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May 23-24, 2019 | Vienna, Austria
Nursing Care
28th International Conference on
Journal of Intensive and Critical Care Nursing | Volume 2
J Intensive Crit Care Nurs, Volume 2
Improving Door-To-Needle Time (DTN) in Thrombolytic therapy in acute stroke opti-
mizing a nursing education strategy
Elmer Javier Catangui
St Paul University Philippines, Philippines
Ministry of National Guard Health Affairs, Kingdom of Saudi Arabia
The benefits of thrombolysis treatment (“clot busting
therapy”) in patients with acute ischemic stroke are time-
dependent, and guidelines recommend a door-to-needle
time (DTN) of 60 minutes or less. One of the identified
barriers of not meeting the target is the lack of awareness and
education of healthcare providers responding to a stroke code
activation. And nurses, being the front liners in the emergency
unit, must have knowledge and skills in recognizing stroke
in a timely fashion. A Specialized Stroke Nursing Program
(SSNP), an evidence-based stroke program, was developed
and implemented for emergency room (ER) nurses to gain
an overview of early recognition and proactive management
of stroke. Simulations, interactive cases, case presentation,
and role playing were optimized as teaching-learning
strategies. Three themes emerged from the participants’
evaluation: (1). Clinically relevant program for ER nurses,
(2). The use of different teaching approaches works well to
retain participants’ key learning points (3). The program has
a potential to improve patient’s outcomes after a stroke.
From January 2017 to December 2017, a total of 37 patients
received a thrombolysis therapy with a DTN > 60 minutes.
Following an education intervention for ER nurses, from
January 2018 to December 2018, a total of 43 patients had
been thrombolyzed with DTN mean of less < 60 minutes. The
study suggests that increasing awareness about “time is brain
concept” in thrombolysis treatment could possibly change
ER nurses’ perceptions toward urgent response to stroke.
Speaker Biography
Elmer Javier Catangui has completed his master’s degree in Nursing in the
United Kingdom. He is currently taking his PhD in Nursing Science. He is
the clinical nurse specialist in stroke care at the Ministry of National Guard
HealthAffairs,KingAbdulazizMedicalCity,Kingdomof SaudiArabia.Hehas
over 50 publications related to stroke care and have been cited in various
International journals. He has invited as a guest speaker in International
Meetings and Conferences.
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