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Acute Stroke Transfer Standoff Communication Form SYMPTOM TIMELINE (Stroke events) Last Known Well (onset) Date: / Time: Presenting Symptoms: Initial NI HSS Time: Score RACE Time: Score Initial VS:
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How to fill out acute stroke transfer hand-off

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How to fill out acute stroke transfer hand-off

01
Start by gathering all relevant patient information, such as medical history, medications, and recent test results.
02
Clearly identify the transferring hospital and the receiving hospital.
03
Communicate with the receiving hospital to establish a secure line of communication for transmitting patient information.
04
Use a standardized template or form to ensure consistency and completeness in the transfer hand-off.
05
Include information about the patient's current neurological status, including any signs or symptoms of a stroke.
06
Specify the time of symptom onset and the last known normal time.
07
Provide details about any treatments given at the transferring hospital, such as medication administration or imaging studies.
08
Include information about any pre-existing medical conditions or allergies that may impact the patient's care.
09
Document the patient's vital signs, including blood pressure, heart rate, and oxygen saturation levels.
10
Clearly outline any recommended follow-up actions or interventions for the receiving hospital.

Who needs acute stroke transfer hand-off?

01
Acute stroke transfer hand-off is needed by healthcare professionals involved in the transfer of stroke patients from one healthcare facility to another.
02
This includes emergency department doctors, neurologists, nurses, and other healthcare providers who are responsible for the care and management of stroke patients.
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Acute stroke transfer hand-off is the process of transferring a patient with acute stroke symptoms from one healthcare facility to another while ensuring continuity of care.
Healthcare providers and facilities involved in the transfer of a patient with acute stroke symptoms are required to fill out the acute stroke transfer hand-off form.
The acute stroke transfer hand-off form should be filled out with detailed information about the patient's condition, treatment received, medications prescribed, and any special instructions for the receiving facility.
The purpose of acute stroke transfer hand-off is to ensure that crucial information about a patient's condition and treatment is communicated accurately and efficiently during the transfer process.
Information such as the patient's medical history, current symptoms, vital signs, medications, treatment plan, and any known allergies must be reported on the acute stroke transfer hand-off form.
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