Education
Safety
Comprehensive Stroke Center
Stroke
Potpourri
100
Must be completed daily and be individualized for stroke patients.
stroke education
100
The #1 way to stop the spread of infection?
What is:  Hand Hygiene (foam in/foam out, hand washing with soap and water for c. dif.
100
Cleveland Clinic Hospital that is a Comprehensive Stroke Center.

What is:

Main Campus CC

100
Pager notified for a suspected stroke.

What is:

2CLOT (22568)

100
Individualized plan addressed daily during hospitalization.

What is:

Plan of Care

200
Requires individualized comment in for stroke education.

What is:

Medication and Risk Factors

200

Standard tool used for hand off and required times to complete.

What is:

SBAR-every change in caregiver, done at bedside when possible

Situation

Background

Assessment

Background

200
Critical Test the must be performed with 25 minutes and resulted in 45 minutes when suspected stroke.

What is:

Brain Attack CT

200
POCT test that must be completed prior to administering TPA.

What is:

glucose

200
Name a performance improvement project your unit is working on.

What is:

hand hygiene, CAUTI/CLABSI bundle compliance, etc.

300
Patients that should be given the Stroke Binder.

What is:

Stroke diagnosis, TIA, other patients at high risk for stroke for example carotid procedures


300
Screening completed prior to any oral administrations.

What is:

swallow screen

300
Metrics used by the CSC to evaluate provision of stroke care.  Where is this data found?

What is:  Performance Measures such as, VTE Prophylaxis, statin prescribed at DC, Stroke Education, etc.

PI data can be found on the CSC site.  Also there are posters posted in the units with measures.

300
Comprehensive Neurologic Assessment completed by nursing on Day 1, 2, 3 and day of discharge for stroke patients.
NIHSS
300
Sign in, Time out, and Sign out

What is:

Universal Protocol

400
Required amount of stroke education hours that nurses who work on stroke units must complete yearly.

What is:

8 hours  (NIH training, CCLC modules, journal clubs, stroke conferences, etc)

400
Process to verify whether a Staff Physician or Advanced Care Provider is priviledged to perform a procedure.

What is:

ePriv

Intranet Today page, All Login Accounts, Epriv

400
Evidence (literature) selected by the CSC as basis for evidence-based stroke care.  All of our stroke policies, procedures, order sets and care paths are based on these
What are the Clinical Practice Guidelines
400
Complication of TPA.

What is:

bleeding, change in mental status, headache, angioedema.


400
Hold all oral administrations, Notify LIP, expect a speech therapy consult.

What is:

when a patient fails a swallow screen

500
Stroke binder must be documented as a certain method of learning.

What is:

written method

500
A patient safety event (not primarily related to the natural course of the patient's illness or underlying condition) that reaches a patient and results in any of the following: Death, Permanent Harm, or Severe Temporary Harm.

What is:

Sentinel Event

500
Clinical Practice Guidelines are located

What is:

Today page, Accreditation, Disease Specific Certification, Comprehensive Stroke

500

Where policies, procedures and Care Path guidelines are stored.

What is:

Policy and Procedure Manual (PPM)

Intranet home page, Policies, PPM


500
Legal document which specifies what actions should be taken for a patient's health when they are no longer able to make decisions for themselves.

What is:

Advanced Directives

found in Epic on the Nursing Admission Assessment and the AD tool bar