Patient has a neurological assessment change
Patient has a neurological assessment change.
Patient has a neurological assessment change
Reassess patient and identify other causes of mental status changes
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Does the patient have a positive BE-FAST assessment?
tPA administered in ICU
yesYEs
Patient transfer to ICU for tPA
Neuro determines if patient receives tPA
Patient remains in current room
no
MRT RN turns on telestroke machine and assist MD with exam as needed
NCP goes and gets telestroke machine for neurologist to assess patient
Patient brought back to room to await telestroke
Patient to CTH
Primary RN Calls Medical Response Team (MRT)
YES
NO
Consult with MD for further orders and follow MRT protocol
MRT RN confirms + Be-fast, and determines if stroke alert needed
MRT RN calls Stroke Alert
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Patient has a neurological assessment change
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