Abstract TP370: Performance of a New “Code Stroke” Process in Hospitalized Patients in a Comprehensive Stroke Center in Minnesota

Background and Purpose: Literature suggests that recognition and management of stroke of hospitalized patients is difficult, and the morbidity and mortality rates of in-patient strokes exceed those of out of hospital stroke. Timely treatment is an important factor for a favorable prognosis for hospitalized patients suspected of having a stroke. A new protocol for in-patient stroke was implemented as a quality improvement project at our comprehensive stroke center starting January 2017. Methods: The new protocol included focused nursing education, replacement of 2-step activation process with 1-step process whereby the bedside nurse activates ‘Code Stroke’ using same criteria as used by EMS and ED triage nurses. Code Stroke activates a specialized stroke team (neurologist, ICU physicians, ICU nurses, pharmacy) and clears the CT scanner. Accurate documentation was encouraged and template notes were provided. Expectations were put forth regarding the relevant quality metrics. Feedback was provided in real-ti...