Resources
A digital platform available to all employees that houses policies, procedures, education, timekeeping....
Intranet
First line of imaging used to rule out bleeding into the brain tissue
CT scan
_______ should be paged for a patient who presents to the ED with a positive stroke assessment within 4.5 hours from their last known well
Stroke 1
Prescribed for mechanical VTE prophylaxis to be worn by patient?
Flowtrons/SCDs
Important vital sign to pay close attention to in any patient who has suffered a TIA, ischemic or hemorrhagic stroke
Blood Pressure
Dial this # to page an inpatient stroke alert
2211
Referred to as the time the patient was last at their baseline
Last Known Well (LKW)
VAN Assessment
This cholesterol lowering medication should be prescribed to all TIA, stroke-like symptoms, and stroke patients unless contraindicated
High dose statin
We partner with them to provide our tele stroke service
Swedish (aka Blue Sky)
24/7 excellent nursing resource that can be reached at 7535
Administrative Rapid Response (ARR)
CRMC's stroke program is accredited through the Joint Commission as a ______________
Primary Stroke Center
What is the universal acronym used to help anyone identify the signs/symptoms of a stroke?
BE FAST
Medication used to "break" up a clot in a blood vessel
Thrombolytic (tPA, TNK)
Nursing screening assessment that must be completed on all TIA, stroke and stroke rule/out patients prior to ANY PO intake
Yale Swallow Study
Our designated stroke unit(s)
SONU/ICU
Scale used to assess stroke severity. Must be certified to administer.
National Institutes of Health Stroke Scale (NIHSS)
Sudden change in LOC, severe headache, and n/v are typical signs and symptoms of this type of stroke
Hemorrhagic
Interventional procedure of removing a blood clot from a blood vessel
Mechanical thrombectomy or thrombectomy
Two templates the nurse must document on in EPIC every shift that are specific to patients risk factors and course of treatment
Stroke education/stroke care plan
Body of evidence we use to support and drive treatment decisions related to stroke care at CRMC
Clinical Practice Guidelines (CPGs)
sICH
symptomatic intracranial hemorrhage
Stroke 2
A quick and effective nursing intervention to help decrease intracranial pressure (ICP)
Elevate HOB 30 degrees
Key door-to goal times:
door to CT
door to thrombolytic
door to transfer out
Less than or equal to:
15 mins
45 mins
120 mins