Reference no: EM133220298

Scenario 

No, this patient did not get the right evidence-based therapy for his stroke. The rapid cessation of blood supply to a part of the brain that has lost brain function is known as an acute ischemic stroke. It is caused by a cerebral vessel that supplies a particular part of the brain being blocked by thrombosis or embolism. (Hinkle & Cheever, 2022, p. 2032). Upon the patients' arrival, the stroke alert was not turned on. Since the patient was not diagnosed until day 3, the stoke toolkit was not used. This patient's care was not entrusted to the stroke team. The patient's record did not have a timer or clock connected (Target: Stroke - when seconds count 2022). TPA would be the first therapy for an ischemic stroke to dissolve the clot and stop additional brain ischemia. TPA was not used in this instance. Tissue plasminogen activator, sometimes known as TPA, is a thrombolytic drug that dissolves blood clots (Hinkle & Cheever, 2022, p. 2036). Within the first three to five hours after the beginning of a stroke, TPA should be administered. This patient sustained significant long-term harm due to improper diagnosis and delayed treatment. After the CT scan results were clear, more testing should have been done, and it would have been done if the appropriate stroke team had been informed. The endarterectomy consultation was not done. Physical therapy consultation was not obtained.

Question:

What could the RN do if caring for a patient who did not receive appropriate care (initiation of the stroke guidelines).