[MomNRN]

Our standing protocol is very similar to those previously posted.

We just recently started using a "chest pain flow sheet." It is very user friendly and by-passed computer charting. It is mostly boxes and brief narrative.

If we have an EKG which indicates a MI, we immediately call an "MI alert." This to alert all involved staff that we have a hot one and to be ready. Our goal is to be on the cath lab table within 30 minutes.

We have had 3 MI alert's in the last 3 days! We are a smaller 150 bed hospital.

[NicoleRN07]

EKG, IV, LABS, CARDIAC MONITOR, O2, CXR, THEN WE WAIT FOR THE MD TO SEE THE PATIENT FOR FURTHER ORDERS.IF IT IS AN AMI, THEN WE DO ASA, NITRO, HEPARIN, AND HEPARIN DRIP, LOPRESSOR PROTOCOL, HEMOCULT, AND IF THE CXR AND HEMOCULT IS OK, WE THEN GIVE TNKase, (if indicated) AND CONSULT CARDIOLOGY