From Silos to Collaborative Working Relationships with EMS and ED

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.https://digitalcommons.centracare.com/nursing_posters/1154/thumbnail.jp

Improving the Preparedness of Discharge Education for Patients on the Bone and Joint Center

To improve discharge education in order to increase the percent of overall discharge and patient satisfaction in relation to being discharged.https://digitalcommons.centracare.com/nursing_posters/1016/thumbnail.jp