E7: Urgent response
All people with suspected acute stroke are immediately transferred by ambulance to a receiving hospital providing hyper-acute stroke services.
Key: e = element | k = knowledge | s = skill
Knowledge and understanding of…
e7k_1:
the signs and symptoms of stroke and transient ischaemic attack
e7k_2:
the anatomy and physiology of the central nervous system
e7k_3:
stroke mimics and how they present
e7k_4:
features of less common (atypical) presentation of stroke
e7k_5:
the need for emergency response to stroke and transient ischaemic attack
e7k_6:
the investigations, interventions, and treatments for stroke and transient ischaemic attack and their timeframes
e7k_7:
the physiological, neurological, and psychological effects of stroke, their timeframe during and after a stroke, and the need to monitor and act upon them
e7k_8:
the communication effects of stroke including, but not limited to: aphasia; dysarthria; articulatory dyspraxia
e7k_9:
complications after stroke and preventing and managing them
Skills and ability to...
e7s_1:
take and interpret a thorough medical history, including information from carers, family and other agencies where possible, and carry out decision-specific mental capacity assessments as appropriate
e7s_2:
perform basic neurological and physiological assessment (vital signs)
e7s_3:
perform ABCDs (airways, breathing, circulation, disability), pulse oximetry and blood glucose assessment, and act on abnormal findings
e7s_4:
identify suspected stroke, using recognised screening and assessment tools, and act on results
e7s_5:
identify and appropriately treat stroke mimics
e7s_6:
identify emergency investigations and interventions available locally for stroke and transient ischaemic attack patients
e7s_7:
recognise stroke-related communication difficulties and use a range of resources and approaches to adapt methods of communication
e7s_8:
identify and use safe methods of moving, handling, and positioning depending on the individual patient or staff needs
e7s_9:
communicate and discuss with the patient, carer, and family: current event; risk of future vascular event; need for and timeframes of assessments and investigations; rationale for interventions and treatments, their timeframes, and possible side effects; and provide timely information, advice and support
