Mega Code - AANN



Mock Code Inpatient Stroke Tele-Stroke

Scenario #1:

Mrs. Snow White, MR # 54321 is a patient on unit ______, admitted for observation after Syncope of unknown cause. She was talking with her nurse when she suddenly had new onset of facial droop and slurred speech. The Nurse then looked at her watch and noted the time to be _________. An RRT was called and the Team responded, the hospitalist noted the following per exam:

Left sided facial droop, Left arm weakness, Left Leg weakness, slurred speech

|Instructor Prompts/Questions | Stroke Response Times |

| RRT TEAM |

|Time code stroke paged overhead | |

|Time RRT team responded | |

|Time patient taken to CT Scan | |

| Secretary/PCA /RN |

|1. Time Stroke Respond record created with pt information | |

|2. Time Weight entered – 90 kilograms | |

|3. Time Vitals entered – 150/60, 78, 16, 95% RA | |

|4. Time Security retrieved robot | |

|5. Time C30 called from ICU Desk | |

|6. Time Robot arrives in ICU B | |

|7. Time neurologist on Phone with Hospitalist/attending | |

|8. Time Tele-Neurologist on screen with patient | |

| Hospitalist / Attending |

|Exam Time | |

|Determines last known normal time | |

|Time consult with C30 Neurologists | |

|Orders Acute Stroke Diagnostic Tests | |

|Determines NIHSS | |

|Orders TPA and post TPA order set | |

|CT Technician |

|Time notifies Radiologists of Acute Ischemic Stroke | |

|Time CT ordered | |

|Time CT completed and unit is called to notify | |

|Time CT interpreted | |

|TSI Neurologist |

|Time on CT Results interpreted | |

|Time IV TPA ordered | |

|Lab work | |

|Time Labs Sent (INR) | |

|Time lab completed (ED received results) | |

Comments:

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