Nurse-Led Novel Stroke Response Unit Improves Door-to-Needle Metrics and Patient Outcomes

Ariel Woodward BSN, RN, SCRN , Sarah Keesler BSN, RN, CNRN , Kenny Barajas DNP, RN, ACCNS-AG, CEN , Paul Singh MD, MPH, FAHA
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Abstract

Background

Timely treatment of stroke patients is critical for improving outcomes. Emergency Department-Stroke Response Units (ED-SRUs) have emerged as effective models for enhancing stroke care.

Purpose

This study aims to describe the implementation and outcomes of a specialty nurse-led ED-SRU staffed by highly trained neuroscience specialty nurses.

Method

We analyzed the collaboration between neuroscience and emergency-trained nurses in the ED-SRU and its impact on stroke treatment metrics, focusing on door-to-needle time for intravenous thrombolytics.

Findings

The implementation of the ED-SRU resulted in a significant reduction in door-to-needle times, allowing the hospital to surpass national benchmarks for timely stroke treatment.

Discussion

The success of the ED-SRU underscores the importance of interdisciplinary nursing in effectively triaging and caring for complex stroke patients. This model can serve as a framework for other institutions aiming to enhance stroke care delivery.
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护士领导的新型脑卒中反应单元改善了从门到针的指标和患者预后
背景及时治疗脑卒中患者是改善预后的关键。急诊科卒中反应单元(ed - sru)已成为加强卒中护理的有效模式。目的本研究旨在描述由训练有素的神经科学专业护士组成的专科护士领导的ED-SRU的实施和结果。方法我们分析了ED-SRU中神经科学与急诊培训护士之间的合作及其对脑卒中治疗指标的影响,重点是静脉溶栓治疗从门到针的时间。研究结果ED-SRU的实施显著减少了从门到针的时间,使医院在及时治疗中风方面超过了国家基准。ED-SRU的成功强调了跨学科护理在有效分诊和护理复杂脑卒中患者中的重要性。这一模式可以作为其他旨在加强卒中护理服务的机构的框架。
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来源期刊
Journal of Radiology Nursing
Journal of Radiology Nursing Nursing-Advanced and Specialized Nursing
CiteScore
0.80
自引率
0.00%
发文量
95
审稿时长
57 days
期刊介绍: The Journal of Radiology Nursing promotes the highest quality patient care in the diagnostic and therapeutic imaging environments. The content is intended to show radiology nurses how to practice with compassion, competence, and commitment, not only to patients but also to the profession of nursing as a whole. The journal goals mirror those of the Association for Radiologic & Imaging Nursing: to provide, promote, maintain , and continuously improve patient care through education, standards, professional growth, and collaboration with other health care provides.
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