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Completing the feedback loop to EMS and referring hospitals

Completing the feedback loop to EMS and referring hospitals

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STEMI Feedback<br />

Transfer STEMI Tracking Sheet<br />

Patient Received TNK<br />

Admission Date:<br />

Acct Number<br />

Arrival time <strong>to</strong> <strong>referring</strong><br />

Chest pain onset<br />

Did PT receive TNK<br />

Mode of arrival<br />

Transferring Hospital Time<br />

Arrival time <strong>to</strong> EKG<br />

(<strong>referring</strong> hospital)<br />

Arrival time <strong>to</strong> TNK<br />

Transferring Hospital<br />

Transport Time<br />

Cath Lab Time<br />

Arrival time <strong>to</strong> Cath lab<br />

departure time<br />

Case start <strong>to</strong> reperfusion<br />

D2 Needle Time<br />

Total Time<br />

Referring Hospital physician<br />

Noninterventionalist<br />

Interventionalist<br />

ED Staff<br />

Cath Lab Staff<br />

Reasons for Delay<br />

Patient Expired<br />

Transfer STEMI data is for your information only.<br />

Please contact Julie Poppe Cardiac Program Quality<br />

Coordina<strong>to</strong>r at 719-2021 if you have any questions or<br />

concerns.

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