Stroke Recognition in PACU
What is one visual sign of a posterior stroke?
What is double vision or nystagmu
Documentation of “time last known well” must occur in this timeframe.
What is upon first assessment or <15 minutes
Stroke alerts must be initiated within ___ minutes of symptom discovery.
What is 5 minutes
Stroke status must be included in this report
What is handoff to ICU or floor nurse
Post-op afib can increase risk of thi
What is embolic stroke
Stroke symptoms are usually sudden and involve this side of the body
(What is one side/unilateral
This must be included in every stroke-related nursing note.
What is neuro assessment
Post-tPA, vitals are taken every ___ minutes for the first hour.
What is 15 minutes
This tool ensures accurate transfer of stroke care data.
What is SBAR
Maintain oxygen saturation above this threshold.
What is 94%
Patients recovering from anesthesia may be confused—what differentiates this from stroke?
What is focal deficits
All stroke assessments must be documented using this format
What is electronic medical record timestamped entry
A head CT must be completed within ___ minutes from recognition.
What is 25 minutes
Handoff must include these 2 time points
What are symptom onset and last neuro check
Positioning the patient flat may aid this.
What is cerebral perfusion
Which cranial nerve test might indicate facial droop
What is CN VII
Document this provider notification event
What is time of MD notification for stroke symptoms
First neuro check should occur at this interval post-alert
What is immediately or within 10 min
Notify this person when symptoms are suspected
What is charge nurse or stroke team
Reassess neuro status after this medication class
What is sedatives or opioid
What is a “new onset” finding that must be reported immediately
What is altered LOC or unilateral weakness
Why is documenting onset time crucial to DNV compliance
What is determines eligibility for tPA or thrombectomy
Delays in this action may lead to noncompliance
What is notifying the provider or stroke team
When symptoms are unclear, do this.
What is escalate to stroke team or use BE-FAST
Maintaining this electrolyte is essential for neuro stability
What is sodium