Project UPSTART: the Use of Procedural Standardization to Reduce Recognition to Repferfusion (R2R) Time in ST-Elevation Myocardial Infarction (STEMI)

Training Tutorial 1.10

Individual Roles of the STEMI Care Team

To simplify things, we have divided the tasks of treating a STEMI patient in the ED among three providers: physician, nurse and scribe. The physician oversees the general process and guides treatment. The nurse is responsible for preparation of the patient, including IV access, dosing of medications and other vital tasks. Exact details will depend on your institution and what is best for your patients.

The “STEMI scribe” coordinates communication, contacts EMS, registers the patient and is responsible for completing paperwork. Essentially, their number one priority is to make sure nothing is missed. A scribe can be a nurse, secretary, ED technician or other staff member. Note that if a designated scribe is not available, everyone simply works together to perform the scribe’s duties. This may be the case in your ED.

This parallel-processing approach allows each person involved to work as quickly as possible, minimizing error and delays. Everyone knows what their job is. And if you can’t quite remember… look at your sheet – it’s all right in front of you! The important thing to remember is that everyone is working as a team.

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