2.50
Hdl Handle:
http://hdl.handle.net/10755/183116
Category:
Abstract
Type:
Presentation
Title:
D2B (Door to Balloon)...Seconds Count When Time is Muscle
Author(s):
Whitston, Lisa
Author Details:
Lisa Whitston, RN, Munroe Regional Medical Center, Ocala, FL, email: lisawhitston@mrhs.org
Abstract:
Purpose:
With the increased focus on Acute Myocardial Infarction guidelines, it became apparent our organization needed to improve all processes related to the AMI STEMI patient. Our purpose was the development and implementation of a streamlined process for the rapid identification and treatment of the STEMI patient.

Method:
In collaboration with the Emergency Services leadership team, members of the Cardiac Catheterization team, and members of Marion County Fire Rescue, we identified current processes, analyzed effectiveness and developed new processes, tools and documentation to improve the door to balloon time. Our Documentation Specialist abstracted all time related details of the process from door to intervention. The actual process from the ambulance call or walk in to the Emergency Department was broken down into individual steps to look for opportunities for improvement.

Findings:
As a result of successful inter-departmental teamwork, the following changes were implemented:
1) Improved equipment on EMS trucks to facilitate pre-hospital transmission of 12 lead EKGs;
2) EMT staff placed in the ED waiting room to immediately perform a 12 lead EKG on any patient presenting to the ED with a complaint of chest pain;
3) Development and refinement of an inter-departmental tracking sheet to document and analyze the revised processes;
4) Creation of a ôSTEMI tackle boxö which is readily available in the ED and contains all required drugs, paperwork and other equipment needed;

Discussion:
Inter-departmental teamwork enabled our facility to improve the door to balloon time from an average of 123 minutes in May, 2007 to an average of 55 minutes by September 30, 2008. Based on current research, we surmise an improved outcome for our patients. An additional benefit has been the satisfaction of working closely with other departments to improve the care we provide our patients.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, 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.titleD2B (Door to Balloon)...Seconds Count When Time is Muscleen_GB
dc.contributor.authorWhitston, Lisaen_US
dc.author.detailsLisa Whitston, RN, Munroe Regional Medical Center, Ocala, FL, email: lisawhitston@mrhs.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/183116-
dc.description.abstractPurpose: <br/>With the increased focus on Acute Myocardial Infarction guidelines, it became apparent our organization needed to improve all processes related to the AMI STEMI patient. Our purpose was the development and implementation of a streamlined process for the rapid identification and treatment of the STEMI patient.<br/><br/>Method: <br/>In collaboration with the Emergency Services leadership team, members of the Cardiac Catheterization team, and members of Marion County Fire Rescue, we identified current processes, analyzed effectiveness and developed new processes, tools and documentation to improve the door to balloon time. Our Documentation Specialist abstracted all time related details of the process from door to intervention. The actual process from the ambulance call or walk in to the Emergency Department was broken down into individual steps to look for opportunities for improvement. <br/><br/>Findings: <br/>As a result of successful inter-departmental teamwork, the following changes were implemented:<br/>1) Improved equipment on EMS trucks to facilitate pre-hospital transmission of 12 lead EKGs;<br/>2) EMT staff placed in the ED waiting room to immediately perform a 12 lead EKG on any patient presenting to the ED with a complaint of chest pain;<br/>3) Development and refinement of an inter-departmental tracking sheet to document and analyze the revised processes;<br/>4) Creation of a &ocirc;STEMI tackle box&ouml; which is readily available in the ED and contains all required drugs, paperwork and other equipment needed;<br/><br/>Discussion: <br/>Inter-departmental teamwork enabled our facility to improve the door to balloon time from an average of 123 minutes in May, 2007 to an average of 55 minutes by September 30, 2008. Based on current research, we surmise an improved outcome for our patients. An additional benefit has been the satisfaction of working closely with other departments to improve the care we provide our patients.en_GB
dc.date.available2011-10-28T16:15:14Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:15:14Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, 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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