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From Silos To Collaborative Working Relationships With Ems And Ed, Angela Moscho Jan 2023

From Silos To Collaborative Working Relationships With Ems And Ed, Angela Moscho

Nursing Posters

Opportunity:

To establish a strong, collaborative relationship between St. Cloud Hospital Stroke Center, St. Cloud Hospital Emergency Department and Emergency Medical Services.

Background:

Two separate health care systems with one goal in mind: best stroke care for a community member experiencing stroke-like symptoms.

Current Practice in 2017:

  • Code stroke activation with LTKW (last time known well) up to 6 hours.
  • Inconsistent pre-notifications and pre-activations by EMS and ED.
  • St. Cloud Hospital and Mayo Clinic Ambulance with siloed/individualized protocols for their respective health systems.
Conclusion: In May 2019, after 2 years of working together our teams saw our efforts come …