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Kern County Stroke Center Policies Implementation Training

Objectives of the Policy. Provide rapid evaluation and appropriate treatment for all eligible stroke cases in the shortest time possible.In addition, a stroke center must have a component that addresses comprehensive post treatment management/rehabilitation, and involvement in pre-hospital personne

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Kern County Stroke Center Policies Implementation Training

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    1. Kern County Stroke Center Policies – Implementation Training October 2008 Policies Effective – November 1, 2008 “Time is Brain”

    2. Objectives of the Policy Provide rapid evaluation and appropriate treatment for all eligible stroke cases in the shortest time possible. In addition, a stroke center must have a component that addresses comprehensive post treatment management/rehabilitation, and involvement in pre-hospital personnel training. The EMS system objective is to transport qualifying stroke patients to a designated stroke center.”

    3. Target for Training Pre-hospital EMT-1, Paramedic & Flight Nurse transport personnel All base & receiving hospital emergency department personnel Emergency Medical Dispatchers (EMD) Purpose: To implement Kern County Stroke Center Policies Countywide

    4. Presentation Overview Policies Designated stroke center(s) Stroke center activation protocol (CPSS-based) Ambulance transport destination policy changes Interfacility transfer of stroke cases Frequently asked questions and answers Further information resources

    5. Policy Contents Effective November 1, 2008 at 0800 hours. Contains the following main topics: Application criteria Designation and re-designation process Stroke center performance requirements Quality improvement Stroke center activation protocol Pre-hospital transport destination directions On Internet at EMS Department’s website

    6. Hospital Standards Any paramedic base hospital in Kern is eligible to apply to EMS for designation. Must be Joint Commission of Accreditation of Healthcare (JCAH) certified as a stroke center. Must maintain compliance with JCAH stroke center requirements and guidelines. Must maintain the following: Core Stroke Team available 24/7 2 CT scanners Immediate access to neurologist, if needed 2 hour time standard for neurosurgeon, if needed

    7. Hospital Standards Extensive stroke center data reporting requirements to JCAH ALL types of acute stroke are included; not just cases that are fibrinolysis (tPA) eligible. Each stroke center is obligated to accept an interfacility transfer from a Kern County hospital of any stroke case meeting the stroke center activation protocol criteria.

    8. Hospital Standards Re-designation every two years through JCAH As of November 1, 2008, there are two EMS designated stroke centers in Kern County: San Joaquin Community Hospital – Bakersfield Bakersfield Memorial Hospital Other hospitals are eligible to become stroke center designated in the future.

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