Megan Is the Nurse Chair of the Performance Improvement Committee

Megan is the nurse chair of the performance improvement committee for a small community hospital. She has been asked to work with the hospital's community health outreach program team with a focus on cardiovascular disease. Megan's report to the performance improvement committee at the hospital results in the decision to examine whether a specific protocol is needed for the care of women presenting to the emergency department (ED) with atypical symptoms of a heart attack. The nurse finds that the average door-to-balloon time - the interval that starts with the patient's arrival in the emergency department and ends when a catheter guidewire crosses the culprit lesion in the cardiac catheter lab - in their hospital is 64 minutes with the longest time being 84 minutes. How does Megan proceed?

A) No need to address this-the average door-to-balloon time is well within the desired guidelines.
B) Perform a hospital and ED assessment to see where these patients are being held up.
C) Mandate EKGs for every patient who comes into the emergency room.
D) Create a separate wing of the ED especially for suspected cardiac patients.