Notes/Care Plans/Pathway
Should be ordered by MD for all stroke patients
what all patients should do at meal times
What is get OOB to chair
Must be done BEFORE oral meds given
What is nursing dysphagia screen
Where is cart located
What is 2 ICU Medical pod
How to call stroke alert
Must be completed once patient is discharged
What is a discharge note
What must be done 4x/day unless contraindicated
What is ambulate
Screen must be done upon arrival to unit even if completed in ED
What is NIHSS
What must be done as soon as cart arrives in room
What is PLUG IT IN
Goal to get to CT by
What is < 25 min.
Must be completed upon admission
What is an admission note
No bending, stooping, lifting > ?
What is 5 lbs
What are neuro checks
Timeframe that consulting nurse will call you
What is 15 min.
Who must give tPA
What is an MD or ICU/ED RN
Must be completed daily
What is a synthesis (care plan) note
If bladder scanned AFTER urination
What is a PVR (post-void residual)
What are SCDs (Kendalls)
For STAT consults and Routine after ___ pm or on ___________. (2 PARTS)
What is 5 pm, holidays and weekends
Must be documented in EPIC afterwards
What is event note
Name what requires an event note (at least 3 things)
What is fall, RRT, code, stroke alert, blood hanging from another facility
What is upon arrival, Q6 hours, and after every void
Must be documented throughout admission in education tab (2 things)
What is 1st dose medication education, stroke pathway education
Should be readily available in room (in cart)
What is NIHSS, reflex hammer, pen light
What is FAST
What is facial drooping, arm weakness, speech difficulty
TIME TO CALL