STROKE MANAGEMENT PROCESS. Presented by: Kelly Banasky, RN, BSN GCH Emergency Services Educator. Why are we doing this?. Garden City Hospital is seeking certification as a designated Stroke Center to better serve our community and patients
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Kelly Banasky, RN, BSN
GCH Emergency Services Educator
Garden City Hospital is seeking certification as a designated Stroke Center to better serve our community and patients
To accomplish this, education is necessary to care for stroke patients
Garden City Hospital Emergency and Cardiology Departments have been successful with management of AMI’s
Garden City Hospital would like to have a similar process for AIS (Acute Ischemic Stroke)
Unilateral facial droop, arm droop
Weakness or numbness to one side of the body
Sudden confusion or dizziness
Right or Left visual field deficits
Sensory loss in all 4 limbs
Complaint of worst headache in life
The emergent/hyper-acute management focuses on Identification of stroke symptoms:
This must occur within 15 minutes from recognition of symptoms
2 IV lines
Order entry of CT Scan
Physician to fill out Invision NIH Stroke Scale Packet
Accept the challenge
Practice the algorhythm
Be supportive of each other
Ask a lot of questions
Read regularly about Stroke.
Know the symptoms
Do NOT ever be afraid to ask for help
And Most of all…TEAMWORK
Over time, we learned that we could fix our practice and make things better
The fear is no longer there.
Instead, the challenge is now who can have the quickest door to balloon time.
The process keeps improving as time passes
Our care has improved as time passes
Review the chart after your are finished and have time to calm down
Be mindful of various methods to track time; What one watch says will be different than what a wall clock reads or what the PC’s clock reads
Data tracking is an absolute MUST! It is how deterrents to the timeliness get discovered.
When issues come up, take time to listen to all sides.
Be proud of yourselves for making this effort to save lives.