Existing Hospitals' Plans of Care

DISCLAIMER: These listed Plans of Care are to be used as guides. These documents were shared with ENCSN before April 2009 and may not represent the most recent national guidelines or most recent protocols at each of these hospitals. A future goal of the HPC workgroup is to create a unified summary Plan of Care, however this project is still in development. We have posted these Plans so that Network members may have a starting point for the creation of their own Plans, and to see the formats of existing NC hospital Plans of Care. The information contained in each Plan of Care does not constitute medical or legal advice. Neither ENCSN nor the authors of the Plans of Care provided make any claim, promise or guarantee about the accuracy, completeness, or adequacy of the information contained therein, or that any Plan is appropriate for your particular use. Neither ENCSN nor any other party involved in the preparation of these Plans shall be liable for any damages, of any kind, resulting in whole or in part, from any user's use of or reliance upon this material. To receive the most up-to-date guidance on stroke protocol development, please participate in the monthly workgroup conference calls and request to be added to the HPC workgroup email list!

Carolinas Medical Center-Northeast

• Stroke Patient Information
  
• Anticipated Recovery Plan for Ischemic Stroke
  
• Consent for Administration of Intravenous tPA
  
• Thrombolytic Checklist for IVr-tPA
  
• Ischemic Stroke Interdisciplinary Form Page 1 of 2
  
• Ischemic Stroke Interdisciplinary Form Page 2 of 2
  
• Modified Rankin Scale
  
• New ECC Stroke Protocol
  
• Acute Ischemic Stroke non-tPA Protocol Page 1
  
• Acute Ischemic Stroke non-tPA Protocol Page 2
  
• Acute Ischemic Stroke tPA Protocol Page 1
  
• Acute Ischemic Stroke tPA Protocol Page 2

Carteret General Hospital

• Ischemic Stroke and TIA MD Orders

Duplin General Hospital Plans of Care

• Duplin Stroke Protocol

Forsyth Stroke and Neurovascular Center

• Forsyth Stroke Care Path Document

Iredell Memorial Hospital
• Dysphagia Screening Protocol
  
  Note on this tool: Last Quarter (before August 2009), Iredell was at 100% compliance with dysphagia screening, up from 20% in years past. A Speech Therapist developed the tool that the ED actually uses.

Moses Cone Plans of Care
(updated March 2011)
• Moses Cone Stroke (Ischemic)Admission Orders
  
• Mose Cone TIA Admission Orders
  
• Moses Cone Alteplase (tPA) Administration for Ischemic Stroke Orders
  
• Moses Cone Stroke Post tPA (Atleplase) Administration Orders

Onslow Memorial Hospital Stroke Plans of Care Documents (updated March 2011)

• ED Stroke Order Set
• Inpatient Stroke Order Set
• ED MEND Exam
• ED Alteplase Administration Protocol
• Nursing Dysphagia Screening Tool
• NIH Stroke Scale Assessment
• Nuero Check Form
• Hospitalist Service Admission Orders

Pitt County Memorial Hospital Plans of Care
• PCMH Plan of Care
  
• PCMH Alteplase Administration-Intravenous
  
• PCMH Stroke-TIA Dysphagia

WakeMed Plans of Care (updated January 2011)

• WakeMed Ischemic (Non-Hemorrhagic) Stroke or TIA Orders
  
• Possible Acute Stroke Inpatient Orders
  
• Emergency Service SYSWD IntraVenous t-PA Thrombolytic Therapy Acute Non-Hemorrhagic Stroke
  
• SYSWD Admission and Inpatient Use IV t-PA Thrombolytic Therapy Acute Non-Hemorrhagic Stroke
  
• Non-Hemorrhagic Stroke-TIA: Clinical Pathway

Wilson Medical Center
• Wilson Medical Center Stroke Protocol (reviewed October 2009)