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  • I am wondering if any of you have decided to eliminate routine CT head imaging 24 hours after IV thrombolytic and only do them with neurological deterioration. For the CSTK 5 metrics, it is required that one abstract "yes" to positive brain image even ...

  • In our facility we use the change in NIHSS of 1-3 points as a "guide". There is not much guidance in literature on this, and we stress that a NIHSS at handoff is essential to clarifying the "subjective" assessment in order to avoid a determination of ...

  • Sabrina,  We escalate care for an NIHSS increase of 4 from baseline- This helps in the event the patient has gradual increase in score. Sometimes our nurses will call for less than 4 from baseline- which our teams are amenable to this.  Hope that helps- ...

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