Abstract W P297: Streamlining Processes to Decrease Arrival Time to Groin Puncture in the Neuroendovascular Suite
Purpose: To describe strategies to decrease the arrival to groin puncture time in the neuroendovascular suite of a Comprehensive Stroke Center
Background: Non physician staff in the neuroendovascular suite of a Comprehensive Stroke Center sought to streamline processes within the neuroendovascular suite in order to facilitate faster patient arrival to groin puncture times.
Methods: Strategies employed to decrease arrival time to groin puncture:
• Dedicated neuro angiography technologists
• Dedicated CT technologists
• Dedicated anesthesia staffing
• Neuro angiography technologists cross trained to perform CT scans
• RNs crosstrained to cover both angiography suite and ICU
• CT scan and angiography suite embedded in ICU
• Education of ED personnel regarding capabilities and protocols to trigger interventional consideration for Emergency Department (ED) patients
• Process for bypassing the ED for patients transferred from outside facilities
• Anesthesia education and response time
• Anesthesia supplies and vent set up at all times for immediate procedure start
• Communication tree for notification of off hours cases
• Angiography tray and patient table set up at all times to allow for immediate procedure start
Results/Conclusion There are various methods available to decrease arrival time to groin puncture within the neuroendovascular suite. Response times over the past six months have been well under benchmark times of 30 minutes. Decreasing time to groin puncture increases the possibility of faster recanalization, potentially leading to more favorable outcomes.
Author Disclosures: K.M. Connelly: None. J. Thomas: None.
- © 2014 by American Heart Association, Inc.