Table 2.
Telemedicine stroke care task categories |
Definition |
---|---|
Update demographics | Ask patient for name, date of birth, communicate with nurse |
Update patient history | Ask patient for medical conditions, surgical history, family conditions, medications, communicate with nurse |
Level of consciousness | Ask patient for their level of consciousness |
Eye movement | Move to stand beside patient, hold one or two fingers on the right side of the patient’s peripheral vision, hold up one to two fingers on the left side of the patents peripheral vision |
Facial palsy | Check for weakness of facial muscles |
Arm movement | Ask patient to move right and left arm |
Leg movement | Ask patient to move right and left leg |
Visual field | Move to stand beside patient, hold one or two fingers on the right side of the patient’s peripheral vision, hold up one to two fingers on the left side of the patent’s peripheral vision |
Ataxia | Check for slurred speech |
Sensation | Pinprick patient’s right and left cheek; right and left arm, and right and left leg |
NIH Stroke Scale cards | Show patient object cards, point to an object on the card, confirm object with the MD. Show patient scene cards, show patient sentence cards, point to sentence, and confirm sentence with MD |
Check for tPA contraindications | Check if patient awoke with stroke |
Update vitals | Get blood pressure (affix blood pressure cuff to patient’s upper arm) press "NIBP" button, read results, get heart rate, count breaths taken by the patient for 30 seconds, affix pulse ox reader to patient finger opposite from BP cuff, read Sp02 (%) on reader |
Waiting/other | Not actively engaged in any assignment |