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Sentara Heart Hospital Norfolk, VA Denise Baylous, MSN, RN-C, NREMT-P Kim Dawson, RN

Dripless Protocol to Reduce Air Ambulance Transport Times for STEMI Patients A Performance Improvement Protocol that Significantly Reduced Ground and Bedside Times. Sentara Heart Hospital Norfolk, VA Denise Baylous, MSN, RN-C, NREMT-P Kim Dawson, RN Carl Hartman, MD Brent Ibata, PhD JD MPH.

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Sentara Heart Hospital Norfolk, VA Denise Baylous, MSN, RN-C, NREMT-P Kim Dawson, RN

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  1. Dripless Protocol to Reduce Air Ambulance Transport Times for STEMI PatientsA Performance Improvement Protocol that Significantly Reduced Ground and Bedside Times Sentara Heart Hospital Norfolk, VA Denise Baylous, MSN, RN-C, NREMT-P Kim Dawson, RN Carl Hartman, MD Brent Ibata, PhD JD MPH

  2. Quick Facts • 800,000 people in the United States suffer an Acute Myocardial Infarction per year. • 250,000 die before presentation to the hospital • The survival rate for U.S. patients hospitalized with AMI is 90-95% • 50% of AMI’s in the U.S. occur in people younger than 65 years of age

  3. 90 Minute Door to Balloon Time (D2B)

  4. Transport Obstacleswith STEMI Patients Interfacility • IV drips • No clear transfer process • Increase in ground time for flight crew

  5. Goals Reduce transport time for all STEMI patients Increase standardized transfer elements for all patients diagnosed with STEMI. Streamline process.

  6. Dripless STEMI Protocol • Referring Hospital • Activate STEMI transfer • Referring E.R. • Heparin bolus • Nitroglycerin paste • No I.V. drips • Receiving Hospital • Dispatch air ambulance • Activate STEMI team • Nightingale • Goal: Ground Time < 10 minutes

  7. Interfacility STEMI Transfer Process

  8. Dripless Protocol Impact on Bed Time • Bed Time: • 20.1 min before • 13.7 min after* * Outliers noted as circles

  9. Dripless Protocol Impact on Ground Time • Ground Time: • 28.2 min before • 20.5 min after * Outliers noted as circles

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