NDLI: Development of a therapeutic hypothermia protocol: implementation for postcardiac arrest STEMI patients.

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Development of a therapeutic hypothermia protocol: implementation for postcardiac arrest STEMI patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dixon, Mari-Newton Keasling, Michelle
Spatial Coverage	North Carolina
Description	Author Affiliation: Dixon MN ( Cape Fear Valley Health System, Fayetteville, North Carolina.)
Abstract	Therapeutic hypothermia (TH) reduces neurologic injury and mortality in out-of-hospital cardiac arrest survivors. Myocardial infarction (MI) is one of the main causes of cardiac arrest and primary percutaneous coronary intervention (PCI) is recommended as initial treatment for patients who present with acute ST-segment elevated MI (STEMI). Cape Fear Valley Medical Center (CFVMC) was the only designated PCI center in the state of North Carolina without a TH protocol. The purpose of this quality improvement initiative was to develop and implement a TH protocol for postcardiac arrest STEMI patients at CFVMC. The existing STEMI process was adapted to include the use of TH for STEMI patients who presented from out-of-hospital cardiac arrest. Steps to development of the protocol included creation of TH STEMI flow map, reallocation of nursing staff, exploration of cooling methods and equipment options, development of a evidence-based physician order set, creation of nursing documentation process and competency assessment, organization of educational sessions, and approval through multiple hospital committees. The development of a postarrest STEMI TH protocol involved multiple disciplines and required approval from several committees. Lack of physician and nursing knowledge of the protocol proved to be the greatest challenge. The TH protocol is a step forward in implementing evidence-based practice and improving the quality of postresuscitation care provided to postcardiac arrest STEMI patients.
File Format	HTM / HTML
ISSN	08879303
Issue Number	4
Volume Number	37
e-ISSN	15505111
Journal	Critical Care Nursing Quarterly
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2014-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Critical Care Discipline Nursing Hypothermia, Induced Myocardial Infarction Therapy Out-of-hospital Cardiac Arrest Cardiac Catheterization Clinical Protocols Emergency Medical Services Humans North Carolina Nursing Staff, Hospital Education Quality Improvement Journal Article
Content Type	Text
Resource Type	Article
Subject	Critical Care Nursing

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