Week 4:
Topic: Neurological Emergencies (Ischemic stroke)
“Time is brain” when it comes to neurologic emergencies. Nurse residents will explore pathophysiology and examine why timing is of the essence when treating patients with ischemic strokes. Focus will be placed on neurologic assessments and exams with emphasis on abnormal findings. Current New York University Hospital policies and procedures and American Heart Association/American Stroke Association protocols will be discussed as nurse residents explore various medical treatments and nursing interventions necessary to care for patients experiencing ischemic strokes.
Topic: Neurological Emergencies (Ischemic stroke)
“Time is brain” when it comes to neurologic emergencies. Nurse residents will explore pathophysiology and examine why timing is of the essence when treating patients with ischemic strokes. Focus will be placed on neurologic assessments and exams with emphasis on abnormal findings. Current New York University Hospital policies and procedures and American Heart Association/American Stroke Association protocols will be discussed as nurse residents explore various medical treatments and nursing interventions necessary to care for patients experiencing ischemic strokes.
Classroom
End of class outcomes: The nurse resident will be able to:
End of class outcomes: The nurse resident will be able to:
- Explain the pathophysiology of ischemic stroke and describe potential abnormal assessment findings associated with the disease process (2, 3; Cognitive).
- Demonstrate the ability to perform and interpret the NIH Stroke Scale (3, 4, 7; Cognitive, Psychomotor).
- Compare and contrast the differences between transient ischemic attack (TIA), thrombotic stroke and embolic stroke (2, 3; Cognitive).
- Differentiate between the different types of thrombolytic therapy (tissue-type plasminogen activator – tPA and endovascular intra-arterial thrombolysis) and antiplatelet agents (Aspirin or clopidogrel) (4, 6; Cognitive).
- Describe nursing interventions associated with a patient diagnosed with an ischemic stroke (3, 2, 6, 7; Cognitive, Affective).
- Explain future considerations for the management of patients diagnosed with an ischemic stroke (3, 5, 6, 7; Cognitive, Affective).
Clinical
End-of-Clinical Outcomes:
End-of-Clinical Outcomes:
- Compare and contrast the differences between medications used to treat ischemic stroke versus hemorrhagic stroke (learned in prior week) (4, 6; Cognitive).
- For patients receiving tPA, explain methods of evaluating effectiveness of this treatment in order to anticipate future patient care needs (3, 4, 5; Cognitive, Affective).
- Apply critical thinking skills necessary to identify changes in neurologic status and anticipate the administration of medications and nursing interventions necessary to provide safe, quality care (1, 3, 4, 7; Cognitive).
- Demonstrate the ability to communicate effectively and work collaboratively with neurology residents and other members of the health care team (5; Psychomotor, Affective).
- Recognize available resources (pharmacist, policy and procedure, etc.) for tPA administration and describe how to safely administer tPA per NYUH Policy and procedure (5, 6; Cognitive).