Role of Nursing Personnel : Stroke
Role of Nursing Personnel
- Assess clinical manifestations of stroke and determine when clinical manifestations started.
- Screen patient for contraindications for tissue plasminogen activator (tPA) therapy.
- Infuse tPA for patients with ischemic stroke who meet the criteria for tPA administration.
- Assess respiratory status and initiate needed actions such as O2, oropharyngeal or nasopharyngeal airways, suctioning, and patient positioning to prevent aspiration, obstruction, and atelectasis.
- Assess neurologic status, including intracranial pressure (ICP), if needed.
- Monitor cardiovascular status, including hemodynamic monitoring, if needed.
- Assess patient’s ability to swallow (in conjunction with the speech therapist).
Licensed practical/vocational nurse (LPN/LVN)
- Administer scheduled anticoagulant and antiplatelet medications
Unlicensed Assistive Personnel
- Obtain vital signs frequently and report these to RN.
- Measure and record urine output.
- Assist with positioning patient and turning patient at least every 2 hr (as directed by RN).
- Perform passive and active range-of-motion exercises (after being trained and evaluated in these procedures).
- Place equipment needed for seizure precautions in patient room
Role of Other Team members
- Assess swallowing reflex.
- Evaluate patient for communication defects (e.g., aphasia).
- Position patient in a functional position.
- Assess function and together with patient, plan a rehabilitation program.