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Background:Stroke centers following AHA guidelines for the treatment of acute ischemic stroke, are challenged by compliance with documentation of vital sign, neuro and neurovascular assessments post thrombolysis interventions. The task force led the development and implementation of a single EHR location to document nursing assessments.
The transition from Alteplase to Tenecteplase for AIS patients eligible for thrombolysis occurred on June 6, 2022. Nurses were provided with dosing table and care instruction badge backers. EHR Alteplase references were changed to thrombolysis. All impacted disciplines received education, including nursing skills demonstration.
Introduction:Research shows that ischemic stroke patients with limited English proficiency (LEP) experience disparities in stroke care, including increased time to treatment with intravenous thrombolysis. physician, nurse), availability of translation devices, and reliability of translation devices in this survey.
Background:Every minute is crucial in treating acute ischemic stroke (AIS), as the effectiveness of intravenous thrombolysis and endovascular therapy is highly time-dependent. Ongoing enhancements in nurse training, communication, and support are needed. Stroke, Volume 56, Issue Suppl_1 , Page AWP70-AWP70, February 1, 2025.
Tenecteplase (TNK) is currently being used for IV thrombolysis in acute ischemic stroke. Bach, 2023) Education was created and disseminated to inform physicians and nursing of the appropriate dosing of TNK for acute ischemic stroke. Stroke, Volume 55, Issue Suppl_1 , Page AWMP27-AWMP27, February 1, 2024. Genetech, 2023).
The rapidly evolving use of telemedicine in acute stroke is state-of-the-art for identifying therapeutic indications such as IV thrombolysis and mechanical thrombectomy in patients with large vessel occlusion (LVO) (Schrter et al., The shorter the door to treatment time the faster patients can receive the thrombolytic therapy.
Both thrombolytic agents require a Physician's order and reconstitution by a certified Pharmacist or Registered Nurse prior to administration. Our academic comprehensive stroke center transitioned from Alteplase to Tenecteplase as standard thrombolysis for acute ischemic stroke in November 2022.
Reading the respiratory rate off of nursing notes is not necessarily accurate in my experience — so spending 15-20 seconds simply looking at the patient breathing and counting breaths is well worth this short amount of your time ). When it is — this may greatly expedite clinical decision-making for anticoagulation and/or thrombolysis.
Participants included 13 emergency department advanced practice providers at a Comprehensive Stroke Center, including advanced practice nurses (APRNs) and physician assistants (PAs) who attended a case-based acute stroke simulation session involving 6 cases supervised by a vascular neurologist and APP followed by a debriefing session.
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic @DidlakeDW A 50 y/o Male was taking his dog for a leisurely stroll through the park when he suddenly experienced new onset chest discomfort. A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis.
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