1. Primary Stroke Certification
Author:
Debbie Roper, RN, MSN (d.r. Stroke)
Vice President of Roper Resources, Inc.

2. Redefine Acute Stroke
Signs and Symptoms

3. Redefine Acute Stroke
Time (Treatments)
Merci
Penumbra
Solitaire
Trevo

4. Primary Stroke Center Date Metrics Valid and Reliable
Required
Stroke Performance
Measures(8)
Acute Response Times
Perception of Care
Patient Outcomes
Dysphagia
Recommended
Length of Stay
Stroke Order Compliance
Aspiration
Pneumonia
Falls
Primary Stroke Center Date Metrics Valid and Reliable

5. Primary Stroke Center Acute Response Times
Required
Door to ERMD Assessment
Door to Initial
to NIHSS
Door to Lab (BMP, CBC, PT/INR, Troponin
STAT
MRA, MRI, CTA
Recommended
ED V/S Protocol Adherence
tPA Protocol Adherence
Screening for Thrombolytics
Primary Stroke Center Acute Response Times

6. What PSCs Expect from CSCs!
CSC Screening Criteria
EMS Care
Analysis
Patient
Feedback
What PSCs Expect from CSCs!

7. What ASRs Expect from PSCs!
EMS Care
Analysis
Patient
Feedback
What ASRs Expect from PSCs!

8. Questions