凝块和咖啡创造性地教医院提供者有关中风风险

Most strategies to educate in-hospital providers about recognizing and responding to symptoms of stroke include some sort of slide presentation. But Alicia Richardson, MSN, RN, ACCNS-AG, and Cesar Velasco, BSN, RN,中风计划coordinators at118金宝搏抽水宾夕法尼亚州健康米尔顿·S·赫尔希医疗中心, get far more creative.

5月的一个星期三早上，理查森穿着服装作为血块，将红色气球固定在她的磨砂膏上。Velasco穿着红色斗篷和一个名字，上面写着：“你好，我叫支架。”他们一起问米尔顿·赫尔希医学中心的工作人员Heart and Vascular Intensive Care Unit(HVICU) rapid-fire questions about stroke treatments and symptoms, teaching, for example, which symptoms call for tPA or thrombectomy as the preferred stroke treatment option.

它是凝块和咖啡的一部分，这是一个有趣而重要的弹出教育计划，在好时医学中心和118金宝搏抽水宾夕法尼亚州立卫生儿童医院twice each year. Richardson and her team bring coffee, doughnut holes and memorable costumes to hospital staff members, while also sharing a lifesaving message: how to recognize and respond to stroke properly.

Velasco说：“重要的是为社区进行外展教育，但我们发现继续教育员工的中风护理症状和症状同样重要。”“我们有多种原因的患者在这里，这些患者中的任何一个可能都可能患有中风。”院内中风最多占五分之一的中风。。较早的中风识别会导致更好的临床结果，这可能是由于更快的诊断，随后是及时的及时治疗。

To ensure rapid treatment, the Stroke Program coordinators design the Clots and Coffee sessions to deliver two main messages: remain vigilant for stroke symptoms and call the神经病学系dedicated Stroke Team at the first sign of symptoms. The hospital’s Stroke Team is available 24/7.

“We care for patients who come here for everything from cancer treatment to orthopedic or internal medical reasons, and any of these patients could potentially have a stroke while they are in the hospital,” Velasco said. “We have had several success stories where people experienced a stroke in the inpatient setting and have avoided any long-term deficits because staff recognized the symptoms and gave the patients treatment promptly.”

While originally designed for adult health care providers, Clots and Coffee recently expanded to the Children’s Hospital, recognizing the strong link between strokes and specific pediatric health conditions. “Certain risk factors, like congenital heart disease or sickle cell anemia, can put a child at higher risk,” Richardson said. “We want to spread awareness that children can have a stroke, and our staff needs to act quickly, so we don’t miss out on treatment opportunities.”

好时医学中心的医生已经看到了凝块和咖啡谈话中的价值。“团队正在做的事情非常重要，”强化主义者说Dr. Ricarda White, an internist fellowship-trained in both critical care medicine and cardiology at the medical center “Sometimes we get patients post-surgery who may have neurologic changes, and we just call a brain attack right away. The team helps us facilitate getting the treatment in a timely fashion.”

The medical center’s nurses and front-line providers also appreciate the outreach. “Our focus is mainly on the heart, but it’s important to remember the risk for stroke,” says HVICU nurse Cyndill Seveses, RN. “It’s also good to know the stroke team will be here to help if a patient has a brain attack.”

好时医学中心是宾夕法尼亚州仅有的七个医疗机构之一，也是宾夕法尼亚州中部的第一个医疗机构之一，被认证为全面的中风中心，是联合委员会和美国心脏协会/美国中风协会的最高名称。

Reference

Yang SJ, Franco T, Wallace N, Williams B, Blackmore C. Effectiveness of an Interdisciplinary, Nurse Driven In-Hospital Code Stroke Protocol on In-Patient Ischemic Stroke Recognition and Management. J Stroke Cerebrovasc Dis. 2019;28(12):104398. doi:10.1016/j.jstrokecerebrovasdis.2019.104398