NIH
What type of caregiver can complete an NIH
Who are NIH certified RN's
Who is any RN
What is the frequency of completion stroke education
Daily until discharge
What classification of medications are aspirin, Plavix and Aggrenox?
What is antiplatelets
How often are neuro assessments completed
What is q2 hours for 24 hours then q4 hours
Why would an NIH be indicated to complete
What is change in mental status
What are the conditions to call a stroke alert
What are changes in mental status or change in NIH score
Name something that helps with providing education
What is Your guide to managing stroke booklet
What is the window for TNK to be administered
What is 0-4.5 hours
How often are post TNK neuro assessments completed
What is q15 minutes x2 hours, q30 minutes x6 hours and q1hour x16 hours
How often is the NIH completed
What is Day 1, Day 2, Day 3 and on discharge
What is the importance of calling a stroke alert
What is to clear the CT table and have the stroke team arrive
Who is education provided to
What is the patient, family, caregivers
Name one (1) medications that may be used for lowering cholesterol
What are -
Lipitor (atorvastatin)
Crestor (rosuvastatin)
Zocor (simvastatin)
"Prior Assessment Unchanged" can only be used when?
When is only if own documentation is unchanged
When would you notify the physician
When is change in NIH
What are the requirements to cancel a stroke alert
What are physician assessment revealing negative focal deficits or a stroke mimic
What are the topics of stroke documentation
What are signs/symptoms, individualized risk factors, complications of stroke, medications, health promotion and that the stroke booklet was provided
What should the BP goals pre & post TNK be?
What is 185/110 (pre) and 180/105 (post)
What documentation is needed when a stroke alert is called
What is significant event (under intervention flowsheet), VS, NIH, POC BG
What is documentation of change or improvement in stroke signs/symptoms
How does stroke neurology assess the patient
What is tele stroke video link (Sheldon)
What topics of stroke education requires patient specific comments
What are individualized risk factors and medications
What are -
Anticoagulants use
GI Bleed
History of stroke in last 3-6 months
Recent administration of TNK
What documentation is needed at time of discharge
Resolution of education
Who DC instructions were given to, by whom
Follow up appointments
Review of home going medications
Review of AVS