{"id":1946,"date":"2025-02-20T09:59:36","date_gmt":"2025-02-20T17:59:36","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=1946"},"modified":"2025-02-20T09:59:36","modified_gmt":"2025-02-20T17:59:36","slug":"nurses-drive-to-reduce-door%e2%80%91to%e2%80%91ekg-time","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/empirical-quality-outcomes\/nurses-drive-to-reduce-door%e2%80%91to%e2%80%91ekg-time\/","title":{"rendered":"Nurses drive to reduce door\u2011to\u2011EKG time"},"content":{"rendered":"<p><span data-contrast=\"auto\">Under the leadership of Damian Gulbransen, DNP, MBA, RN, NEA\u2011BC, Director of Emergency Services, the Kaiser Permanente Santa Rosa Emergency Department implemented a groundbreaking workflow to reduce door-to-EKG times, significantly improving care for ST Elevation Myocardial Infarction (STEMI) patients.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The key initiatives of this project included the creation of a dedicated EKG Technician role, an additional Emergency Department (ED) technician was assigned solely to performing EKGs, ensuring rapid response and efficiency. Additionally, the team created a standardized Rapid Cardiac Assessment Workflow streamlining the process from patient arrival to EKG completion and transfer, enabling faster identification and treatment of STEMI cases.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:281,&quot;335559739&quot;:281,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The measurable outcomes included:\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"80\" data-aria-level=\"1\"><span data-contrast=\"auto\">Reduced Door-to-Transfer Times: The time required to transfer STEMI patients to specialized receiving centers decreased by nearly 10 minutes.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"81\" data-aria-level=\"1\"><span data-contrast=\"auto\">Shorter Door-to-EKG Times: The new workflow demonstrated a significant reduction in the time required to perform EKGs upon patient arrival.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"82\" data-aria-level=\"1\"><span data-contrast=\"auto\">Decreased Length of Stay: STEMI patients experienced shorter stays in the ED, allowing for faster access to specialized care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"83\" data-aria-level=\"1\"><span data-contrast=\"auto\">Prior to the project, in 2023, 28% of chest pain patients and 30% of STEMI patients did not receive an EKG within 10 minutes of arrival. Following implementation, compliance with door-to-EKG times under 10 minutes increased to 86% for chest pain patients and 100% for STEMI patients over four months.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The KP SRO ED team exemplifies Kaiser Permanente\u2019s commitment to improving outcomes through innovation, teamwork, and evidence-based practice. Their efforts set a new standard for prompt cardiac care and highlight the importance of multidisciplinary collaboration in achieving best-in-class patient outcomes.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Under the leadership of Damian Gulbransen, DNP, MBA, RN, NEA\u2011BC, Director of Emergency Services, the Kaiser Permanente Santa Rosa Emergency Department implemented a groundbreaking workflow to reduce door-to-EKG times, significantly improving care for ST Elevation Myocardial Infarction (STEMI) patients.\u00a0<\/p>\n","protected":false},"author":2,"featured_media":1947,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"ncal_area":[97],"site_only":[],"report_year":[58],"class_list":["post-1946","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-empirical-quality-outcomes","ncal_area-santa-rosa","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nurses drive to reduce door\u2011to\u2011EKG time - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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