Patient Assessment Summary Sheet for Acute Ischemic Stroke Cases

1. STEP 1:

a. Receiving Nurse:

• Measure vital signs.

• Perform bedside ECG.

• Transfer the patient to the designated care area based on triage severity and immediately notify the examining physician.

b. Examining Physician:

• Confirm stroke diagnosis and consult a Neurology specialist while activating the hospital stroke protocol.

• Order a brain CT scan or brain MRI.

• Blood tests and chest X-ray (depending on the specific case).

• Medication administration and continuous monitoring: Depending on the specific case, thrombolytic therapy or endovascular intervention may be utilized.

c. Care Nurse:

• Collect blood samples for testing.

• Administer medications.

• Monitor the patient.

d. Attendant/Nursing Assistant:

• Escort the patient for emergency brain CT or MRI scans, and a chest X-ray (if indicated).

• Await paraclinical results.

2. STEP 2: Immediately upon receiving brain CT/MRI results

• If the diagnosis is clear: Transfer the patient to the Stroke Unit for continued monitoring.

• If the diagnosis is unclear, patient condition is unstable, or unresponsive to treatment:

  • Perform additional paraclinical tests: Blood tests.

  • Consult relevant specialist physicians when necessary: Neurosurgery, Intensive Care Unit (ICU), etc.

  • Continue medical treatment.

  • Await admission to specialized departments / Transfer to the endovascular intervention suite / Transfer to the operating room for surgery.

The information above is for reference purposes only and is not intended as medical advice. Please contact your doctor for detailed medical consultation.