What a Big Brain You Have
That's a Hard Pill to Swallow
Post -Tenecteplase
Let's Get to the Core of the Situation
It's All in the Teaching
100

I am made up of 4 different lobes: Frontal, Parietal, Occipital, Temporal

What is the Cerebrum?

100

This is to be performed on ALL stroke patients (ischemic and hemorrhagic) prior to taking that big horse pill

What is the Yale Swallow Screen?

100

I have to complete vital signs and neuro checks every _____ minutes for 2 hours

What is every 15 minutes?

100

I need to do this for Stroke Core Measure STK-1

What is place SCDs on the patient, document "on" upon admission or document meds given: Heparin or Lovenox

100

I must document that I gave this to the patient and family.

What is the Stroke Pamphlet?

200

I am known for helping you with balance and posture

What is the Cerebellum?

200

My patient is very sleepy and can't answer questions or follow commands during the YSP. I will need to keep this patient ___________. 

What is NPO?

200

These are the five vital signs that must be documented.

What are HR, RR, B/P, SaO2, and temperature

200

I need to do this for Stroke Core Measure STK-2

What is providing ASA for ischemic stroke patient's discharged on antithrombotic therapy?

200

Since my patient is unable to understand alphabet soup such as: ASA BID except when NPO; I will need to explain the significance of these __________

What are medications? Review ALL medications upon discharge.

300

To solve a Rubik's cube puzzle, I need to rely on this portion of my brain

What is the Frontal Lobe?

300

I need to ask these 3 questions to assess a patient's cognitive status during the YSP Screen.

What is your name? Where are you right now? What year is it?

300

I must document on the flowsheet the following topics to complete the cognitive assessment.

What is LOC, Arousal, Orientation, Speech, and Mood?

300

My patient's heart loves fibrillates whenever she sees a puppy. I need to make sure she has this prescribed

What is Anticoagulation therapy: Coumadin, Rivaroxaban, Dabigatran, Apixaban, Edoxaban

300

Review this "quick" acronym with the patient and family so they know when to get help

What is BE FAST?

400

I have difficulty recognizing faces. My _______ must be off. 

What is my (right) temporal lobe?

400

My patient is unable to drink 90ml of water without coughing or choking. I will need to document the patient ________ the YSP Screen.

What is FAIL?

400

I must apply these to my patient's legs and document they are ON.

What are SCDs?

400

I need to do this for Stroke Core Measure STK-6

What is discharge on lipid-lowering medication for a LDL >70?

400

I might have to "individualize" these before teaching the patient and family.  Can't be teaching 96yo grandpa about birth control pills.

What are risk factors?

500

When removing cookies from the hot oven, I need to use a pot holder. I guess my _________ lobe is working.  

What is my parietal lobe?

500

My patient passed the YSP Screen. To order a diet I need to___________.

What is have a SLP Evaluation?

500

This neurological exam must be completed every 12 hours or with any change in care with a second trained healthcare provider for ALL strokes (ischemic and hemorrhagic).

What is the NIHSS?

500

This core measure must be documented if the ischemic stroke patient received Tenecteplase or Alteplase

What is STK-4?

500

Teach families how to utilize this so that their love one doesn't fall when ambulating them at home. 

What is a gait belt?