Resources and Memory //

ED STROKE NOTE Last known well time: *** Code Stroke called time: *** Conversation with neurologist time: *** The patient/family understands that a face-to-face encounter with a specialist is available but may delay or preclude necessary care and patient/family has consented to proceed via the telehealth method of delivery. 1. Level of Consciousness { :95214} 2. Questions: This month? Your age? { :95215} 3. Commands: Close eyes. Make fist. { :95216} 4. Best Horizontal Gaze (with Oculocephalics) { :95233} 5. Visual { :95234} 6. Facial Palsy { :95235} 7. Motor Arm-Left { :95236} 8. Motor Arm-Right { :95236} 9. Motor Leg-Left { :95237} 10. Motor Leg-Right { :95237} 11. Limb Ataxia (Not Matching to Weakness) { :95238} 12. Sensory { :95239} 13. Best Language { :95240} 14. Dysarthria { :95241} 15. Extinction & Inattention/Neglect { :95243} NIHSS SCORE TOTAL *** tPA given: {tPA YES NO:151292} {Code Stroke = Neuro Deficit symptoms < 6 hours without other exclusions CODE 24 = Last seen normal 6-24 hours ago AND NIHSS 6 or more Page the telestroke neurologist at 323-699-4444 Page CODE 24 and order the CODE 24 CTH/CTA if directed to do so by the tele-neurologist. If NIHSS < 6 AND last seen normal > 6 hours ago, then proceed with your local admission process. Open CODE STROKE Order Set for ALL preliminary orders DELETE THIS TEXT BEFORE SAVING NOTE}



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