Presenter: Marnie Reiber, RN Stroke Navigator No relationships - - PowerPoint PPT Presentation

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Mar 11, 2024 212 likes •443 views

Presenter: Marnie Reiber, RN Stroke Navigator No relationships with financial sponsors No conflicts of interest How they became one of the best performing sites? June 12, 2018 95-100% occupancy 18 ER beds

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Presenter: Marnie Reiber, RN – Stroke Navigator
No relationships with financial sponsors
No conflicts of interest

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“How they became one of the best performing sites?”

June 12, 2018

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95-100% occupancy
18 ER beds
Trauma (Tele stroke equipment,

Resus, Minor OR)

X-ray, 24 HR CT, U/S,

Mammography/Lab

24hr Respiratory Therapist
38 Medical Floor Beds
13 Maternity Beds
6 Day Surgery Beds
12 Surgical Beds
3 step down Special Care Unit Beds
Telehealth (SPC)
Amazing Health Care Professionals

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http://www.horizonleadership.ca/blog/category/embracing-the-elephant-in-the-room

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APSS

2007

SAP/SUEC

2013

QuICR

2015

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“Every patient deserves the possibility of tPA therapy because the process worked the way it should.” “Avoid Regret.”

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2018 Fastest DTN – 22 min Longest DTN-114min 2017 Fastest DTN -28min Longest DTN-68min 2016 Fastest DTN- 32min Longest DTN-126min 2015 Fastest DTN- 92 min Longest DTN -151min 2014 Fastest DTN- 83min Longest DTN-125min

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…un-reliable steps or the reliably slow steps?

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EMS handover to RN then RN to physician RAAPID not always built into the process Waiting for lab results Pt being transferred from EMS to ER bed then to CT No IV on arrival from EMS Pt not pre- registered No standard stroke terminology Confusion when to call ACAL and when to call RAAPID

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https://www.hsj.co.uk/technology-and-innovation/watch-and-learn-what-the-nhs-has-got-to-learn-from-other-industries/5081988.article

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ü Right side weakness/slurring of speech: 8:25 ü Arrived via EMS: 9:15 ü CT/CTA: 9:20 ü Consult Alberta Neurology ü tPA: 9:43 ü Consult Saskatchewan Neurology ü Transferred care to STARS: 10:55 ü Angio suite: 14:15 ü Discharged Home: 2 months later

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DESIGN ACCIDENT

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“Sometimes the emergencies we are least prepared for are the ones right in front of us”

Im proving in-hospital Stroke through Q I Intervention W ebinar –Dr. Ethan C um bler

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RELIABLE RESILIENT

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§ Albert Stroke Program and QuICR § Lloydminster Hospital Staff: Nurses, Physicians, Diagnostics, Lab § EMS § RAAPID/ACAL