Process Analysis

Patient has a neurological assessment change

Reassess patient and identify other causes of mental status changes

NO

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