Abstract

Session G presented Friday, September 28, 1:00-2:00 pm

Purpose: With the growing number of free-standing emergency departments (FSEDs) in Colorado, it is essential for these facilities to appropriately stabilize and transfer patients suffering from a myocardial infarction to a higher level of care. Two hospital-affiliated FSEDs have a Cardiac Alert policy and protocol in place to address this growing concern and have documented success in doing so, with a transfer time and percutaneous coronary intervention (PCI) less than the national goal.

Design: This is a quality assurance project. Setting: The setting takes place at two Denver-area, hospital-affiliated free-standing emergency departments.

Participants/Subjects: The data includes patients that were diagnosed with a myocardial infarction in the ED and transferred and treated at the affiliated hospital, focusing on the door to transfer and door to dilatation of the coronary vessels.

Methods: Data was collected and compiled from the National Cardiovascular Data Registry (NCDR) specific to both FSEDs. The data includes the transferred in time to percutaneous coronary intervention (PCI).

Results/Outcomes: From Q315 to Q417, data from the NCDR was analyzed and a preliminary average of about 82 minutes transferred in time to PCI was obtained. The outcomes of this project suggest the importance of the cardiac alert process, policy, and protocol for rapid treatment and intervention.

Implications: The importance of this project, and it's implications to emergency nursing, is to bring education and awareness for other facilities and FSEDs and to have an effective policy and protocol in place to provide rapid and quality treatment to patients with myocardial infarctions.

Author Details

Kayla Hooper, RN, CEN; Alicia Harris, BSN, RN, CEN

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Cardiac Alert, Cardiac, Free-standing ED

Conference Name

Emergency Nursing 2018

Conference Host

Emergency Nurses Association

Conference Location

Pittsburgh, Pennsylvania, USA

Conference Year

2018

Rights Holder

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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

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Cardiac alert process at Denver area free-standing emergency departments

Pittsburgh, Pennsylvania, USA

Session G presented Friday, September 28, 1:00-2:00 pm

Purpose: With the growing number of free-standing emergency departments (FSEDs) in Colorado, it is essential for these facilities to appropriately stabilize and transfer patients suffering from a myocardial infarction to a higher level of care. Two hospital-affiliated FSEDs have a Cardiac Alert policy and protocol in place to address this growing concern and have documented success in doing so, with a transfer time and percutaneous coronary intervention (PCI) less than the national goal.

Design: This is a quality assurance project. Setting: The setting takes place at two Denver-area, hospital-affiliated free-standing emergency departments.

Participants/Subjects: The data includes patients that were diagnosed with a myocardial infarction in the ED and transferred and treated at the affiliated hospital, focusing on the door to transfer and door to dilatation of the coronary vessels.

Methods: Data was collected and compiled from the National Cardiovascular Data Registry (NCDR) specific to both FSEDs. The data includes the transferred in time to percutaneous coronary intervention (PCI).

Results/Outcomes: From Q315 to Q417, data from the NCDR was analyzed and a preliminary average of about 82 minutes transferred in time to PCI was obtained. The outcomes of this project suggest the importance of the cardiac alert process, policy, and protocol for rapid treatment and intervention.

Implications: The importance of this project, and it's implications to emergency nursing, is to bring education and awareness for other facilities and FSEDs and to have an effective policy and protocol in place to provide rapid and quality treatment to patients with myocardial infarctions.