Stroke and Brain Attack
Protocol for Transferring Patients
with Acute Ischemic Stroke to
UI Hospitals and Clinics that are
Candidates for, or Who Have Received rtPA
Harold Adams MD, Patricia Davis MD, James Torner PhD, Karla Grimsman RN, Jeff Vande Berg MS
Peer Review Status: Internally Peer Reviewed
- Referring Physician will input the patient data and initiate the videoconference OR contact
the senior Neurology Resident on call or contact the PCRC at
1-800-322-8442.
- Neurology Resident will ascertain:
- Name, Age, Sex of Patient
- Time of Onset of Symptoms
- Reason for Transfer (for rtPA, complication, or
monitoring after rtPA)
- Status of lab work (CBC, PT, PTT, Glucose, EKG) and
Head CT Scan and, if completed, ask referring physician
to send with the patient or, if in progress, ask referring
physician to FAX lab results as soon as possible.
- Estimated Time of Arrival, if transferred by land or
AirCare.
- If patient appears eligible, Check (any may rule out rtPA):
- Recent Surgery (<14 days previous)
- Head Trauma or Stroke (<3 months
previous)
- Acute MI, GI or GU bleeding (within 21 days)
- Location and Method of Contacting Next of Kin
- If patient appears eligible, Neurology Resident on call
should:
- Initiate transfer
- Call ER to initiate orders there
- Call CT technician
- Call Stroke Attending Physician
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