Chest Pain STEMI Walk-In Flowsheet

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Pt enters the ED with Chest Pain Triage performs initial evaluation STEMI? Assess & treat for NSTEMI or other conditions as appropriate NO YES Initiate TRACK I Protocol Upon arrival Cath Team setup lab for procedure EKG to ED Physician within 10 minutes of completion Initiate AMI Page to On Call Interventionalist and Cath Team Consent for Heart Catherization Patient Transported to HCL by ED RN Cath Team Receives Patient & Prepares for Procedure Cardiologist Evaluates, Discussion with Pt/ Family Heart Cath Performed Intervention Required NO Intervention Performed Transfer to CICU for Follow-up Care Transfer to CICU for Further Evaluation & Treatment YES Admit/Discharge as appropriate Consider Fibrinolytic Therappy if Cath Lab not readily available EKG completed by ED Is Cath Lab Available YES NO Patient Quick Registered

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chest pain stemi walk-in flowsheet

Transcript of Chest Pain STEMI Walk-In Flowsheet

Page 1: Chest Pain STEMI Walk-In Flowsheet

Pt enters the ED with

Chest Pain

Triage performs

initial evaluation

STEMI?

Assess & treat

for NSTEMI or

other conditions

as appropriate

NO

YES

Initiate TRACK I

Protocol

Upon arrival Cath

Team setup lab for

procedure

EKG to ED

Physician within

10 minutes of

completion

Initiate AMI Page

to On Call

Interventionalist

and Cath Team

Consent for Heart

Catherization

Patient

Transported to

HCL by ED RN

Cath Team

Receives Patient &

Prepares for

Procedure

Cardiologist

Evaluates,

Discussion with Pt/

Family

Heart Cath

Performed

Intervention

Required

NO

Intervention

Performed

Transfer to CICU for

Follow-up Care

Transfer to CICU for

Further Evaluation &

Treatment

YES

Admit/Discharge

as appropriate

Consider

Fibrinolytic

Therappy if Cath

Lab not readily

available

EKG completed by

ED

Is Cath Lab

Available

YES

NO

Patient Quick

Registered