Stroke Smackdown: Battle of the Brain Cells

YEET it or YALE it

100

The primary purpose of the YALE Swallow Protocol is to do what?

Screen for dysphagia and aspiration risk 

200

This population should always receive a swallow screen before PO intake.

Suspected stroke patients

300

True or False: My patient's last known well is greater than 24 hours, they were not a code stroke therefore I do not need to do a YALE. 

FALSE!

400

Pass or Fail: Patient clears throat 20 seconds after swallowing water.

FAIL- order speech and NPO 

500

True or False: I should be completing a YALE after my patient is extubated. 

TRUE 

Know Your Stroke Types

100

What is the most common type of stroke?

Ischemic Stroke 

200

This condition is the leading cardiac cause of embolic ischemic strokes?

A-Fib

300

What is the most common cause of spontaneous ICH?

Hypertension

400

What does an LVO stand for?

Large Vessel Occlusion

500

A sudden worst headache of life points to this type of hemorrhagic stroke?

Subarachnoid Hemorrhage 

NIH Stroke Scale

100

This is the first thing you assess on the NIHSS?

Level of consciousness

200

True or False: The NIHSS s the gold standard for stroke severity score

True

300

What is the highest possible NIHSS score?

42

400

True or False: When I cannot test ataxia, I will score "UN" 

False: Ataxia is scored a 0 in a patient who cannot understand or is paralyzed 

500

How do you score dysarthria in an intubated patient?

0

1

2

UN

UN

If TJC Walked In Right Now...

100

What is the goal for door to needle? 

60 Minutes 

200

Where are your clinical practice guidelines located?

Stroke resource binder on unit 

300

What is the goal for door to puncture for thrombectomy eligible patients?

90 Minutes

400

What is door to reperfusion goal for mechanical thrombectomy? 

120 Minutes 

500

What is the goal for door to NIH Stroke Scale documentation without any acute intervention?

12 Hours

Documentation Drama

100

What is the most critical portion of documentation in regards to treatment decisions?

Last Known Well (LKW)

200

True or False: If there is no temperature documented in vital signs, my documentation is compliant 

FALSE 

300

You receive a patient who received TNK and document your first NIHSS. You notice an increase of 3 points from the previous RN what should you do?

Call the provider immediately to bedside/call stroke response team and get a STAT head CT

400

For stroke patients, what must be documentation of what 2 things must be completed at discharge?

Modified Rankin Score and Stroke Education

500

For a patient who received mechanical thrombectomy, which part of documentation is required: 

Q15 minutes x 1 hour

Q30 minutes x 1 hour

Q60 minutes x 4 hours

Post-Procedure Site Assessment