Jeri Schons (Tracy)
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STROKE INITIATIVE
Sanford Tracy Medical CenterPresenter:
Jeri Schons, CNO
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PROJECT TEAM
• The Stop Stroke initiative moved forward with the development of a multidisciplinary project team. Team members included:
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Stroke Team Members
• Physician • Physician Assistant • Quality/PI • Nursing • CT • Pharmacy• Administration• Safety
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Stroke Team Members
• Home Care• Medical Clinic• Rehabilitation
Services• Emergency
Medical Services • Marketing
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ALGORITHM
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ADDITIONAL EXCLUSION
Criteria:4.5 Window3. Greater than 80 y.o.4. Currently on warfarin5. NIHSS greater than 226. History of both prior stroke and diabetes
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Pre-hospital Challenges:
• Delays in patient arrival at our facility
• Use of stroke scale by ambulances
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INITIAL COMMUNITY AND STAFF AWARENESS
• Education/CommunicationNumerous avenues were used to educateand raise the awareness of stroke symptoms, early treatment and prevention.
Communication tools used included:
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• Employee and community newsletters
• Awareness stickers• Bulletin board postings• E-mail • Press releases• Posters• Counter Cards• Magnets• Brochures• All staff meetings
• Additional tele-conference and audio conference participation
• Blood pressure screenings
• Community Education programs
• Live radio programs• Local access cable• Website• Presentations at Tri-
community Health Fair• Developed a 30 minute
video
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Continuing Community and Hospital Education
Stroke Team re-education efforts• Local newspaper • CEO articles • Hospital newsletter• Presentation at Community BBQ• Grocery store bag stuffers • Re-present video
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Ongoing Ambulance Education
• Refresher education for volunteer ambulance personnel (Cincinnati Stroke Scale)
• Host education event for all area ambulance services; featured speaker: Sanford Health Neurologist Champion.
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Provider Involvement
• Primary prevention• Re-inforce prompt use of
ER
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In-Hospital Challenges:
•On call CT Tech response•CT over-read turnaround
time
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TEAMWORK = SUCCESS
Teamwork has produced a successful initiative that we believe could be
the basis for saving lives and lifestyles.
STROKE
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Sanford Tracy and Sanford Westbrook
* COMING TOGETHER IS THE BEGINNING
* STAYING TOGETHER IS PROGRESS
* WORKING TOGETHER IS SUCCESS
Henry Ford
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THANK YOUMore information is available on conference web site