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To provide emergent care to in-house patients experiencing stroke symptoms, Lancaster General Hospital, in conjunction with the Rapid Response Team, will roll out an in-house stroke alert process.

Any in-patient experiencing acute onset of stroke symptoms can be a stroke alert.

Symptoms include:

  • Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
  • Sudden confusion, trouble speaking or understanding
  • Sudden trouble seeing or blurred vision in one or both eyes
  • Sudden trouble walking, dizziness or loss of balance or coordination

After activation, the RRT provider will communicate with the NAL/LGHP neurologist on stroke call for the hospital.

Upon confirmation by a stroke neurologist of in-house stroke alert, activate the following orders:

  • 12-Lead ECG
  • Chest X-Ray-AP portable
  • CT Head-stroke alert
  • CTA as confirmed by neurologist

Stat Labs (If not drawn within last 24 hours):

  • Cardiac profile: Troponin only
  • CBC, CMP, Prothrombin time with INR
  • iSTAT creatinine
  • INR fingerstick if on Coumadin

If you have any questions about this process, please contact Dr. Murray Flaster, Stroke Medical Director, 717-544-5478, or Tracey Mousley, RN, Stroke Program Coordinator, 717-544-5686.

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