1. Stroke Patient Education Nursing Team Members Monica Albarran, Leslie Barna, Mary Healey, Corrie Husack, Lisa Millsap, Terri Schwenkel

2. Loyola University Medical Center Stroke Program Overview Guidelines for Management of Acute Stroke and TIA – Developed and implemented May 2003, revised June 2005 Guidelines for Management of Acute Stroke and TIA – Developed and implemented May 2003, revised June 2005 2NE Acute Stroke Unit opened January 2005 2NE Acute Stroke Unit opened January 2005 Get With The Guidelines patient management tool usage implemented January 2005 Get With The Guidelines patient management tool usage implemented January 2005 JCAHO certification as Primary Stroke Center – January 2006 JCAHO certification as Primary Stroke Center – January 2006 JCAHO intracycle review approved January 2007 JCAHO intracycle review approved January 2007

3. Get With The Guidelines Overview Developed by the American Stroke Association to improve treatment of acute stroke and prevent future strokes Developed by the American Stroke Association to improve treatment of acute stroke and prevent future strokes Allows for collection, maintenance, analysis, and communication of stroke data Allows for collection, maintenance, analysis, and communication of stroke data Facilitates continuous quality improvement Facilitates continuous quality improvement

4. Project Aim Statement The patient and/or caregiver for all patients with ischemic stroke, hemorrhagic stroke or TIA receive stroke education and resources The patient and/or caregiver for all patients with ischemic stroke, hemorrhagic stroke or TIA receive stroke education and resources

5. Measurement Goal and Target Numerator: Number of patients and/or caregivers who received stroke education and resource materials during their hospitalization Numerator: Number of patients and/or caregivers who received stroke education and resource materials during their hospitalization Denominator: Number of patients with ischemic stroke, hemorrhagic stroke or TIA Denominator: Number of patients with ischemic stroke, hemorrhagic stroke or TIA

6. Solutions Implemented Patient Education Materials Formal stroke education packets developed and implemented February 2005 Formal stroke education packets developed and implemented February 2005 American Stroke Association brochures purchased for patient distribution and placement in the neuroscience waiting room – January 2006 American Stroke Association brochures purchased for patient distribution and placement in the neuroscience waiting room – January 2006

7. Solutions Implemented Nursing Education Stroke lecture series offered to nursing staff – November 2005 and 2006 Stroke lecture series offered to nursing staff – November 2005 and 2006 Stroke Computer Based Learning module nursing competency – November 2005 and 2006 Stroke Computer Based Learning module nursing competency – November 2005 and 2006 NIH Stroke Scale training and certification competency neuroscience nurses – February 2007 NIH Stroke Scale training and certification competency neuroscience nurses – February 2007

8. Solutions Implemented Ongoing new neurology resident education – July 2005 and 2006 Ongoing new neurology resident education – July 2005 and 2006 Neurology Progress Note template with patient education prompts – August 2005 Neurology Progress Note template with patient education prompts – August 2005 Implementation of physician EPIC progress notes with education prompts – October 2006 Implementation of physician EPIC progress notes with education prompts – October 2006

9. Results

10. Next Steps Develop and implement customized stroke Patient Education Nursing Documentation Tool – April 2007 Develop and implement customized stroke Patient Education Nursing Documentation Tool – April 2007 Develop and implement Nursing Practice Guideline for Utilization of NIH Stroke Scale Assessment Develop and implement Nursing Practice Guideline for Utilization of NIH Stroke Scale Assessment Continue ongoing nursing and physician education related to primary and secondary stroke prevention Continue ongoing nursing and physician education related to primary and secondary stroke prevention