HA Convention 2019
簡體
繁體
EN
Login
HA Convention 2019
Toggle navigation
Home
Convention Main Focus
Committees
Speakers
Programme Schedule
Programme at a Glance
Invitation of Abstract
Submitted abstracts
Professional Accreditation
Convention Registration (Closed)
Sponsorship and Exhibition
Sponsors
Convention Information
Information about Hong Kong
Accommodation
Photo Gallery
Attendance Certificate
Contact Us
Feedback
Login
How did Stroke Nurse Team (SNT) Streamline Acute Stroke Care Service in a Hong Kong Regional Hospital?
This abstract has open access
Abstract Description
Abstract ID :
HAC1045
Submission Type
HA Staff
Presentation Upload :
View Attachment
If the file does not load,
click here
to open/download the file.
Close
Authors (including presenting author) :
Mok M(1), Yip KY(1), Lee TY(1), Chan YS(1), Wong D(1), Leung CY(1), Cho HY(1), Lo E(1), Li R(1), Cheung CM(1)
Affiliation :
(1)Department of Medicine, Pamela Youde Nethersole Eastern Hospital
Introduction :
Owing to the growing of stroke incidence and relative shortage of neurologists, we need skill mix of experienced nurses for central coordination to deliver high quality patient-centered stroke care. In our hospital, well-trained Stroke Nurse (SN) has challenge of stepping into new roles to support new services such as 24/7 intravenous (IV) Thrombolysis (TPA) and Transient Ischaemic Attack (TIA) Clinic since 2011. More importantly, some operational changes had to be associated with SN service to make things effective. In 2014, SN will not be “too isolated” but instead, a SNT was formulated. SNs work together for rotation of all different jobs with Neurology Team support for catering 24 hours comprehensive stroke care service.
Objectives :
To evaluate the effectiveness of SNT in streamlining acute and hyperacute stroke care service
Methodology :
We conducted a retrospective review on acute stroke admissions from year 2011 to 2017 in our PYNEH stroke database. All data was collected prospectively and analysed by Microsoft Excel.
Result & Outcome :
Compared the year 2011 with 2017, number of acute stroke admissions was about 950 yearly. SNs attended Accident Emergency Department (AED) stroke alerts increased from 356 to 837 times per year (235% increase); direct initiation of Computerized Tomography (CT) brain at AED increased from 55% to 79%; ever under appropriate stroke care areas increased from 70% to 80%. For hyperacute stroke service, acute ischaemic stroke received IV or intra-arterial (IA) thrombolytic treatment increased from 1.7% to 11.3% (665% increase), door-to-TPA time decreased from average 105 minutes to 69 minutes (34% decrease), door-to-TPA delivered within 60 minutes (during office hours) increased from 15.4% to 79.4% (516% increase) and result in post-TPA symptomatic intracranial haemorrhage decreased from 7.7% to < 2%. In conclusion, well-trained SNs can act as a catalyst for central coordination in acute and hyperacute stroke care service. Acute stroke response has increased TPA usage, improved door-to-TPA time, and enhanced department collaboration to streamline stroke patient care journey and enhance patient safety. Multidisciplinary team also appreciated valuable SN assessment during a stroke alert and their role in positive patient outcomes. SNs could expand their leadership skills and clinical expertise regarding the continuum of stroke care.
Author
MM
May MOK
Abstracts With Same Type
Abstract ID
Abstract Title
Abstract Topic
Submission Type
Primary Author
HAC78
HONG KONG SPECIAL ADMINISTRATIVE REGION GOVERNMENT’S PROPOSED VOLUNTARY HEALTH INSURANCE SCHEME (VHIS): FACTORS INFLUENCING MAJOR CORPORATIONS AND THEIR EMPLOYEES IN TAKING UP THE SCHEME
Healthcare Advances, Research and Innovations
HA Staff
Jamila Ismail
HAC720
Target -oriented Artificial Nutrition Support in Intensive Care Unit (ICU)
Clinical Safety and Quality Service I
HA Staff
Maria SINN Dr
HAC100
“95210 for Health”- an Easy-to-remember Formula to Combat Childhood Obesity
HA Staff
Hak Yung Ng
HAC456
" At Home With Love" a model of Medical Social Collaboration in Public Estates at Shamshuipo
Enhancing Partnership with Patients and Community
HA Staff
Donna TSE
HAC603
"A Well-nourished Hospital" The Donabedian Model approach to enhance patients' nutrition wellness in their hospital journeys
Clinical Safety and Quality Service III
HA Staff
Terry Ho Yan TING Dr
HAC1219
10 Years Experiences on Carer Empowerment to Improve the Performance and Service Outcomes in Residential Care Homes for the Elderly
Enhancing Partnership with Patients and Community
HA Staff
W S KWAN
HAC918
2-year review of Prediabetes Program in Primary Care Setting – Kowloon West Cluster
HA Staff
Christine NG
HAC1262
30-Day Mortality in Palliative Radiotherapy
Enhancing Partnership with Patients and Community
HA Staff
S F LEE Dr
HAC997
5S-Strategy to Reduce Fall Rate for High-Risk Groups
Clinical Safety and Quality Service II
HA Staff
K L CHAN
View All Abstracts
613
visits
Forgot your Password?
Disconnected from server
You are disconnected from the server. The changes you made may not be saved. Please check when connected.