Stroke Alert Activation
This must happen within minutes of stroke recognition in the ED or floor.
What is Stroke Alert activation
Consent for thrombectomy must include this possible complication.
What is hemorrhage or vessel injury
TNK is administered in this way
What is single IV bolus
PSC+ requires this for all clinical staff involved in stroke care.
What is annual stroke education
Post-procedure, neuro checks must be performed at this interval initially
What is every 15 minutes for the first hour
These 3 team members are typically notified during a stroke alert
Who are ED physician, neurologist, interventionalist
Before thrombectomy, verify this critical patient history
What is last known well time
Patients receiving TNK should not receive this type of medication for 24 hours unless ordered
What is anticoagulants or antiplatelets
DNV mandates documentation of this time point in stroke cases.
What is last known well
This should be documented immediately following thrombectomy.
What is final angiographic result and time of recanalization
This communication tool is used to mobilize the Cath Lab team for stroke
What is overhead call, secure text, or pager
Name one anticoagulant that may affect procedural decision-making
What is warfarin, DOACs, or heparin
TNK dosing is based on this
What is patient weight
Door-to-puncture time must be under this to meet performance measures.
What is 90 minutes
Blood pressure must be maintained below this threshold post-thrombectomy
What is 180/105 mmHg
A patient with an LVO is identified by this type of scan.
What is CTA or CT Perfusion
Patients who received TNK must be monitored for this prior to Cath Lab.
What is neurological improvement or decline
After TNK, you must monitor for this complication before and after intervention
What is intracranial hemorrhage
This team member is responsible for stroke documentation compliance in the Cath Lab.
Who is charge nurse or designated recorder
Patients go to this unit after stroke intervention.
What is ICU or neuro stepdown
DNV requires that door-to-puncture time for thrombectomy is under this threshold.
What is 90 minutes
This should be ready at the bedside before transporting a stroke alert patient to Cath Lab.
What is transport monitor, oxygen, suction
TNK patients should not undergo this after administration unless life-threatening
What is invasive procedures like Foley, arterial line
DNV PSC+ audits this element of patient care in the Cath Lab.
What is adherence to stroke protocols and time metrics
These 3 items are essential in the post-procedure stroke note.
What are neurological status, groin site check, recanalization success