Stroke
Orientation & Stroke Seminar Series
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
Click here for some great orientation slides! or checkout the below embedded presentation file.
Please also checkout the below audio clips as short podcasts for orientation
Clinical Pearls:
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
PLEASE NOTE:
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.
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
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