在农村中风护理中取得进展 的指导方针  

Sandy Duha, BSN，注册护士，急症医院主管 威斯康星州冈德森博斯科贝尔地区医院和诊所 

“我们看到我们的中风项目取得了巨大的进步 开始参与遵循指南 (GWTG). 以前，我们没有 have a stroke coordinator and we weren't really tracking metrics. 了GWTG rural stroke measures have allowed us to track our metrics and determine where 有改进的机会. 我们实施了质量改进 processes and have seen great improvement in dysphagia screening, documentation of time last known well (TLKW) and documentation of the National Institutes of 健康中风量表.  

我们今年进行了三次溶栓治疗 all in under 60 minutes, with our most recent one being under 30 minutes! We are excited to see what other opportunities we will have to continue to move our program forward and help our patients achieve the best possible 结果." 

Using the 农村卫生保健成果加速器 to Overcome Health Care Challenges 

Taylor Labert, RN, Assistant Director of Nursing Services, Columbia County Health System, Washington

“作为一个小的, 农村设施, our biggest challenges are lack of resources and difficulty transferring patients out that need a higher level of care than we can provide — for example, 外科或专业服务，如泌尿科或儿科. 除了, many employees want to fill in gaps and unit needs and may often find themselves struggling to prioritize the most essential needs. This means staff often need to cross-train and be confident in several areas, 这可能不是一个更大的情况, 城市医院.

The 农村卫生保健成果加速器 was a great opportunity to incorporate quantitative goals and increase our knowledge base to improve patient care, as well as collaborate with other facilities nearby to ensure consistent care and communication. This is a great way to gauge our progress and celebrate the measures that our staff are meeting. It also helps ensure we are following evidence-based practices and meeting criteria for optimum patient care. 遵循指南 helps us track the most pertinent statistics, to see where we are exceeding expectations and areas we can work on for improvement.

This program is a great resource and support for rural providers. The 美国心脏协会 helps us to remain up to date with evidence-based practices, celebrate our wins and provide guidance on ways we can improve care.

Participating in the 农村卫生保健成果加速器 has helped us make positive changes, 比如改进工作流程, editing our electronic health record system notifications and making medication changes. 例如, we have made changes in our fibrinolytic medication choices to follow similar guidelines to other facilities in our area to have a standard approach. We have disseminated this education to staff throughout our facility, as well as the time goals associated with administering fibrinolytics versus transferring to a higher level of care."

Using 遵循指南 to Become Stroke Certified in Rural Florida

达科塔·里德，首席医疗官，佛罗里达州亨德利地区医疗中心

"Hendry Regional Medical Center achieved disease specific certification for stroke through The Joint Commission in October 2023. This accomplishment was the result of hard work and commitment from the team of medical professionals and support staff at Hendry Regional and led by our stroke steering committee and Stroke Coordinator, 特蕾西的胜利.

Using the 遵循指南® framework as part of the 农村卫生保健成果加速器, Tracy leads her multi-disciplinary team in monitoring and evaluating the stroke care delivered in our rural Critical Access Hospital in South Florida. The metrics collected and reported during the past 2 years clearly show the value of using the guidelines in focusing activities to provide, 衡量和监测高质量护理的提供情况.

通过高层领导的支持, 亨得利区域与使命一致，以卓越的品质, 同情, 创新让我们的社区更健康. This is demonstrated with our commitment to pursue these advanced certifications for both Stroke Certification, and Heart Attack Ready Certification through The Joint Commission, utilizing the best practice models tested and proven from the 美国心脏协会, 遵循指南, 以及我们的团队每天带来的创新和包容."