Critical Path Network
Follow these steps for stroke patients
Nursing standing orders for ED patients with stroke symptoms at Community Medical Center in Toms River, NJ, include the following:
- Check vital signs with pulse oximetry.
- Perform AccuCheck blood sugar.
- Document patient weight.
- Document time of onset of symptoms.
- Insert saline lock 20 gauge or larger.
- Draw labs from saline solution lock.
- Give nasal oxygen 2L per minute after pulse oximetry.
- Connect to cardiac monitor.
- Give 12-lead electrocardiogram (ECG).
- Obtain old ECG for comparison.
- Begin thrombolytic exclusion checklist.
- Note obvious magnetic resonance imaging exclusion criteria.
- Do not administer heparin, warfarin, or aspirin until ordered.
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