Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, February 7, 2019

Abstract TP456: Code Brain or Code Cluster: The Significance of Stroke Education for In-House Patients

Who gives a shit about increasing staff education unless it improves stroke rehab results? Survivors don't care about care, they want 100% recovery. 

Abstract TP456: Code Brain or Code Cluster: The Significance of Stroke Education for In-House Patients

Originally publishedhttps://doi.org/10.1161/str.50.suppl_1.TP456Stroke. 2019;50:ATP456

Background: The AHA/ASA guidelines for acute stroke management recommends stroke education. Rapid recognition and response to acute stroke warning signs is linked to improved functional outcome. Delays in recognition and inefficiencies during the code process lead to delays in care, which correlate with poorer outcomes.
Purpose: Does increasing staff education via Code Brain In-services impact patient care for in-house stroke patients?
Method: The target population was in-house stroke patients and 42 units were identified. Education highlighted Stroke Team Nurses as staff resources, stroke warning signs, Code Brain Pathway, and strategies to improve efficiency during a code. A retrospective analysis of the Acute Stroke Quality Improvement database was done. We compared the number of in-house Code Brain Activations and the number of Patients Treated for acute stroke.
Results: 3/17-7/17 average of 25.2 calls per month and patients treated for acute stroke was 4%. 8/17 -12/17 average number of calls increased to 39 and patients treated increased to 7%. During 9/17 when most in-services had been completed, a surge was noted. There were 56 calls and 6 patients were treated for acute stroke, compared to an average of only 1 per month prior to in-services. The trend for increased number of patients who were treated, continue to be evident through 12/17.
Implications: Preliminary data suggests that Code Brain In-services provided to the nurses, appears to have directly led to an increased number of stroke patients identified and treated(What were the results of that treatment? 100% recovery perhaps?). Data review is ongoing. We continue to experience higher call volumes and treatments than before the education was implemented. This preliminary study demonstrates the merit of increased education over the standard practice of annual competencies. The hurdles of staff turnover and infrequent exposure to code brain, are best surmounted with frequent education. We seek to improve efficiency and effectiveness by focusing our attention to units that require more education and recognize units that are high performing. Our hope is that with these efforts, we will continue inspiring excellence in stroke care and demonstrate the value of a stroke-educated staff nurse.

No comments:

Post a Comment