Stroke Program

As you know, stroke is a devastating and complex disease and the leading cause of disability in adults. At Sierra View Medical Center, we want to ensure you’re equipped with easily accessible materials to best provide and assist in stroke prevention, diagnosis and treatment. An essential component of care to improve outcomes for our patients is keeping abreast of the most current statistics and information and having access to available educational resources and protocols.

NIHSS

Click below to find instructions on how to add the NIH Stroke Scale to your worklist.

How to Access NIHSS Assesment in Meditech 6.1

Clinical Practice Guidelines

Sierra View Medical Center’s Acute Stroke program began in 2015. Since that time, we have established a framework of standardized stroke care, rooted firmly in best practice. It is from this framework that policies and staff education has been developed. In 2018, our program cared for 121 stroke, or Transient Ischemic Attack (TIA) patients. With our eye on quality and safety, we continue to build and develop our program with the goal of becoming a Joint Commission certified Stroke Center.

Stroke Guidelines

Evidence Based Stroke Care Guidelines

Use Clinical Practice Guidelines by the American Heart Association and American Stroke Association. A Clinical Practice Guideline is a statement that includes recommendations intended to optimize patient care, that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options - 2018, American Academy of Family Physicians.

Evidence Based Guidelines

Data

For the most recent data, including door to needle time, stroke composite scores, and more statistical information collected by SVMC, see the link below.

Download Data

Discharging Stroke Patients

Five Requirements for Stroke Discharge

  1. Personal risk factors for stroke, ie high blood pressure
  2. How to access EMS (as it relates to stroke signs or symptoms – we want them to call 911)
  3. Follow up after discharge(usually doctor or PT appointments)
  4. Medications prescribed at discharge
  5. Stroke warning signs and symptoms as seen below - after reviewing, make sure to hand them a hard copy of the discharge instructions

Stroke Signs and Symptoms

BE F.A.S.T. is an easy way to remember the signs of stroke. Review the acronym F.A.S.T so that they too can memorize the symptoms.

F is for face drooping. One side of the face is drooping or numb. When the person smiles, the smile is uneven.

A is for arm weakness. One arm is weak or numb. When the person lifts both arms at the same time, one arm may drift downward.

S is for speech difficulty. You may notice slurred speech or trouble speaking. The person can’t repeat a simple sentence correctly when asked.

T is for time to call 911. If someone shows any of these symptoms, even if they go away, call 911 immediately. Make note of the time the symptoms first appeared.

Supplemental Discharge Materials

Helpful Educational Documents