is inevitable, some delays may be preventable through process improvement and redesign. We anticipate the following outcomes as a result of this process improvement reduced time from activation of the cath lab until reperfusion to < 90 minutes, decreased length of stay and reduced costs. Improved continuity of nursing care receiving nurse will receive initial report, facilitate team arrival, receive patient on admission, and receive patient back after catheterization. References: Antman, E.M., Hand, M., Armstrong, P.W., Bates, E.R., Green, L.A., Halasyamani, L.K. (2008). 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, 117, 296-329.
Bradley, E.H., Roumanis, S.A., Radford, M.J., Webster, T.R., McNamara, R.L., Mattera, J.A., et al. (2005). Achieving door-to-balloon times that meet quality guidelines: How do successful hospitals do it? Journal of the American College of Cardiology, 46, 1236-1241. Funded by the American Association of Critical Care Nurses Medtronic Physio Control Small Grant for $1489
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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.titleUtilization of a One Call System to Improve Outcomes for ST Elevation Myocardial Infarction Patientsen_GB
dc.contributor.authorRomero, Patriciaen_US
dc.author.detailsPatricia Romero, BSN, RN, CCRN, email: patricia.romero@jax.ufl.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182027-
dc.description.abstractResearch with IRB approval: UF IRB-03 2008-69 in progress. Purpose: Purpose of the study is to evaluate a "One Call" activation process for cardiac emergencies to expedite patient placement, transportation and treatment as facilitated by critical care nurses, to reduce mortality and meet AHA Guidelines of 90 minutes or less. Current data for our door to balloon time reveals we are not meeting this guideline. Method: Using a cell phone with text capabilities and WAP (Wireless Application Protocol) experienced Cardiac Critical Care Nurses will activate the STEMI STAT system when indicated and serve to facilitate communication between key providers such as Cardiologist on call and Emergency Medicine Physicians and Charge Nurse. While performing these tasks the nurse can go to the bedside and expedite transfer to the catheterization laboratory. He or she can also relay clinical information from the bedside to assist with the triage of patients who made need further evaluation before going directly to the lab. Findings: Data collection has been ongoing since 9/1/08 and will continue through to 9/1/09 at which time the data will be compiled from the One Call STEMI Data forms, patient records, and existing quality improvement reports (all data will be reported in aggregate). A decrease in door-to-balloon time will reveal if this protocol has been successful. The use of Critical Care Nurses as initiators of the call/page ( versus non clinical operators ), the facilitators of STEMI team response and communication using a one call methodology, and the nurse care provider before and after catheterization, has not been studied to date. Discussion: Delays can occur in several parts of the process between suspected STEMI, patient hospital arrival, and balloon inflation. Although variation in this complex process is inevitable, some delays may be preventable through process improvement and redesign. We anticipate the following outcomes as a result of this process improvement reduced time from activation of the cath lab until reperfusion to < 90 minutes, decreased length of stay and reduced costs. Improved continuity of nursing care receiving nurse will receive initial report, facilitate team arrival, receive patient on admission, and receive patient back after catheterization. References: Antman, E.M., Hand, M., Armstrong, P.W., Bates, E.R., Green, L.A., Halasyamani, L.K. (2008). 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, 117, 296-329.<br/>Bradley, E.H., Roumanis, S.A., Radford, M.J., Webster, T.R., McNamara, R.L., Mattera, J.A., et al. (2005). Achieving door-to-balloon times that meet quality guidelines: How do successful hospitals do it? Journal of the American College of Cardiology, 46, 1236-1241. Funded by the American Association of Critical Care Nurses Medtronic Physio Control Small Grant for $1489en_GB
dc.date.available2011-10-28T16:11:24Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:11:24Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.en_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.-
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