SCRN chapter 8 questions
what are CPGs and what is the use of them in relation to stroke? - ANS-they are a review and
summary of the literature with recommendations. used to guide stroke program development
and individual stroke care.
what are the 7 Ds of the ASA Chain of Survival? - ANS-detection, dispatch, delivery, door, data,
decision, drug
what are the benefits of stroke certification? - ANS-improves quality of pt care, provides
framework for program, provides an objective assessment of clinical excellence, creates a
cohesive team, promotes a culture of excellence, facilitates marketing and reimbursement,
strengthens community confidence in quality and safety, makes a statement to the community
about quality services, recognized by insurers, can fulfill regulatory requirements.
what are the Institute of Medicine's 6 domains for quality improvement? - ANS-safe, effective, pt
centered, timely, avoid waste, equitable.
what are the key disease elements for acute ischemic stroke program organization? - ANS-EMS
eval and transport, EMS ed of stroke recognition, telemedicine?, rapid triage to ED, ED action
times, neurologist, tPA, eval for stroke rescue, supportive care (vitals, 02...), cardiac monitoring,
stroke unit care, risk factor eval, stroke ed, rehab
what are the key disease elements for ICH program organization? - ANS-EMS rapid transport,
CT or MRI, treatment of bleed, management/prevention of 2/2 brain injury, risk factor
management, consider end-of-life issues.
what are the key disease elements for SAH program organization? - ANS-EMS rapid transport,
eval/treatment of HA, CT, aneurysm repair?, diagnostic imaging after repair, Hunt and Hess
scale, HTN control, nimodipine, assess and treat other problems, eval for cognitive issues,
management of risk factors, screen relatives.
what are the key disease elements for TIA program organization? - ANS-HTN control, glycemic
control, statin therapy, tobacco cessation, reduce alcohol, increase physical activity, initiate
antiplts/anticoags, treat related diseases.
what are the mandatory stroke core measures? - ANS-for ischemic stroke: discharged on
antithrombotic therapy, anticoags for afib/aflutter, thrombolytic therapy, antithrombotic therapy by
end of hospital day 2, discharged on statin.
for ischemic or hemorrhagic: stroke ed, assessed for rehab.
what are CPGs and what is the use of them in relation to stroke? - ANS-they are a review and
summary of the literature with recommendations. used to guide stroke program development
and individual stroke care.
what are the 7 Ds of the ASA Chain of Survival? - ANS-detection, dispatch, delivery, door, data,
decision, drug
what are the benefits of stroke certification? - ANS-improves quality of pt care, provides
framework for program, provides an objective assessment of clinical excellence, creates a
cohesive team, promotes a culture of excellence, facilitates marketing and reimbursement,
strengthens community confidence in quality and safety, makes a statement to the community
about quality services, recognized by insurers, can fulfill regulatory requirements.
what are the Institute of Medicine's 6 domains for quality improvement? - ANS-safe, effective, pt
centered, timely, avoid waste, equitable.
what are the key disease elements for acute ischemic stroke program organization? - ANS-EMS
eval and transport, EMS ed of stroke recognition, telemedicine?, rapid triage to ED, ED action
times, neurologist, tPA, eval for stroke rescue, supportive care (vitals, 02...), cardiac monitoring,
stroke unit care, risk factor eval, stroke ed, rehab
what are the key disease elements for ICH program organization? - ANS-EMS rapid transport,
CT or MRI, treatment of bleed, management/prevention of 2/2 brain injury, risk factor
management, consider end-of-life issues.
what are the key disease elements for SAH program organization? - ANS-EMS rapid transport,
eval/treatment of HA, CT, aneurysm repair?, diagnostic imaging after repair, Hunt and Hess
scale, HTN control, nimodipine, assess and treat other problems, eval for cognitive issues,
management of risk factors, screen relatives.
what are the key disease elements for TIA program organization? - ANS-HTN control, glycemic
control, statin therapy, tobacco cessation, reduce alcohol, increase physical activity, initiate
antiplts/anticoags, treat related diseases.
what are the mandatory stroke core measures? - ANS-for ischemic stroke: discharged on
antithrombotic therapy, anticoags for afib/aflutter, thrombolytic therapy, antithrombotic therapy by
end of hospital day 2, discharged on statin.
for ischemic or hemorrhagic: stroke ed, assessed for rehab.
