Abstract WP353: Decreasing "Door to Admission" Times for Intravenous tPA Treated Patients: A Single Comprehensive Stroke Center Experience

Introduction: AHA’s Get with The Guidelines (GTWG) initiative has recommended “door to admission” time for patients receiving IV tPA to be <3 hours. In large tertiary hospitals like ours, complicated administrative steps and coordination required to admit patients often leads to delays. There has been a paucity of studies aiming to streamline this process for patients treated with IV tPA. Aim: To assess whether having a dedicated rapid response team (RRT) RN within the ED to coordinate care of patients receiving IV tPA reduces “door to admission” times. Methods: A policy of notifying RRT of all patients eligible for IV tPA was implemented in the ED. The responsibility of RRT was to coordinate care between neurology resident, ED nurse, acute stroke unit (ASU) charge nurse and admissions office to ensure timely completion of steps required for admission. “Door to admission” times were collected prospectively for 3 months before and after intervention. The compliance of recording neuro checks and vital signs...