Stroke Education
Stroke Alert
2026 MHS Requirements
Post TNK documentation
TNK
100

This is the platform used to show stroke education videos to patients.

What is TIGR TV?

100

This provider has authority to cancel an inpatient stroke alert

Who is the on-call neurologist or interventionalist?

100

This is when the NIH Stroke Scale (NIHSS) competency is due to be completed at MHS

What is annually?

100

This is a standardized 15-item tool used to objectively measure the severity of a stroke

What is the NIH Stroke Scale (NIHSS)?

100

This is the number of seconds over which TNK (Tenecteplase) is administered

What is 5 seconds?

200

This is the name of the Memorial Stroke Program educational resource/booklet given to patients.

What is the Memorial Stroke Patient and Information Booklet?

200

These two MHS facilities are designated Comprehensive Stroke Centers.

These two MHS facilities are designated Comprehensive Stroke Centers.

200

This is the number of stroke modules required to be completed yearly.

This is the number of stroke modules required to be completed.

200

For post-TNK documentation, these two neurologic assessments are routinely assessed

What are Glasgow Coma Scale (GCS) and motor strength?

200

This is the treatment window for administering TNK in eligible acute ischemic stroke patients

What is up to 3-4.5 hours from symptom onset (or last known well)

300

These are four signs that prompt an RN to activate a stroke alert.

What are facial droop, slurred speech, unilateral arm or leg weakness, and trouble speaking or understanding?

300

These are two of the four types of stroke patients cared for at MHP.

What are small vessel ischemic strokes, large vessel occlusions (LVOs), hemorrhagic strokes, and transient ischemic attacks (TIAs)?

300

This is the online platform used to complete the NIHSS certification test.

What is Apex Innovations?

300

These five vital signs are routinely documented after administration of TNK

What are blood pressure, heart rate, respiratory rate, oxygen saturation, and temperature?

300

TNK (tenecteplase) is incompatible with this IV solution and should not be mixed or administered with it.

What is dextrose?

400

These are three examples of modifiable stroke risk factors.

What are hypertension, elevated cholesterol, obesity, atrial fibrillation, diabetes, recreational drug use, alcohol use, and stress?

400

These are the 3 key CM and RN responsibilities within 10 minutes of a stroke alert.

What are obtain accu-check and vital signs, activate stroke workup (stroke panel/order & notify neurologist with report), and prepare/transport patient to CT with monitoring?

400

This is where new hires receive the stroke class during orientation.

What is the RN orientation class?

400

This is when the NIH Stroke Scale is documented after TNK administration.

What are 1 hour, 24 hours, and every shift or with any neurological change?

400

This is the maximum dose of TNK (tenecteplase) that can be administered for acute ischemic stroke

 What is 25 mg?

500

 Who are Dr. Brijesh Mehta and Dr. Norman Ajiboye?

Who are Dr. Brijesh Mehta and Dr. Norman Ajiboye?

500

These are two cortical signs concerning for large vessel occlusion stroke.

What are neglect, visual field cut, gaze preference, aphasia, or agnosia (any two of these)?

500

These are the five 2026 Stroke Modules required for completion

What are Stroke and Dementia, Stroke and Obstructive Sleep Apnea, Stroke Complications: Dysphagia, Stroke Complications: Hemiplegia, and Hormone Replacement Therapy: Risk for Stroke?

500

This is the required post-TNK documentation frequency for vital signs and neurologic checks.

What is every 15 minutes x 2 hours, every 30 minutes x 6 hours, then every 1 hour x 16 hours?

500

This is the MHS goal time for TNK administration from arrival or symptom recognition.

What is 30 minutes?

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