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    Code Stroke Process

    Uploaded by

    Rizky Dimasaputra
    This document outlines the code stroke process at a hospital. It involves: 1. An MD evaluation within 10 minutes of the code stroke call including a brief neuro exam and confirming the patient's last known well time. 2. Notifying the UC stroke team within 15 minutes including patient details, blood glucose level, last known well time, and reason for the code stroke call. 3. Getting the patient to a CT scan within 25 minutes and having the CT interpreted within 20 minutes, for a total time of 45 minutes from the start of the code stroke.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Code Stroke Process

    Uploaded by

    Rizky Dimasaputra
    58 views10 pages
    This document outlines the code stroke process at a hospital. It involves: 1. An MD evaluation within 10 minutes of the code stroke call including a brief neuro exam and confirming the patient's last known well time. 2. Notifying the UC stroke team within 15 minutes including patient details, blood glucose level, last known well time, and reason for the code stroke call. 3. Getting the patient to a CT scan within 25 minutes and having the CT interpreted within 20 minutes, for a total time of 45 minutes from the start of the code stroke.

    Original Description:

    code stroke

    Original Title

    Code Stroke Process (1)

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    This document outlines the code stroke process at a hospital. It involves: 1. An MD evaluation within 10 minutes of the code stroke call including a brief neuro exam and confirming the patient's last known well time. 2. Notifying the UC stroke team within 15 minutes including patient details, blood glucose level, last known well time, and reason for the code stroke call. 3. Getting the patient to a CT scan within 25 minutes and having the CT interpreted within 20 minutes, for a total time of 45 minutes from the start of the code stroke.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    58 views10 pages

    Code Stroke Process

    Uploaded by

    Rizky Dimasaputra
    This document outlines the code stroke process at a hospital. It involves: 1. An MD evaluation within 10 minutes of the code stroke call including a brief neuro exam and confirming the patient's last known well time. 2. Notifying the UC stroke team within 15 minutes including patient details, blood glucose level, last known well time, and reason for the code stroke call. 3. Getting the patient to a CT scan within 25 minutes and having the CT interpreted within 20 minutes, for a total time of 45 minutes from the start of the code stroke.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 10

    Code Stroke Process

    3. MD evaluation < 10 minutes


    • Brief neuro exam
    • Confirm Last Known Well Time (LKW)

    1
    Code Stroke Process
    4. Notify UC Stroke Team < 15 minutes
    513-844-7686
    • Patient demographics
    • POC Glucose
    • LKW
    • What’s wrong?

    2
    Code Stroke Process
    5. Patient to CT scan < 25 minutes
    6. CT Interpretation < 20 minutes
    (45
    minutes from start of Code Stroke)

    • Hemorrhage → consult Neurosurgery


    513-981-2337 (981-BEDS)
    • No Hemorrhage/Acute Ischemic Stroke (AIS) →
    evaluate if patient is a candidate for TPA

    3
    Code Stroke Team
    CODE STROKE Responders =
    Code Blue Team + ED Charge RN
    • ED Charge RN to assist with baseline NIH
    • ICU RN will respond to floor 2 and above
    • CVU RN will respond to 1st floor and below
    • ICU or CVU & Primary RN will accompany bedside nurse
    to CT (SBAR)
    • PCU RN will document

    4
    Code Stroke Team Roles
    Primary RN
    o Collects blood sugar
    o Obtains VS
    o Determines LKW
    o SBAR to team
    o Transports to CT with ICU RN

    5
    Code Stroke Team Roles
    Unit Charge RN
    o Places patient on Zoll monitor
    o Notifies attending/consulting MDs
    o Notifies family
    ED Charge RN
    o Completes NIHSS*
    o Ensures compliance with stroke algorithm & time
    frames

    * PCU RN will document NIHSS assessment as ED RN


    does not have inpatient CarePath access
    6
    Code Stroke Team Roles
    ICU/CVU RN
    o Transports pt to CT with primary RN
    o Reports labs & CT result to hospitalist
    o If ordered, starts tPA (Alteplase) within 60 minutes
    o If hemorrhagic, Consults Neurosurgery
    Hospitalist
    o Evaluates patient within 10 minutes
    o Reviews glucose result
    o Provides orders for labs, CT
    o Calls UC Stroke Team within 15 minutes
    o Reviews inclusion/exclusion criteria
    o Reports labs & CT result to UC Stroke Team

    7
    Code Stroke Team Roles
    PCU RN
    o Documents events in CarePath using Code Stroke Narrator
    Clinical Administrator
    o Ensures MD call to UC Stroke team within 15 minutes
    o Facilitates patient transfer
    PCA
    o Brings glucometer & WOW to room
    o Brings patient’s softchart and facesheet to room
    o Rounds on other patients

    8
    Code Stroke Team Roles
    Radiologist
    o Calls CT result to primary RN

    Pharmacist
    o Prepares tPA (Alteplase) and delivers to ICU
    within 15 minutes of CarePath order
    o Reviews dosage with ICU RN at bedside prior to
    administration

    9
    Code Stroke - Documentation
    MUST Document in a Code Stroke:
    • Last known well (LKW)
    • Blood Glucose
    • Full set of vitals
    • Full NIHSS – in EPIC flowsheet
    • “What’s wrong?”...why did you call a Code
    Stroke??

    10

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