Abstract

The American Heart Association recommends the initiation of an EKG with interpretation in less than 10 minutes upon presentation to the emergency room for patients presenting with acute coronary symptoms. Treatment delay factors of identifying the importance and impact of triage within the initial contact for patients in the ER influenced to the implementation of an EKG- triage-RN intervention within the triage area. The EKG-triage-RN intervention redirected the flow of ACS patients as they enter the ER, in order to be evaluated and assessed faster for the potential of an immediate EKG. A quality improvement project was completed based on the concept of LEAN Six Sigma asking the following question: For nurses in the ER, will implementation of an EKG-triage-RN approach, compared to current practice, improve door to EKG time to meet the benchmark goal of 10 minutes or less, within a 10-week timeframe?

Author Details

Jodi Dorrough, DNP, MS, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Quantitative Research

Keywords:

Rapid Triage Nurse Approach, Improving Door-to-EKG Time, Nurse Triage in Emergency Room, Recovering Arrival EKG from Nurse Triage, Emergency Service, Emergency Room, Emergency Department

Advisor

Angela Saathoff

Second Advisor

Linda Matheson

Third Advisor

Christina Yerdon

Degree

DNP

Degree Grantor

Capella University

Degree Year

2020

Creative Commons License

Creative Commons Attribution-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-No Derivative Works 3.0 License.

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2020-06-24

Full Text of Presentation

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