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Class Author
Maureen Sullivan-Tevault

Maureen has over 25 years in Emergency and Trauma nursing, including nursing positions as the Emergency Department Manager, Director of Staff Education, Trauma Coordinator, and Stroke Program Manager. In addition, she has also been certified as both a BLS and ACLS instructor, and adjunct faculty for an LPN nursing program. Maureen has also written nursing articles for the following journals: Nursing Spectrum, ADVANCE nursing magazine, and The Journal of Emergency Care, Rescue, and Transportation.


Read Maureen Sullivan-Tevault's Full Bio...
Class Accreditation
Course approved by the Florida Board of Nursing Home Administrators, CE Broker Tracking #20-466766, for 2.50 contact hours. CE Provider #: 50-13256


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Stroke: An Introduction for Administrators

Contact Hours: 2.5
Cost: $25.00
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Stroke: An Introduction for Administrators
An online continuing education course for administrators, nurses, medical health care professionals, and other interested individuals.

Stroke is the third leading cause of death in the United States and the leading cause of serious, long-term disability. Few conditions can occur as rapidly and with as devastating consequences as stroke. Data from the American Stroke Association (ASA) indicate that over 700,000 people in the United States suffer a stroke each year. Immediate emergency treatment is critical to surviving a stroke with the least amount of damage to the brain and the ability to function. Every stroke or transient ischemic attack must be treated as a life-threatening emergency. Thus, it is important that all healthcare providers be educated on the early identification of stroke symptoms, emergency care options, and prevention of recurrent stroke.

Healthcare providers where stroke patients are not routinely cared for, and ancillary staff should receive education related to recognition of stroke signs and symptoms and activation of the organization's emergency response processes. This course would be excellent for all healthcare providers.


Objectives


Upon completion of this course, the participant will be able to:
  1. Identify signs and symptoms of a stroke, and appropriate emergency treatment
  2. Differentiate the difference between a stroke and a transient ischemic attack (T.I.A.)
  3. Describe the differences between modifiable and non-modifiable risk factors for stroke
  4. Explain how lifestyle changes can reduce the risk of stroke
  5. Calculate the appropriate dose of t-PA for treatment of ischemic stroke
  6. List the appropriate members of a (stroke) rehabilitation team
  7. Discuss the N.I.H. stroke scale and its use in evaluation of stroke severity
  8. Describe measures to decrease the risk of a recurrent stroke (“secondary prevention”)

Curriculum


Chapter 1
Risk Factors
  • Modifiable risk factors
  • Non-modifiable risk factors
  • Normal blood pressure parameters

Chapter 2
Signs and symptoms of a stroke
  • Ischemic versus Hemorrhagic stroke
  • Transient Ischemic Attack
  • Evaluation tools for stroke severity
  • Time parameters for treatment of stroke

Chapter 3
Acute Stroke Care
  • NIHSS
  • Certified Stroke Centers
  • NPO, IV therapy, preliminary lab work
  • Hypoglycemic “stroke”
  • Dysphagia screening
  • Aspirin therapy at onset of stroke

Chapter 4
t-PA therapy for stroke 
  • Infusion guidelines
  • Inclusion and Exclusion criteria
  • Administration of t-PA
  • Complication potential-Intracranial hemorrhage

Chapter 5
Rehabilitation
  • Types of stroke rehabilitation
  • Members of the Rehabilitation Team

Chapter 6
Secondary Stroke Prevention
  • Blood pressure control
  • Diet
  • Alcohol
  • Tobacco Cessation
  • Glycemic Control
  • Stress Reduction

Chapter 7
Post Stroke Complications
  • Constraint Induced Movement Therapy (CIMT)
  • Dysphagia
  • Post stroke vision changes

Chapter 8
Current research and advance in the treatment of strokes 
  • Desmoteplase (Bat vemon)
  • Viprinex (Malayan pit viper)
  • Caffeinol (caffeine and alcohol)
  • Merci Retriever

Chapter 9
Miscellaneous Stroke website links
  • NIHSS stroke scale certification
  • Glasgow Coma Scale
  • Hunt and Hess Scale
  • Modified Rankin Scale
  • Barthel ADL Scale
  • National Stroke Association 
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