Time is Brain!
The recommended goal time from door to thrombolytic administration by the joint commission?
60 Minutes
True or False: What must be documented prior to any oral intake?
YALE Swallow Screen
Transient Ischemic Attack
What is the first type of CT Scan to be performed?
Non-Contrast CT Scan
The "F" in BEFAST stands for
Facial Droop
The maximum treatment window by IV thrombolytics in eligible stroke patients per CMC policy?
4.5 hours from last known well
What should I do if a patient refuses SCDs?
Document why and arch up to the provider for lovenox or heparin
What is the most common type of stroke
Ischemic Stroke
This imaging study is used to visualize blood vessels and identify large vessel occlusions
CT Angiogram
The "T" in BEFASAT stands for what
Terrible Headache
This important time point determines eligibility for most acute stroke interventions
Last Known Normal
What must I do if a patient refuses an intervention
Document why the patient refused
What type of stroke happens when there is bleeding into the tissues of the brain?
Hemorrhagic Stroke
This imaging helps determine salvageable brain tissue and ischemic penumbra
CT Perfusion
What does the "S" stand for in BEFAST
Slurred speech and/or aphasia
Goal time from door to puncture
90 minutes
True or False: I should never document "unable to assess" for the NIHSS
TRUE: You can always do an NIHSS on anyone
What type of hemorrhagic stroke looks like a starfish on CT?
Subarachnoid hemorrhage
The primary reason CT is performed first in the stroke evaluation
To rule out hemorrhage
True or False: I do not have to activate a code stroke if I do not know when the last known well was
FALSE: If LKW is unsure, activate
Goal time for door to reperfusion
120 minutes
TJC measure requires documentation of functional status prior to stroke, on day of discharge and 90 days after intervention was performed
Modified Rankin Score
The artery most commonly involved in large vessel occlusion strokes is the
Middle cerebral artery (MCA)
What color is blood on a CT scan
White
The most important action when stroke symptoms appear within 24 hours of last known well
Initiate code stroke!!!