Your Dedication and Feedback Helps STEMI Program be a Success
We, at UW Health, would like to THANK YOU for the hard effort and dedication that you provide to your communities, every day and night. Together, our commitment to achieving a high quality of care for STEMI patients was nationally recognized by the receipt of two prestigious achievement awards: the 2018 American College of Cardiology (ACC) ACTION Registry Platinum Award, and the 2018 American Heart Association Mission Lifeline Gold Receiving Center Award.
Strong and cohesive teamwork between pre-hospital and hospital providers was one key element leading to the receipt of these awards. For example, first medical contact to coronary reperfusion of ≤90 Minutes was consistently achieved. This recognition is in large part due your dedication and exceptional care of our patients.
We Value Your Input!
Continued success of our regional STEMI program hinges on strong communication between UW Health and our pre-hospital partners. We always want to hear about opportunities for improvement, and we want to reflect on some feedback that we have previously received.
“I’m not that comfortable with ECGs. How can I improve my ECG interpretation skills?”
Interpreting the ECG correctly is a fundamental part of the diagnosis of STEMI. In fact, ST elevation is in the name! Dr. Amish Raval and Amy Shepard RN host an annual “STEMI night” where both basic and advanced concepts in STEMI diagnosis (including ECG interpretation and STEMI mimics) and STEMI management is discussed.The night includes an exciting mock STEMI drill where participants are in the cath lab watching the action. If it is more convenient, we can also arrange to travel to your team for this education. Contact STEMI Coordinator Amy Shepard, RN.
“I would love to know what eventually happened to my patient.”
Case by case feedback is a cornerstone of effective regional systems of care. We do our very best to provide case report forms that review the timeliness of care and patient outcomes. If you are not routinely receiving this information, please call us. We are just a phone call away!
“I was told to stop in the Emergency Department rather than going directly to the Cath Lab.”
Time is muscle! We should make every effort to take STEMI patients directly to the Cath Lab, and in fact, our data shows that 66 percent of patients do go directly when STEMI is identified in the field. However, it is also true that there are times that patients must briefly pause in the Emergency Department. Reasons include:
- Cath lab call-team is still en route from home
- All cath labs are occupied with patients undergoing active procedures
- Cardiac arrest patients may need a head CT to rule out bleed, before giving potent blood thinners
- The transmitted ECG was reviewed by the Attending Interventional Cardiologist and Emergency Medicine physician and does not quite meet STEMI criteria. Other dangerous and time-sensitive diagnoses may need to be considered such as aortic dissection or pulmonary embolism.
- The patient’s airway has become unstable and the patient may need an advanced airway
- The patient is DNR or is refusing care
To address this issue, the feedback reports have been revised to include a new category that addresses reasons why the patient paused in the Emergency Department. For more information about this process or patient-specific rationale, please feel free to contact Amy Shepard RN, or Christine Randall,UW Health’s EMS Liaison.
We are a team and strong communication is critical to our success!
Dr. Amish N. Raval, Medical Director of UW Health STEMI Program
Amy Shepard, RN, STEMI/Cardiogenic Shock Program Manager