Stroke Center Newsletter Radiology EMS Stroke Alerts/Early Notification go Directly to CT SCAN Paramedics call in Stroke Alerts from the scene (if possible) rather than during transport. EMS providers are educated to use a Cincinnati Stroke Scale and alert the ED, “I have a high suspicion of a stroke.” The Radiology department clears the CT table and the patients go directly to CT on the EMS Stretcher. *Currently 100% of EMS stroke alerts go direct to CT scan* Thank you to the excellent collaboration between EMS, the ED staff, CT scan/Radiology! September 2015, Issue 4 UConn Primary Stroke Center News On October 20 th , we will implement the Nursing Neurological Assessment for Stroke Scale (NNAS), a more focused neuro evaluation that will help us better recognize neuro changes specific to stroke. All RNs on our stroke units (ED, ICU, CSDU, Med 4, and all float pool staff) have been educated on how to score the NNAS. Scoring tools are now available on the units in the pink stroke folders. Documentation is electronic. NNAS & additional assessments videos have been posted on Tips & Timesaver’s under the nursing webpage. CONGRATS TO MED 4!!! The first unit to complete this important education! POST TPA VS/NEURO √ FREQUENCY Q15 minutes x 2 hours , Q 30 minutes x 6 hours, then Q1hour x 16 hours (for a total of 24 hours) POST TPA NIHSS FREQUENCY Neurology, trained ED physicians/ICU APRN’s use a stroke specific scoring tool called the Na- tional Institute of Health Stroke Scale Initial, 2 hrs Post TPA, 24 hrs Post TPA, Discharge 2015 Stroke Education Completed!!!! *Stroke Units: 1. Right vs. Left Sided Stroke Symptoms SABA 2. Dysphagia Screen Update 1:1 Education 3. 2015 Stroke Alert SABA 4. NNAS Stroke Class September/October *Additionally for ED/ICU: 1:1 Education on VS/Neuro Checks frequency in regards to post rtPA management and rtPA worksheet. *Stroke Units+ Entire Hospital Staff: 2015 “Stroke Alert” SABA *Stroke Mock Tracers continue in all departments* Neurocritical Care Educational Series: Tuesdays from 12-1pm in Low Learning Center. This lecture is videotaped on Mediasite and offers with 1 hour nursing CE for attendance of the live session and completion of an evaluation. Upcoming dates: 10/20, 11/3, 11/24, 12/1, 12/15 Thank you everyone for completing your required education and helping to meet our initiatives of clinical excellence for Primary Stroke Center Certification.
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Stroke Center Newsletter - UConn Health€¦ · 30-09-2015 · Initial, 2 hrs Post TPA, 24 hrs Post TPA, Discharge 2015 Stroke Education Completed!!!! *Stroke Units: 1. Right vs.
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Stroke Center Newsletter
Radiology
EMS Stroke Alerts/Early
Notification go Directly
to CT SCAN Paramedics call in Stroke Alerts
from the scene (if possible)
rather than during transport.
EMS providers are educated to
use a Cincinnati Stroke Scale and alert the ED, “I
have a high suspicion of a stroke.” The Radiology
department clears the CT table and the patients go
directly to CT on the EMS Stretcher.
*Currently 100% of EMS stroke alerts go direct
to CT scan*
Thank you to the excellent collaboration
between EMS, the ED staff, CT scan/Radiology!
September 2015, Issue 4
UConn Primary Stroke Center News On October 20th, we will implement the Nursing
Neurological Assessment for Stroke Scale
(NNAS), a more focused neuro evaluation that will
help us better recognize neuro changes specific to
stroke. All RNs on our stroke units (ED, ICU,
CSDU, Med 4, and all float pool staff) have been
educated on how to score the NNAS.
Scoring tools are now available on the units in the pink stroke
folders. Documentation is electronic. NNAS & additional
assessments videos have been posted on Tips & Timesaver’s
under the nursing webpage.
CONGRATS
TO MED 4!!!
The first unit
to complete
this important
education!
POST TPA VS/NEURO √ FREQUENCY Q15 minutes x 2 hours , Q 30 minutes x 6 hours,
then Q1hour x 16 hours (for a total of 24 hours)
POST TPA NIHSS FREQUENCY Neurology, trained ED physicians/ICU APRN’s
use a stroke specific scoring tool called the Na-
tional Institute of Health Stroke Scale
Initial, 2 hrs Post TPA, 24 hrs Post TPA, Discharge
2015 Stroke Education Completed!!!! *Stroke Units: 1. Right vs. Left Sided Stroke Symptoms SABA
2. Dysphagia Screen Update 1:1 Education
3. 2015 Stroke Alert SABA
4. NNAS Stroke Class September/October
*Additionally for ED/ICU: 1:1 Education on VS/Neuro Checks frequency in regards to
post rtPA management and rtPA worksheet.
*Stroke Units+ Entire Hospital Staff: 2015 “Stroke Alert” SABA
*Stroke Mock Tracers continue in all departments*
Neurocritical Care Educational Series: Tuesdays from 12-1pm in Low Learning Center. This lecture is
videotaped on Mediasite and offers with 1 hour nursing CE for
attendance of the live session and completion of an evaluation. Upcoming dates: 10/20, 11/3, 11/24, 12/1, 12/15
Thank you everyone for completing your required education
and helping to meet our initiatives of clinical excellence for
Primary Stroke Center Certification.
Stay Tuned for Future Issues of our Stroke Team
Newsletter as we continue to focus on ways to improve