Table 1.

Components of the Stroke Order Set

IV tPA

Indications

Contraindications

Exclusion criteria

Criteria for consideration of intra-arterial thrombolysis

Web links

ABCD2

NIHSS calculator

Lab order menu

Neuroimaging

CT head

CT angiogram

MRI

Carotid ultrasound

Nursing vital signs/monitoring

Nurse completes mNIHSS every four hours

Neuro checks per unit standard

Cardiac monitoring

Blood pressure parameters

Swallowing screen

Bedside

Diet order

Consultation order menu

IV tPA stands for intravenous tissue plasminogen activator;

NIHSS, National Institutes of Health stroke scale; CT, computed tomography;

MRI, magnetic resonance imaging; and mNIHSS, modified National Institutes of Health stroke scale.