Education
Has a 3 day plan and must be completed daily for stroke patients
What is:
stroke education
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
1 time dose given over 5 seconds
What is:
TNK
Should be ordered, given, and documented within two days of admission
What is:
DVT prophylaxis
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
Epinephrine, Solumedrol, Benadryl, Ranitidine
What is:
Treatment for Angioedema
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).
POCT test that must be completed prior to administering thrombolytics.
What is:
glucose
Name a performance improvement project your unit is working on.
What is:
hand hygiene, CAUTI/CLABSI bundle compliance, fall prevention
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.
Screening completed prior to any oral administrations.
What is:
Dysphagia screen
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.
25mg
What is:
Max dose of TNK
Grading system for AVM
What is:
Spetzler-Martin
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)
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
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
Current or prior history of intercranial hemorrhage
What is:
Thrombolytic Contraindication
Used to prevent or limit the severity of cerebral vasospasm and should be administered within 24 hours of arrival.
What is:
Nimidopine
Used as initial assessment tool to assess for acute stroke symptoms
What is BEFASTT.
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
Clinical Practice Guidelines are located
What is:
Stroke program Intranet site. (Departments,stroke program, then CPG on left side)
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
Moderate to severe headache, nuchal rigidity, only neuro deficit is cranial nerve palsy
What is:
Hunt and Hess grade 2