To provide emergent care to in-house patients experiencing stroke symptoms, Lancaster General Hospital, in conjunction with the Rapid Response Team, will roll out an in-house stroke alert process.
Any in-patient experiencing acute onset of stroke symptoms can be a stroke alert.
- Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
- Sudden confusion, trouble speaking or understanding
- Sudden trouble seeing or blurred vision in one or both eyes
- Sudden trouble walking, dizziness or loss of balance or coordination
After activation, the RRT provider will communicate with the NAL/LGHP neurologist on stroke call for the hospital.
Upon confirmation by a stroke neurologist of in-house stroke alert, activate the following orders:
- 12-Lead ECG
- Chest X-Ray-AP portable
- CT Head-stroke alert
- CTA as confirmed by neurologist
Stat Labs (If not drawn within last 24 hours):
- Cardiac profile: Troponin only
- CBC, CMP, Prothrombin time with INR
- iSTAT creatinine
- INR fingerstick if on Coumadin
If you have any questions about this process, please contact Dr. Murray Flaster, Stroke Medical Director, 717-544-5478, or Tracey Mousley, RN, Stroke Program Coordinator, 717-544-5686.