Introduction: Acute stroke care involves collaboration among multiple disciplines across the continuum of care. Interdisciplinary education consist of two or more disciplines collaborating in the learning process with the objective of promoting interprofessional coordination that improves the patient care provided by each discipline. The North Dakota Stroke System of Care (NDSSoC) Taskforce was legislatively was legislatively created in 2009 and is composed of a multidisciplinary group that collaborates to provide recommendations in the development of the North Dakota Stroke System of Care.
Hypothesis: Interdisciplinary education and relationship building among hospital nursing staff and emergency medical services (EMS) staff will lead to an increase in advanced notification of stroke patients by EMS to the receiving hospital and result in an increase of stroke patients receiving a computed tomography (CT) scan within 25 minutes of arrival to hospital.
Method: EMS and hospital staff is provided education at the statewide level through educational modules, regional conferences, an annual state stroke conference beginning in 2012, and at least sixteen occurrences of Primary Stroke Center stroke coordinator outreach. The NDSSoC Data was analyzed through use of the Get With the Guidelines® Patient Management Tool using 2010 as baseline data and comparing to 2015 data.
Results: The percent of stroke cases with advanced notification by EMS for patients transported by EMS from scene in North Dakota increased from 56% in 2010, to 77.4% in 2015, surpassing the national average of 55.9%. Percent of patients arriving via EMS from home/scene who receive brain imaging (CT) within 25 minutes of arrival to hospitals in North Dakota increased from 23.8% in 2010 to 48.8% in 2015.
Conclusion: Through providing education to EMS providers and building relationships between EMS and hospitals, there has been a significant increase in pre-notification by EMS therefore improving timeliness of CT scans in acute stroke patients.