Orientation & Stroke Seminar Series
Stroke Orientation & Seminar Series - Zoom Orientation Link
Stroke Orientation - Slides
Please make sure you learn how to do Medication Transfer Reconciliation on admitted or transferred patients!
See ward patient under the stroke service first before the day gets busy
Phone-in consults to other services early in the day
On admission use Templates/Work-flows to help standardize the admission process and pending investigations; allow your admission note to transition seamlessly to a progress note, and ultimately a discharge note
Keep the sign-out list updated
This video is here for backup purposes only - and the part about Orange Team medicine is now antequated; Stroke Neurology will cover its own patients overnight, as of Feb 12, 2024
Key points to consider to made for a great stroke rotation
excellence in patient care
efficient and concise handover
disposition and discharge planning
See the in-patients first (i.e. patients admitted under the stroke service on B4 or bed-spaced to other wards)
Designate MD Roles in the Morning - MD1, MD2
Daily check of Medication Reconsiliation on Sunnycare
Provide handover: to On-call Stroke Neuro resident, also Receive Handover
Sr/designate to handover to On-Call Stroke Resident
Sr/designate to receive Handover from On-Call Stroke Resident
Update the Sign-out List daily
Flow of Stroke Patients (during the acute Code Stroke) phase:
Flow diagram of patients during a Code Stroke activation. This is meant as a general guide/outline of our current processes. Please note that each individual case needs consideration.
First questions to ask during code stroke
Last seen well?
Did you bypass a hospital? (repatriation implication)
acute medical history, clinical course on scene, glucose, BP; any deterioration on transport
TNK contraindications - antiplatelets, anticoagulants, recent surgery, recent trauma, recent stroke/TIA, malignancy, etc...
If the patient looks unstable ask for help early - ED/Emerg MD or Critical Care consult - ED first to stabilize the patient/airway management