What a Big Brain You Have
I am made up of 4 different lobes: Frontal, Parietal, Occipital, Temporal
What is the Cerebrum?
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?
I have to complete vital signs and neuro checks every _____ minutes for 2 hours
What is every 15 minutes?
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. Or document why not.... ie: BKA
I must document that I gave this handout to the patient and family.
What is the Stroke Pamphlet?
I can test this nerve by having them sniff toothpaste, mouthwash or coffee
What is CN I: Olfactory?
I am known for helping you with balance and posture
What is the Cerebellum?
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?
These are the five vital signs that must be documented.
What are HR, RR, B/P, SaO2, and temperature
I need to do this for Stroke Core Measure STK-2
What is providing ASA for ischemic stroke patient's discharged on antithrombotic therapy?
Teaching patient's ASA po BID can be very confusing. Review all of these using layman's terms and generic and brand names.
What are medications? Review ALL medications upon discharge.
I can test this nerve by having the patient clench their teeth and have them identify when I am touching their cheeks, forehead and jaw with their eyes closed
What is CN V: Trigeminal
To solve a Rubik's cube puzzle, I need to rely on this portion of my brain
What is the Frontal Lobe?
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?
I must document these 5 things on the flowsheet to complete the cognitive assessment.
What is LOC, Arousal, Orientation, Speech, and Mood?
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
Review this "quick" acronym for identifying strokes with the patient and family so they know when to get help in the future.
What is BE FAST?
Test this nerve by rubbing your fingers together next to a patient's ear or whispering words.
What is CN VIII Vestibulocochlear or "Acoustic" nerve?
I have difficulty recognizing faces. My _______ must be off.
What is my (right) temporal lobe?
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 FAILED?
I must apply these to my patient's legs and document they are ON. If for some reason a patient can't have these I need to document why.
What are SCDs?
I need to do this for Stroke Core Measure STK-6
What is discharge on lipid-lowering medication for a LDL >70?
I might have to "individualize" these on my care plan and in the education before teaching the patient and family. You can't be teaching 96yo grandpa about birth control pills, that is just weird.
What are risk factors?
Test this nerve by having patient stick out their tongue and move it up, down and side to side.
What is CN XII Hypoglossal?
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?
My patient passed the YSP Screen. To order a diet I need to___________.
What is have a SLP Evaluation?
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 National Institute of Health Stroke ScaleNIHSS?
This core measure must be documented if the ischemic stroke patient received Tenecteplase or Alteplase
What is STK-4? Always check that this has been documented
Teach families how to utilize this so that their love one doesn't fall when ambulating them at home.
What is a gait belt?
These 4 nerves test the function and movement of the eyes.
What is CN II Optic, CN III Oculomotor, CN IV Trochlear, CN VI Abducens?