Files

Download

Download Full Text (827 KB)

Description

Opportunity:

To establish a strong, collaborative relationship between St. Cloud Hospital Stroke Center, St. Cloud Hospital Emergency Department and Emergency Medical Services.

Background:

Two separate health care systems with one goal in mind: best stroke care for a community member experiencing stroke-like symptoms.

Current Practice in 2017:

  • Code stroke activation with LTKW (last time known well) up to 6 hours.
  • Inconsistent pre-notifications and pre-activations by EMS and ED.
  • St. Cloud Hospital and Mayo Clinic Ambulance with siloed/individualized protocols for their respective health systems.
Conclusion: In May 2019, after 2 years of working together our teams saw our efforts come together when Mayo Clinic Ambulance adopted and supported St.Cloud Hospital VAN (visual, aphasia, neglect) protocol to be site specific for the St. Cloud Region. Our collaboration efforts have shown when there is pre-notification and pre-activation patients are treated with a thrombolytic consistently under 45 minutes and to the operating room for a thrombectomy within 75 minutes.


Publication Date

2023

Publisher

CentraCare Health

City

St. Cloud, MN

Keywords

Code stroke, Collaboration, Emergency department, Emergency medical services, Stroke assessment, Stroke protocol

Disciplines

Critical Care Nursing | Other Nursing

Comments

2023 Nurses Week Poster

From Silos to Collaborative Working Relationships with EMS and ED

Share

COinS