Improvement of Door-to-Electrocardiogram Time Using the First-Nurse Role in the ED Setting

Limitations included using only those patients in the ACTION registry and not accounting for RN turnover with first-nurse education. Future studies should focus on all patients presenting with symptoms of acute coronary syndrome as well as other patients presenting with time-sensitive needs to determine the efficacy of the first-nurse role.Contribution to Emergency Nursing Practice
- Presents support for first-nurse training and for the importance of the emergency nurse's presence in the ED lobby
- Provides an example to emergency nurses for how quality improvement projects can lead to a positive culture change
- Guides future studies toward specific patient populations on which the first nurse can have impact