Learning Objective #1: Describe how a creative and collaborative project can change practice

Learning Objective #2: Discuss the various modes of secondary prevention

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In an effort to improve AMI door to thrombolytic and door to balloon inflation times, the Cardiology Clinical Nurse Specialist wrote and directed a short film starring members of Hoag Hospital's Administrative, ECU, Cath Lab and Medical staff. Description: The movie begins in the hospital's CFO's office with the Grim Reeper lurking outside his window holding a 90 minute clock. The CFO begins to experience chest pressure while reviewing the hospital budget. He is quickly taken to the ECU and is immediately labeled a “Code 10” patient. Despite the Grim Reeper's efforts to foil the CFO's hopes for reperfusion, the EKG is performed within 10 minutes. The on-call Cardiologist is notified immediately, and arrives to the ECU upon horseback within minutes. The patient is quickly brought to the Cath Lab (less than 60 minutes) for primary angioplasty and flow through his RCA is restored in under 90 minutes. Secondary prevention is reinforced to the CFO by his cardiologist and nurses. The film was first aired at the AMI Team's kick-off educational dinner in the March 2002. It has made such a big hit that it continues to be shown in nursing orientation, medical staff meetings and the hospital's bi-annual CV conferences. Evaluation and Outcomes: Statistical analyses of the first half of 2002 (prior to film rollout) versus the first half of 2003 show a statistically significant improvement in median time (106 minutes to median time of 86 minutes) for door to balloon. 2004 median time is now below 80 minutes!