Competency
2.1.1 Can list stroke thrombolysis inclusion and exclusion criteria C2
2.1.2 Can describe stroke assessment tools such as NIHSS and undertake training according to local policy HWB2, C2
2.1.3 Can describe the action of thrombolysis and the policies and protocols for its safe administration HWB6, HWB7
2.1.4 Can describe current thrombolysis research and ongoing trials HWB1
2.1.5 Can show that they know who to inform about a thrombolysis call and be able to liaise with all appropriate staff, e.g. radiographer, A&E and ward regarding bed availability C1, C3
2.1.6 Can describe patient consent and the Mental Capacity Act C1, HWB3
2.1.7 Can show good communication skills with knowledge and understanding of how to communicate with an aphasic patient HWB1
2.1.8 Can describe thrombolysis related complications and the emergency management of these HWB1, HWB7
2.1.9 Can state local and national guidelines for the monitoring of thrombolysed patients HWB1, HWB2
2.1.10 Can describe the importance of administering thrombolysis as quickly as possible following the onset of stroke symptoms HWB7
2.1.11 Can calculate the thrombolysis dosage and how to administer the bolus and infusion HWB7
2.1.12 Can demonstrate the preparation of a patient for thrombolysis e.g. appropriate IV access HWB7
2.1.13 Can show evidence of attendance of immediate life support training
2.1.14 Can state and initiate appropriate anti -hypertensive agents post-thrombolysis, as per local policy HWB7
2.1.15 Can show how to evaluate the effectiveness of thrombolysis therapy HWB7
2.1.16 Can show rationale for avoidance of invasive procedures 24 hours following thrombolysis HWB7
2.1.17 Can state when to commence anti - platelet therapy HWB7
2.1.15 Can show how to evaluate the effectiveness of thrombolysis therapy HWB7
2.1.15 Can show how to evaluate the effectiveness of thrombolysis therapy HWB7
2.2 Thrombectomy
2.2.1 Describe the evidence for thrombectomy in stroke including the importance of rapid treatment C2
2.2.2 List inclusion and exclusion criteria for thrombectomy procedures C2
2.2.3 Describe and manage post - thrombectomy complications HWB7
2.2.4 Devise appropriate nursing care of a patient following a thrombectomy HWB7
2.2.5 Discuss when anti-platelet therapy should commence after thrombectomy
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