CPG's
What interventions should be used in patients with pressure ulcers?
What is: assessments, T&P, WOC consult, Specialty mattress, nutrition consults, PT/OT, wounds care...
What CVA scale needs performed on admission?
What is: the NIH
When should patient's receive the STEPs binder?
What is: on admission
When does discharge planning begin?
What is: On admission
What task should be performed in all CVA patients, especially in patients with dysphagia?
What is: oral care
Research indicates positioning a hemiplegic shoulder in 45 degree external rotation and 90 degree internal rotation for ____ minutes daily reduces subluxation and encourages functional return.
What is: 30
What screening needs performed on admission?
What is: the Barnes Jewish Hospital Stroke Dysphagia screen
Who should the STEPs binder be reviewed with?
What is: the patients and designated caregivers.
Which consult recommendations need to be included on the AVS?
What is: Neuropsych
If a patient is incontinent of urine, what do we do?
What is: put them on a toileting schedule
VTE prophylaxis is required in all patients. If a patient refuses SCD's or medications, who should be notified of refusal?
What is: the attending physician
Who needs consulted on admission for a CVA?
What is: neuropsych and speech therapy
Which 3 STEPs forms need filled out and returned to the nursing station?
What is: The questionnaire, the pre training form and the post train form.
What is our % goal for discharging patients to home/community?
What is: 80%
How often does SVH hold a stroke support group?
What is: once a month
When should bladder issues/interventions be discussed with other staff?
What is: at team conference and during BSR
On admission, we must chart "Stroke binder/folder given" under which tab?
What is: the education tab under materials given
Where is the STEPs binder stored once we give it to the patient?
What is: in a green bag on the back of the wheelchair.
What does the patient need to take home at discharge?
What is: the AVS and STEPs binder.
What well-known medical acronym is used to help people recognize the critical warning signs of a stroke and remember to take immediate action?
What is: BE FAST
B - Balance: Sudden loss of balance or coordination
E - Eyes: Sudden blurred or double vision, or loss of sight
F - Face: Drooping or numbness on one side of the face (ask the person to smile)
A - Arm: Weakness or numbness in one arm (ask the person to raise both arms)
S - Speech: Slurred speech, trouble speaking, or difficulty understanding speech
T - Time: Time to call 911 immediately if you see any of these signs
How does 2R keep track of time for the bladder/toilet schedules?
What is: a clock
True or False: We have an order set specific to IPR CVA's?
What is: TRUE
Where do we get the STEPs binder from to give to the patient?
What is: the education station
If we discharge a patient HFL, we discharge them by what time?
What is: 10:59am
What are 2 types of strokes?
What is: ischemic and hemorrhagic