Neuroscience Transfer Resource
EMS
Acute Stroke Pre-notification Guidelines
- Pre notify BGMC/GVI of all acute stroke patients with symptom onset within the 24 hours.
- Call Medical Direction: (716) 748-2090. Start Pre-notification call stating “this is a stroke alert”.
Pre arrival notification information:
- Name, date of birth
- Last Known Well – actual date and time
- Cincinnati Pre Hospital Stroke Score (positive 0-3)
- Stroke symptoms
- Blood pressure, glucose level
- Cell phone number for a family member
- Tell family to listen for phone call.
- E.T.A.
Additional information which must be provided at triage:
- History of TIA or Stroke
- History of recent seizure, surgery, trauma or bleeding
- Medications, especially blood thinners
- Download Guideline
- Height, Weight
- Allergies
The New York State Department of Health Treatment Protocols and The Western Regional Emergency Medical Advisory Committee both recommend notifying the receiving hospital as soon as possible of the impending arrival of an acute stroke patient to promote rapid treat of the patient. BGMC/GVI goals for treatment from time of arrival: IV Alteplase = 45 minutes, IA endovascular intervention =90 minutes.
Transferring Hospital
Neuroscience ED Transfer Procedure and Report Stroke
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Transferring Hospital
Transfer Center RN: 859-7173
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Transfer Center RN initiates 3 way call with ED Neuroscience Emergency Department Attending & Transferring Physician
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Transferring Physician to provide report. Accepting Physician is GVI/ED Attending (Primary Option)
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Patient is on their way
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Transferring facility RN is to contact the BGMC/GVI ED Charge RN at 748-2601 and provide report
Stroke Inter-facility Transfer Report
Information required when a stroke patient is transferred to BGMC/GVI
- Reason for Transfer
- Last Known Well – actual date/time
- Discovery Time – actual date/time
- Cincinnati Pre-Hospital Stroke Scale Score (0-3)
- Symptoms
- T, P, RR, BP, SpO2, Allergies
- Glucose Level
- Family Contact Name
- Family Cell # (instruct family to listen for call)
- NIHSS when patient arrived at transferring facility
- NIHSS when patient leaving transferring facility
- TPA administered
If yes, print EMS Post IV Alteplase Inter-Facility Transfer Guidelines and give to EMS transfer team - Bolus dose, Time
- Infusion dose, Time Started, Time Ended
- Normal Saline Flush, Time Started, Time Ended
EMS Post IV Alteplase Inter-Facility Transfer Guidelines