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This report provides findings from a cross-sectional survey of community HF services in the UK between September 2021 and February 2022. Community services were primarily led by a HF specialist nurse (HFSN), with a median of 1.25 cardiology consultants with HF training, and a variety of other nurses and support workers.
Here we describe the findings from a cross-sectional survey of HF services in the UK performed between September 2021 and February 2022. HF services reported a median of two HF consultant cardiologists, five non-HF consultant cardiologists, one palliative care consultant, two band seven and one band six HF specialist nurses.
In a large healthcare system, multiple sites received corrective action findings from regulatory agencies for missed nursing assessments. The task force led the development and implementation of a single EHR location to document nursing assessments. The EHR was evaluated for component location and other areas in need of optimization.
To address this, Rapid Response Team (RRT) nurses have been empowered to lead the Inpatient Stroke Alert process to improve response time.Methods:Beginning in 2016, stroke program leadership in conjunction with frontline RRT nurses worked together to improve the Inpatient Stroke Alert response. minutes (n=6; vs. ED 38.7
The AHS’s Nursing Professional Development (NPD) department identified inaccuracies in data collection and minimal educational resources for improvement.Hypothesis:Would a nurse-centric Resuscitation Institute impact quality survivability metrics at an AHS?Goals:The
Time is of the essence - this is one phrase every emergency department (ED) nurse knows. The development and implementation of the Flow and Resuscitation (Resus) registered nurse (RN) roles supports our goal of getting the patient to the right place at the right time. The Flow nurse was made effective throughout the network in 2023.
Introduction:The 2022 AHA/ASA Guidelines for Intracerebral Hemorrhage (ICH) recommend initiating treatment and lowering blood pressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation. Nurse to patient ratios were changed to 1:1 until goal BP achieved.
To address this, Rapid Response Team (RRT) nurses have been empowered to lead the Inpatient Stroke Alert process to improve response time.Methods:Beginning in 2016, stroke program leadership in conjunction with frontline RRT nurses worked together to improve the Inpatient Stroke Alert response. minutes (n=6; vs. ED 38.7
In this study we assessed the treatment benefits of a nurse-driven pre-hospital telemedicine program in a community comprehensive stroke center (CSC).Methods:Telemedicine A tablet was supplied to highly specialized stroke nurses. Methods:Telemedicine services was installed in 4 ambulance units.
Shortening the time from arrival to code stroke activation can lead to faster thrombolytic administration.Methods:Door to code stroke activation and door to needle times were calculated in consecutive code strokes in the emergency department (ED) from 1/2021-11/2021 Pre and 12/2021-12/2022 Post implementation of “Triage to CT” pathway.
Analysis of our Get With the Guidelines (GWTG) data reveals gaps in early arrival to the hospital and Emergency Medical Service (EMS) utilization among African American and Hispanic populations. Providing educational resources within these populations may help to close these gaps and foster trust in the healthcare system.
Background and Purpose:Due to continued growth in our neurosciences program, of more than 1,400 discharged stroke patients per year, we saw a need for the creation of a Neuroscience Nurse Navigator (NNN) position, with initial efforts specifically focused in the stroke program.
The Neuroscience Nurse Navigator Program [NNN-P], implemented December 2019, included SP who received Alteplase [IV-A] or Mechanical Thrombectomy [MT]. In 2022 SP-S improved from 2021 for f/u instructions & RF [15%].
AimsTo assess the barriers to guideline-directed medical therapy (GDMT) use in heart failure (HF), diagnostic workup and general knowledge about HF among physicians in Sweden.MethodsA survey about the management of HF was sent to 828 Swedish physicians including general practitioners (GPs) and specialists during 2021–2022.
Health systems may fail to provide screening and follow up for PSA.Methods:Stroke survivors between 10/2022-3/2023 received a phone call from an SCRN to assess anxiety and depression within 30-45 days of discharge using General Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) respectively.
The impact of these shortages has affected the gamut of healthcare worker roles -- from physicians and nurses to medical technicians and yes, radiologic technologists. between 2022 and 2030. between 2022 and 2030. House of Representatives Energy and Commerce Committee that deemed them a "national emergency."
Alteplase was the standardized thrombolytic until 2022. The transition from Alteplase to Tenecteplase for AIS patients eligible for thrombolysis occurred on June 6, 2022. Nurses were provided with dosing table and care instruction badge backers. The legal department approved as our new standard of care for AIS.
An interdisciplinary initiative was launched that engaged stakeholders from patient safety, the stroke team, and nursing education. Nurses identified stroke symptoms and had gained the confidence to independently activate a code stroke. Root cause analyses of the reported events identified multiple opportunities for improvement.
Neuro-telemetry nurses designed Stroke 90 as a follow-up outreach program to reduce the stroke readmission average by 2% over six months and address knowledge gaps. 90-day readmissions only included inpatient hospital stays with another stroke diagnosis.Results:From September 2022 to December 2022, 6.25
Methods A convenience sampling method was used to select study participants who were hospitalized for treatment between November 2022 and August 2023 at a tertiary hospital in Neijiang and met the inclusion and exclusion criteria. The rate of VTE in the intervention group was 2.5%(1/40), 1/40), and that in the control group was 19.5%(8/41).
We evaluated whether TMIs added to usual care could reduce HFrelated rehospitalizations in patients discharged from hospitals in Brazil.MethodsA randomized clinical trial was conducted in 6 public hospitals from September 2021 to June 2022. Patients hospitalized because of HF were randomized to usual care or a multicomponent TMIs.
