Stroke Health Education Enhancement Project (SHEEP)

Our program has been working hard to boost our current patient education strategy. Patient education is one of the many requirements that we must meet to maintain our Comprehensive Stroke Center (CSC) certification. We assess compliance and efficacy of our education efforts through provider documentation, nursing documentation, and HCAHPS patient surveys. These surveys are sent by mail to patients and/or their families following a patient’s discharge from the hospital. In order to better understand how our patients feel about the education that they are given while admitted to our facility, we will begin using a program specific survey. This quick 10-question survey will be filled out immediately prior to discharge and will be completed on one of the 12 SHEEP iPads.

There are 5 components to this patient education update:

1. New Stroke Education Booklet

2. Risk Factors Form

3. iPad Educational Videos

4. Improved Ability to Sign Patients up for MyChart

5. Stroke Patient Satisfaction Survey

Stroke Education Booklet

16-page, pre-printed booklet that discusses all relevant education for both hemorrhagic and ischemic strokes. Our nurses will give one of these to all stroke patients just as they are doing now with the stroke informational folders.

Stroke Education Booklet

Patient Risk Factor Form

This new form helps to meet the TJC requirement that all education be patient specific. It will be filled out by the patient and their RN. Following form completion, the RN will ensure that the form is photocopied so that it can be scanned into EPIC.

Stroke Risk Factors Form

S.H.E.E.P. iPad Educational Videos

All of our stroke specific units (CA-5, CA-6, & CA-7) have received 4 iPads to be used for stroke education and corresponding activities. These will be mounted on rolling stands and will be labeled with the SHEEP logo (please speak with your manager or educator for more information on where your unit’s iPads will be stored). Each iPad will have videos uploaded including “Stroke Basics,” “Risk Factors,” “A-Fib Explained,” and “Anticoagulants.” These videos are meant to be used as an added resource for our patients. Since our stroke patient population is so diverse, we at the stroke program feel that the more learning styles that we can accommodate, the better our patients will understand what to expect from life following their stroke. These videos will help to diversify how we provide education to our patients and their loved ones.

Improved Ability to Sign up for MyChart

In order to help increase our patients’ access to healthcare and health information, we have uploaded MyChart onto each SHEEP iPad. This will allow patients to sign up while still in the hospital.

Stroke Patient Satisfaction Survey

A stroke program specific patient satisfaction survey has been uploaded to each of the SHEEP iPads. Any RN discharging a stroke patient will provide the patient (or loved one if the patient is unable to complete the survey independently) with a SHEEP iPad immediately prior to discharge. These surveys should be completed while their nurse prints the AVS. All completed surveys will automatically be delivered to the Stroke Program Coordinator. Although not all patients will be able to complete this survey, our hope is to have a 50% return rate in order to gain a better understanding of how our patients feel about the care and education that our program is providing.

Who is responsible for ensuring that it is offered to the patient? The stroke patient’s primary nurse.


When should it be used? Prior to retrieving a printed AVS, nurses will bring (or delegate this task) a SHEEP to their stroke patient and help them to open the survey. Be sure to remind the patient that this survey is confidential, and they should not put their name on any part of the survey. Once the survey is opened and the patient understands how to answer the questions, the nurse will leave the room to pick up the patient’s printed AVS. After this, the patient should be allowed to complete their survey with no staff present in the room. The survey is only 10 simple questions and we do not expect that it will take very long.


What happens if my patient is unable complete the survey on their own? If your patient is unable to complete the survey, one of their loved ones can complete the survey as well. If no one is available who is willing and able to complete the survey then the survey will not be completed. Our current goal is a 50% return rate, but we hope to see even more than that as time goes on.

What does the survey look like? See picture