title: Use of a 90-minute protocol to evaluate patients presenting to the emergency department with chest pain: a case study.
abstract: Frustration with emergency department wait times may contribute to patient delays in seeking care for subsequent episodes of chest pain and lower patient satisfaction ratings. In response to patient feedback and the dissemination of new knowledge, the existing emergency chest pain protocol was updated to include point-of-care laboratory testing and evaluation at baseline and 90 minutes. A case study was utilized to illustrate implementation of this protocol in the management of a patient presenting to the emergency department with chest pain.
authors.affiliation: Azalea Marie Bunch, DNP, APRN-ENP, is an emergency NP at the Emergency Department of the Memorial Hermann Health Care System, Woodlands, Texas. Cathrin Carithers, DNP, APRN, FNP-C, is a family nurse practitioner, clinical associate professor and director of Doctor of Nursing Practice Program, University of Arkansas for Medical Sciences, Little Rock, Arkansas. A. Renee Leasure, PhD, APRN-CNS, CCRN, is associate professor at the University of Oklahoma College of Nursing and research investigator (WOC), Oklahoma City Veterans Affairs Medical Center. Dr Leasure is a reviewer of manuscripts for DCCN.
authors.forename: Azalea Marie
authors.initials: AM
authors.lastname: Bunch
authors.forename: Cathrin
authors.initials: C
authors.lastname: Carithers
authors.forename: A Renee
authors.initials: AR
authors.lastname: Leasure
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood; D002637:Chest Pain / Q000175:diagnosis*; D002985:Clinical Protocols; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000628:therapy*; D013902:Radiography, Thoracic
chemical_list: D015415:Biomarkers