Acute Myocardial Infarction Core Measures
Instructions:-
Select one core measure and reflect on how that measure is implemented in nursing practice. Then, address the following:
Identify your selected core measure and describe its essential components.
Discuss the implications for the BSN nurse’s role when implementing this core measure.
Laureate Education (Producer). (2009). Topics in clinical nursing: Acute and chronic health problems
Solution
Acute Myocardial Infarction Core Measures
Acute Myocardial Infarction Core Measures
Core Measures could be defined as evidence-based criteria, which indicate effectiveness and timeliness for certain conditions. One of the conditions that requires proper and timely implementation of Core Measures is Acute Myocardial Infarction (AMI). The main core measures that relate to this condition include administration of Aspirin within 24 hours before or upon arrival. For patients with left bundle branch block (LBBB) or ST-segment elevation with reference to their latest ECG readings, Fibrinolytic therapy should be received within 30 minutes upon arrival to hospital (Shuster & Dorsch, 2014). In addition, median time should be applied to primary percutaneous coronary intervention (PCI). These patients should also receive primary PCI within 90 minutes of arrival to hospital. Another core measure is the prescription of angiotensin receptor blocker or ACE inhibitor for the dysfunction of the left ventricular systolic. Lastly, the discharge prescriptions for AMI patients include Aspirin, Statin and Beta-Blocker (Alkhenizan & Shaw, 2011).
The nurse has an important
role to play in ensuring that AMI core measures are well implemented and that a
high quality of care is upheld. Nurses who work with the Interventional
Cardiology department or the Emergency department have an important role to
play in ensuring that all the orders that may be necessary in the management of
AMI are available (Alkhenizan & Shaw, 2011). It is also upon
nurses to ensure that the patient is effectively administered with Aspirin,
Fibrinolytic therapy, and Primary percutaneous intervention on arrival, within
30 minutes after arrival, and within 90 minutes of arrival respectively (Shuster &
Dorsch, 2014).
The nurse also has an important role to play in facilitating the timely
documentation of the care process by other members of the healthcare delivery
team in order to guide the care process. Lastly, it is the role of the patient
to educate the patient on important aspects of the care process and the role of
the patient in facilitating this process. If well implemented, the core
measures could facilitate timely identification of adverse effects and promote
quick recovery of the patient.
References
Alkhenizan, A., & Shaw, C. (2011). Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Annals of Saudi medicine, 31(4), 407-416.
Shuster, J. E., & Dorsch, M. P. (2014). Utilization of a Computerized Clinical Surveillance System to Increase Acute Myocardial Infarction Core Measure Compliance. Hospital pharmacy, 49(1), 26–31.