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AMI Discharge Care Improved: At Regional Health Authority Four Edmundston, N.-B. Carole Ruest, RN. Who We Are:. 205 bed hospital The RHA4 consists of 3 facilities : Edmundston Regional Hospital Grand-Falls General Hospital Hotel-Dieu Saint-Joseph of Saint-Quentin 6% of admissions thru ED
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AMI Discharge Care Improved:At Regional Health Authority FourEdmundston, N.-B. Carole Ruest, RN
Who We Are: • 205 bed hospital • The RHA4 consists of 3 facilities : • Edmundston Regional Hospital • Grand-Falls General Hospital • Hotel-Dieu Saint-Joseph of Saint-Quentin • 6% of admissions thru ED • Population served approx.50,000
Discharge AIM Statements • ASA ≥ 90 % • Beta blocker ≥ 90 % • ACE inhibitor or ARB ≥ 85 % • Statin ≥ 95 % • Smoking counselling = 100 %
Team Members • Cardiac rehabilitation nurse • Head nurse assistant • Emergency room • Intensive Care Unit • Department of Medecine • Internist • Family doctor
Change Ideas • Documentation tools • Same team on site for inpatients and outpatients for smoking cessation counselling • Discharge medication reviewed by member team and data brought to the internist and family doctor
Lessons Learned • Have a team • Collect data concurrently
Challenges • Find a team • Find time • Make people buy-in • Language • Collecting data tool • Clock time not synchronize throughout the hospital • Small number of patients (transfer out)
Next Steps • Regionalize the strategy • Set up a team for the 2 other facilities • Find a way to make clock time consistant throughout the hospital
Questions? Thank you! Contact Information: Carole Ruest Name : Regional Health Authority Four Address : 275, boulevard Hébert, Edmundston (NB) E3V 4E4 Phone/email : 506-739-2719, Carole.Ruest@rrs4.ca