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Recognition of RN/MD of stroke - PowerPoint PPT Presentation


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BART (Brain Attack Response Team). Recognition of RN/MD of stroke. Are any of the following symptoms present? (FAST) F acial weakness: new A rm/leg weak/numb: new S peech: slurred or word-finding problems: new T hink: you think it

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BART (Brain Attack Response Team)

Recognition of RN/MD of stroke

Are any of the following symptoms present? (FAST)

Facial

weakness:

new

Arm/leg

weak/numb:

new

Speech:

slurred or

word-finding

problems:

new

Think:

you think it

might be a

stroke

If yes to ‘FAST’, establish symptom onset time: when was patient last know to be ‘normal self’?

If Symptom onset less than 12 hours, or if onset unclear Dial XXXX to initiate CODE BART

Symptom onset greater than 12 hours ago

  • Notify attending MD 2) Notify stroke program RN via pager XXX.XXXX (24X7) for routine consult (next business day)
  • (DO NOT initiate BART)

STROKE PROTOCOL EVAL: goal complete

evaluation in less than 45 minutes

1) Assess ABC, rapid neuro assessment

2) Obtain Stroke Folder for MD to complete*

3) First BART responder re-establish focal neurologic

symptoms and symptom onset time

4) Labs: if not done in last 24 hours, draw CBC,

PT/PTT, BMP and send to lab for “STAT

STROKE PROTOCOL PROCESSING” (secretary

to alert lab X44225)

5) Place IV access

6) STAT Head CT (no contrast) - to be done in

Emergency Department. Secretary to alert CT

(X62959) to clear CT scanner for “stroke protocol

patient”

7) RRT RN to facilitate direct ICU bed placement

for patients requiring acute intervention or those

with hemorrhagic strokes (intracerebral

hemorrhage, subarachnoid hemorrhage)

8) Complete remaining exam upon return from CT

9) Obtain weight (if rt-PA candidate): place 2nd IV

10) STAT EKG

11) As indicated, Stroke RN to facilitate rt-PA

administration after orders obtained from an MD

with rt-PA privileges.

Stroke Folders can be obtained from stroke units (3S/3SW, 7E, 10SW and Emergency Department)

(To cancel Code BART call X3000)