Education
Safety
Comprehensive Stroke Center
Thrombolytics
Assessment/Medications
100

Has a 3 day plan and must be completed daily for stroke patients

What is:

stroke education

100
The #1 way to stop the spread of infection?
What is:  Hand Hygiene (foam in/foam out, hand washing with soap and water for c. dif.
100

Intra-arterial Thrombolysis, Mechanical Thrombectomy, Carotid Angioplasty or Carotid Stenting, Intracranial Angioplasty or Intracranial stenting, Decompressive Crainy for malignant edema

What is:

Comprehensive Ischemic Stroke Treatments

100

1 time dose given over 5 seconds

What is:

TNK

100

Should be ordered, given, and documented within two days of admission

What is:

DVT prophylaxis

200

2 part: Requires individualized comment for patient goal as well as individualized patient meds

What is: Plan of care; cerebral tissue perfusion and stroke meds in education tab

200

Epinephrine, Solumedrol, Benadryl, Ranitidine

What is:

Treatment for Angioedema

200

Score that reflects how well the vessel is "opened up" after the clot is removed

What is:

TICI Score (0= no perfusion; 3=full perfusion).

200

POCT test that must be completed prior to administering thrombolytics.

What is:

glucose

200

Name a performance improvement project your unit is working on.

What is:

hand hygiene, CAUTI/CLABSI bundle compliance, fall prevention

300

Patients that should be given the Stroke Education Folder.

What is:

Stroke diagnosis, TIA, other patients at high risk for stroke for example carotid procedures like CEA.


300

Screening completed prior to any oral administrations.

What is:

Dysphagia screen

300

Metrics used by the CSC to evaluate provision of stroke care.  Where is this data found?

What is:  Performance Measures such as, VTE Prophylaxis, LDL, statin prescribed at DC, Stroke Education, etc.

Stroke data can be found on the stroke program web site.  This is also listed on the stroke education sheets.

300

25mg

What is:

Max dose of TNK

300

Grading system for AVM

What is:

Spetzler-Martin

400

Required amount of stroke education hours that nurses who work on stroke units must complete yearly.

What is:

8 hours  (NIH training, Continuing education modules, NSLS, stroke conferences, etc)

400

Process to verify whether a Staff Physician or Advanced Care Provider is privileged to perform a procedure.

What is:

Intranet home page, physicians tab (under PeopleSoft), provider privileges

400

Evidence (literature) selected by the CSC as basis for evidence-based stroke care.  All of our stroke policies, procedures, order sets and care paths are based on these

What are the Clinical Practice Guidelines

400

Current or prior history of intercranial hemorrhage

What is:

Thrombolytic Contraindication



400

Used to prevent or limit the severity of cerebral vasospasm and should be administered within 24 hours of arrival.

What is:

Nimidopine

500

Used as initial assessment tool to assess for acute stroke symptoms 

What is BEFASTT.

500

A patient safety event (not primarily related to the natural course of the patient's illness or underlying condition) that reaches a patient and results in any of the following: Death, Permanent Harm, or Severe Temporary Harm.

What is:

Sentinel Event

500

Clinical Practice Guidelines are located

What is:

Stroke program Intranet site. (Departments,stroke program, then CPG on left side)

500

Locally injected method used to treat patients out of the TNK/TPA window who have a dense clot in the MCA.

What is:

Intra-arterial TPA


500

Moderate to severe headache, nuchal rigidity, only neuro deficit is cranial nerve palsy

What is:

Hunt and Hess grade 2

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