Stroke Activation Algorithms

STROKE ACTIVATIONS

Attached is updated HAS workflow. 

·  Stroke activation is called out overhead in the ED

·  When a known stroke is inbound and stroke activation is called, team gathers at EMS gurney with ED provider, ED RN, Neurology resident, CCST, ASN, RCP obtain report

·  TNK first line thrombolytic.

·  ED HAS order set prechecked BP meds for BP management when tpa/tnk candidate.

·  When multiple stroke activations the ASN will help in obtaining the following information: presented s/s, LKW, NIH, on anticoagulants (last dose) if known, recent trauma or surgeries.