QA/QI AUDITS AND OTHER

[gail hudson]

my name is GAIL and i work in a level 2 er

i keep the tpa/retavase audits im looking for comparisons (benchmarks) yes joint comissions coming soon LOL for these reports please help me what i nees is

1. size of hosp

2. num of pts seen in er per mt

3 staffing

4average door to ekg time (who does the ekg U or another dept)

5) average door to needle time on tpa/retavase.

and any comments or helpful tips would be greatly welcomed

[Toots]

Major inner-city teaching hospital, sees about 50,000 patients per year. Staffing starts 5 RNs at 7A, adds three more at ll. Nine RNs on 3-ll shift. Ancillary staff is 2 medical assistants on all shifts, add transporter at 5p. Door to EKG time now averages l0 minutes. Done by Medical Assistant intitially. Created an EKG Suite - cart with machine dedicated to it next to triage. Triage RN or MA is responsible for getting inital EKG. (Time were running much longer - 45-60 minutes - until an aggressive inservice/staff education was done with terrific results. Hope this info helps. Don't do enough TPA to give info - have a cath lab.

[NRoss]

I work in a rural Kentucky ED as manager. We have only 6 beds but are seeing 22000+ patients/year. We participated in the NRMI study with Genentech and I am very proud to say our "door to drug" time is 15 minutes! Less than half the national and state average!!!! We mostly staff 4-5 nurses on day shift, 4 nurses on evenings and 3 on night shift. We have one ward clerk for 12 hours/day and we do not utilize CNA's or techs.