№ lp_2_3_22584
Hospital clinical policy establishing standardized timelines, treatment criteria, transfer protocols, and interdisciplinary procedures for the evaluation and management of patients presenting with acute stroke, transient ischemic attack, or new neurological events across emergency, inpatient, outpatient, and surgical settings.
Document Type: Clinical Practice Manual Policy
Policy Number: CPM700-2
Title: Acute Stroke & TIA: Care Guidelines
Organization: Beth Israel Deaconess – Needham
Affiliated Organization: Beth Israel Deaconess Medical Center
Author/Owner: Stroke Committee MD Champion
Approved By: Stroke Committee; Nurse Practice Committee; Patient Services; MEC
Original Date Approved: October 2004
Reviewed: 9/05; 6/08; 12/12; 12/13; 1/15; 1/16; 1/17; 1/18; 1/19
Revisions: 9/05; 6/08; 12/12; 1/14; 1/16; 1/17; 1/18; 1/19; 1/20; 1/21
Next Review: 1/2022
Scope: Emergency Department; Inpatient Units; Outpatient Clinics; Surgical and PACU Patients
Clinical Focus: Acute Stroke; Transient Ischemic Attack (TIA); Acute Neurological Events
Standards Referenced: Department of Public Health; American Stroke Association; Get With The Guidelines Program
Key Clinical Metrics: Door-to-CT ≤ 25 minutes; Door-to-Image Interpretation ≤ 45 minutes; Door-to-Needle ≤ 60 minutes; tPA within 4.5 hours of arrival when criteria met
Transfer Protocol: Rapid transport to BIDMC for tPA management, hemorrhagic stroke, or large vessel occlusion evaluation
Oversight Body: Stroke Committee
Price: 8 / 10 USD
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