When nurses lead change: Improving door to alteplase times for stroke alert patients
Author DetailsAndrea Perry, MSN, RN, CNL, CEN, CPEN
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The American Heart Association Target: Stroke Phase II states that goals for alteplase administration should be set at 75% of cases within 60 minutes, and 50% within 45 minutes. The Stroke Champion Program was created to engage bedside nurses in identifying barriers and redesigning the stroke alert workflow. This process improvement project was designed to be led by bedside RNs. High performing ED RNs were identified by ED leadership and invited to participate. The ED CNL and Stroke Coordinators used LEAN processes to facilitate RN identification of barriers and develop future state workflows.