Stroke Triage
Triage RN must complete screening within this time
What is 10 minutes of arrival
Administering tPA under 60 min is called this
What is door-to-needle compliance
CT must be read by radiology within this time.
What is 45 minutes
Name 3 team members notified during a stroke alert
What is ED MD, RN, neuro team
This role activates imaging
What is ED nurse or tech
Use this acronym to identify key stroke signs
What is BE-FAST
A delay in labs may delay this treatment
What is tPA?
Draw these labs before tPA
What is CBC, PT/INR, glucose
Use this tool to document stroke time points.
What is stroke alert form or flowsheet
This role gives final approval for tPA.
What is neurologist or ED physician
Patients with sudden confusion should be screened for this
What is stroke or mimic
ED pharmacist role during stroke alert
What is prepare and deliver tPA
Stroke mimics can be ruled out by this test
What is blood glucose or CT
Stroke alerts must be documented within this system.
What is EMR
Pharmacy ensures this during alert
What is correct tPA dose/prep
Always ask this critical history question
What is “When was the patient last seen well?
Door-to-needle time is tracked for this reason
What is quality improvement and compliance?
Ensure patient is not on this before giving tPA
What is anticoagulant
Use this system to alert stroke teams.
What is pager or secure messaging
Stroke coordinator uses ED data for this
What is performance improvement
Elderly patients with falls should be screened for this
What is stroke or brain bleed
Use of pre-hospital data can improve this.
What is stroke alert initiation
For LVO, this additional imaging may be needed
What is CTA or CT perfusion
Always reassess this after stroke alert initiation.
What is neuro status
Radiologist must provide this
What is rapid CT interpretation