Progressive Care Study Guide 2024

Annually: Hemispheres Level 8 NIHSS plus one other Hemispheres education module (varies by unit). There are also opportunities to attend stroke offerings from the Bi State Consortium or equivalent. - What kind of stroke nursing education do you receive? Call 8-5656 and ask for the stroke team - How do you activate the stroke team? Stroke Team RN from Neuro ICU and the Neurology resident, plus a Vascular Neurologist is on call - Who responds to a stroke call? 0-4.5 hours from symptom onset - What is the time window that a patient may be eligible to receive tPA? As ordered and/or per unit standard - When do you use the NIH stroke scale? Prior to anything PO on any patient with stroke like symptoms - When do you perform the stroke dysphagia screening? Keep the patient NPO, notify physician and ensure that they order a formal swallow eval by Speech Therapy - What do you do if the patient fails the stroke dysphagia screening? Stop administering medications or food, make patient NPO, notify physician and ensure that they order a formal swallow eval by Speech Therapy - What do you do if a patient passes a dysphagia screen, but starts to cough when taking medication or eating? Each stroke patient gets a Stroke education folder and other educational handouts are also available through EPIC - What type of educational materials are available for stroke patients? In the doc flowsheets, under Stroke Dysphagia Screen section - Where is the stroke dysphagia screening documented? They are integrated in our stroke order sets - Where are our clinical practice guidelines for stroke? In Epic under the education tab - Where do you document stroke education provided to the patient? Two good examples are team huddles if your unit has them and/or interdisciplinary rounds on the unit - How do you involve the interdisciplinary team in stroke care?