Stroke
Orientation

Stroke Orientation & Seminar Series - Zoom Orientation Link

Topic: Neurology and Stroke Orientation

Time: This is a recurring meeting Meet anytime


Join Zoom Meeting

https://zoom.us/j/99495951891?pwd=Y1lUVldiRFFsUnV6bHBPWDFqMGVmZz09


Meeting ID: 994 9595 1891

Passcode: 399258


Stroke Orientation - Slides

Stroke SHSC Orientation 2018.pptx.pptx

Clinical Pearls:

  • Please Checkout Pharmacy Services for additional Important Information from Our Pharmacy Team, regarding the general care of stroke patients and How-To perform 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

  • Provide daily handover to Orange Team and Receive daily handover

Stroke Orientation - Brief
Do’s and Don’ts Of Discharge Summaries
  • 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: On-call Neuro resident, Orange Team resident/fellow, also Receive Handover

    • Sr/designate to handover to Orange Team Daily

    • Sr/designate to receive Handover from Orange Team Daily

  • 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.

Clinical Pearls:

  • 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

    • TPA 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