Standardized tool that defines severity of stroke symptoms
What is NIHSS?
100
Area of brain that does not initiate movement, but it contributes to coordination, precision, and accurate timing
What is cerebellum?
100
Medical term for the symptom of difficulty in swallowing
What is Dysphagia?
100
Stroke Signs/Symptoms, importance of calling 911, new medications, recommendations for lifestyle modifications to reduce risk of recurrent stroke, and follow up appointments.
What is the key 5 essential stroke education topics?
100
Initial NIH, if/when tPA initiated (and last documented vital signs/neuro checks), results of simple swallow screen and current PO status
What is critical information passed along from ED to admitting RN?
200
A lack of voluntary coordination of muscle movements.
What is ataxia?
200
Normal and especially high levels of fats in the blood circulation, depending on how it is transported within lipoproteins, are strongly associated with progression of atherosclerosis.
What is cholesterol?
200
A condition in which problems occur with the muscles that help one talk; this makes it very difficult to pronounce words
What is dysarthria?
200
Location in Soarian to document patient teaching
What is the Education section of Shift Assessment?
200
Tool available to use for shift to shift/floor to floor communication to assure all critical information is being addressed for stroke patients
What is the Stroke Checklist?
300
Scoring mechanism used to assess immediate potential risk of stroke in patients presenting with TIA
What is ABCD2 Score?
300
tPA is a man-made protein that acts as a ________, causing the conversion of plasminogen to plasmin, the major enzyme responsible for clot breakdown.
What is a catalyst?
300
Characterized by the loss of the ability to produce language (spoken or written) following damage to Broca's area in the brain.
What is Expressive Aphasia?
300
Component of education required by TJC, beyond just giving the patient/family the stroke education materials
What is an assessment of patient's response to education?
300
Responsible for closely monitoring response times during stroke alert, and facilitating rapid diagnostic results
What is House Supervisor?
400
"Institute for Clinical Systems Improvement (ICSI)" and "American Heart/Stroke Association (AHA)"
What is Clinical Practice Guidelines sources for all Stroke Order Sets and Stroke Protocols at PVMC.
400
A set of actions, prioritized by immediate needs and risk, that the nurse will implement to resolve/support nursing diagnoses identified via nursing assessment
What is a Care Plan?
400
Antiplatelets, Anticoagulants, and Thrombolytic agents are all examples
What is an Antithrombotic?
400
Anticipating patient needs, use of aphasia boards (pictures), gestures/body language, providing education to patient's family/friends.
What is communication strategies for patients with aphasia?
400
Responsible for identifying stroke signs/symptoms and activating RAT/Stroke Alert process.
What is the role of anyone working at PVMC, including contract staff, students, and volunteers?
500
A restriction in blood supply to tissues, causing a shortage of oxygen and glucose needed for cellular metabolism (to keep tissue alive)
What is ischemia?
500
Special designation by Joint Commission that identifies PVMC as a Primary Stroke Center.
What is Certification?
500
Resource for staff and physicians for stroke program, collects and reports updated performance on key indicators
What is a Stroke Coordinator?
500
Patient given Quitline number and encouraged to stop smoking to reduce risk of another stroke. Pt resistant to recommendation, said he "has to die of something, sometime". Will continue to encourage smoking cessation.
What is an example of patient education documentation for smoking cessation?
500
Sound physician, House Supervisor, ICU Charge RN, Primary RN, Lab, Respiratory, and Stroke Coord if available.