Fibrinolytic Therapy Time Goal Checklist
Fibrinolytic Therapy Time Goal Checklist
General Items
- Review current protocols and guidelines for fibrinolytic therapy
- Educate team members on the importance of timely administration
Pre-Administration Preparation
- Confirm diagnosis of STEMI or PE
- Assess patient eligibility for fibrinolytic therapy
- Obtain informed consent from patient or family
- Establish IV access for medication administration
- Obtain baseline vital signs and ECG
Administration of Fibrinolytics
- Administer fibrinolytic agent within 12 hours of symptom onset
- Aim for door-to-needle time of 30 minutes or less
- Monitor patient closely during administration for any adverse reactions
Post-Administration Monitoring
- Reassess vital signs and ECG after administration
- Monitor for signs of bleeding or allergic reactions
- Evaluate response to therapy within 60-90 minutes post-administration
Documentation and Communication
- Document time of symptom onset and administration of fibrinolytic therapy
- Communicate treatment details to receiving team for continuity of care
- Ensure follow-up imaging or labs are scheduled as needed
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