Therefore, a strategy for successful survey completion is necessary.Method:Data were compared from the pre 1/2022-6/2022 and post intervention 7/2022-12/2022. A QR code was placed in the patient’s stroke education folder and displayed prominently in visible areas.
Background:A new policy was implemented in November 2021 to reduce the length of post-anesthesia-care-unit (PACU) stay from 6 hours to 4 hours to reduce the nursing care burden and decrease the length of stay, yet how it affected patients’ events after PACU discharge needed close evaluation.
Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH. Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025.
It’s a multidisciplinary approach involving nurses, doctors, physiotherapists, dieticians, psychologists and many others. JACC Volume 79, Issue 17 , 3 May 2022, Pages 1690-1700 9 Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. Cardiac Rehabilitation. This is a program that starts the day of your heart attack.
As a national community-based cohort, Trajectory and Response to Emergently Administered Therapy for Acute Heart Failure (TREAT-AHF) is a contemporary registry that characterizes a diverse population of 262,673 patients with HF from 2015 to 2022. Reprieve is committed to building these partnerships.”
This is particularly important for emergency department and interventional radiology nurses who are the ones driving transition of care between departments. This allows for earlier mobilization of resources. In addition, the anesthesia department uses closed loop communication to notify the team of their readiness to receive the patient.
Both thrombolytic agents require a Physician's order and reconstitution by a certified Pharmacist or Registered Nurse prior to administration. Our academic comprehensive stroke center transitioned from Alteplase to Tenecteplase as standard thrombolysis for acute ischemic stroke in November 2022.
Initial documentation by nursing began August 2021, and initial documentation compliance of pre-stroke and discharge mRS had not risen above 82%.Methods:A The change was implemented on September 15, 2022.Results:Supplementing They identified 6 steps to complete this process.
Since 2022, our door-to-IV thrombolytic time has remained stagnant. The multidisciplinary team consisted of emergency room physician, vascular neurology attending and resident, emergency room nurse, pharmacist, and computed tomography (C.T.) Furthermore, in 2022, only 29% of patients achieved a DTN time within the 45 min window.
We carried out a prospective national specialist nurses in organ donation (SNOD) audit of UK donor offers between 20 August and 31 November 2022, and a prospective national recipient transplant centre audit of all donor offers between 22 September and 19 December 2022. hours (interquartile range [IQR] 13.9–33.2).
A dysphagia screening tool used by nurses at the bedside that allows for the direct observation of the patient’s ability to swallow is the Water Swallow Test. If the patient fails the screening, the nurse will notify the provider and the patient will be kept NPO (no meds) pending a speech/swallow consult.
30th October 2022 [How fewer doctors means more doctors – it’s official] This blog has nothing to do with heart disease, or vaccines, or anything directly about medical practice at all. In the UK, more specifically England, doctors and nurses have been leaving the profession in droves. In particular GPs. Even GP numbers have increased!
We evaluated the implementation of the Veterans Health Administration (VHA) subacute telestroke consult service launched in 2022 by the National Telestroke Program (NTSP).Methods:Program Few studies have evaluated subacute inpatient telestroke programs that focus on subsequent stroke management.
However, tools assessing motivation for HF symptom self-management are lacking.Aims:To develop the Heart Failure Symptom Management Motivation (HF-SMM) questionnaire and assess its content validity with nurse experts.Methods:A cross-sectional study occurred in three phases from November 2022 to April 2024. were deemed acceptable.
Participants were invited from hospitals with the fastest or slowest DTN times in 2022. Common barriers included identifying stroke in triage, staff turnover, and inadequate stroke coordinator resources.
as partner.Methods:The three-year project was launched in May 2021, during first year all specialties and professionals participated in the development and planning of the project and were trained in the use of the devices and own digital platform.First STRACK patient was enrolled in May 2022.
DESTINY is a screening tool developed as a single tool to screen for all stroke subtypes.Methods:This study is a phase II prospective 2-part adaptive design validation study of DESTINY in the ED during the early triage of suspected stroke patients from 05/01/2022 to 08/08/2022. CSTAT and VAN were embedded in the tool.
DESTINY was developed as a single tool to screen for all stroke subtypes.Methods:This study is a Phase II prospective two part adaptive design validation study of DESTINY in ED during the early triage of suspected stroke patients from 05/01/2022 to 08/08/2022.
A diabetic educator or advanced practice nurse was consulted for patients with stroke and elevated A1c. Pre-implementation data from October 2021 to March 2022 were compared to post-implementation data from October 2022 to March 2023.Results:A Results:A review of 273 cases was completed.
Nursing, radiology, and pharmacy leadership across the region participate in regional stroke and quality committees.Methods:Clinical education for FSED staff aligns with hospital-based EDs but includes competencies related to lack of ancillary services at the FSEDs.
The intervention program for feeding practices was primarily carried out by ward nurses. Outcomes were compared between an intervention group of 28 patients and a historical control group of 33 patients recruited between Jan 2021 to Jul 2022. It consisted of thickener preparation and feeding patients skills training.
Methods:Data from adult patients who discharged from two medical centers in Portland, OR in 2019 or between January 2022 and May 2023 were abstracted from electronic medical records. This study aims to evaluate whether NIHSS, AMPAC or total rehab duration while hospitalized predicts DD or length of stay (LOS).Methods:Data
We aimed to identify factors contributing to neuroscience (neurology or neurosurgery) appointment attendance and the impact on readmission and 90-day function outcomes.Methods:Retrospective analysis of hemorrhagic stroke patients with care coordinated by a stroke nurse navigator from one of seven hospitals between January 2022 and March 2024.
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