Advances in Stroke Care

Credit

Handouts/Brochure

Speaker

Ebonye Green, MNSc, ACNPC-AG, CNRN, SCRN, APRN, FNCS Related seminars and products

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Ebonye Green, MNSc, ACNPC-AG, CNRN, SCRN, APRN, FNCS, has been an inpatient advanced practice registered nurse for the College of Medicine, Department of Neurosurgery at University of Arkansas for Medical Sciences since 2013. She previously worked as a staff nurse and as a travel nurse, working in some of the country’s top neurosurgical intensive units and Gamma Knife, including Washington Hospital Center and Johns Hopkins Hospital.

Ebonye is passionate about contributing to her specialty and professional associations and organizations. She is a member of the American Association of Neuroscience Nurses and serves as a Director at Large on their Board of Directors, American Association of Nurse Practitioners, Director at Large for Arkansas Nurse Practitioner Association, American Association of Critical Care Nurses, American Association of Neurosurgical Surgeons, Neurocritical Care Society, is Co-Chair of the Women in Neurocritical Care Advanced Practice Leadership Committee, and is also a Fellow of the Neurocritical Care Society. Ebonye is passionate about educating staff to grow their knowledge to better care for our patients and families.

Speaker Disclosures:
Financial: Ebonye Green has an employment relationship with the University of Arkansas. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Ebonye Green is a member of the American Association of Neuroscience Nurses, the American Association of Critical Care Nurses, the American Association of Neurological Surgeons, and the American Association of Nurse Practitioners.

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Objectives

1. Incorporate the latest clinical advances in stroke treatment.
2. Determine the indications and contraindications of t-PA and mechanical clot retrieval.
3. Evaluate key contributions of a stroke rapid response team.
4. Use a focused neurological exam for the patient potentially experiencing a stroke.
5. Compare current management guidelines for ischemic and hemorrhagic strokes.
6. Develop a plan of care for a patient in the hyper-acute stage of stroke treatment.

Outline

• Guidelines for modifiable risk factors
• Hypertension recommendations
• Cardiac connections
• Obesity epidemic
• Are we making progress?

• Determine mental status
• Cranial nerve assessment key findings
• Differentiating the cause when seconds count
• NIHSS guidelines
• Stroke rapid response teams
• Update on assessment tools and protocols

• Interpreting imaging & other diagnostics
• Metabolic problems
• Central nervous system problems
• Psychiatric disorders
• Migraine headaches

• The stroke timeline
• Critical history questions
• Hyper-acute care standards
• Time targets for triage
• Key diagnostics
• Acute blood pressure management

• Thrombotic strokes
• Major symptoms by region
• Hypercoagulable work-up
• Embolic strokes
• Symptoms by arterial involvement

• Joint Commission core measures
• Fluid management
• Seizure management
• Intra-arterial t-PA
• Stenting
• Therapeutic hypothermia
• Compressive craniectomy
• Mechanical clot retrieval
• MERCI retriever
• Treatments on the horizon
• AANN guidelines & expected outcomes

• Latest clinical treatment advances
• Manage increased intracranial pressure
• Aneurysmal subarachnoid hemorrhage
• Grading scales

• Controversial therapies
• Nursing responsibilities
• New technology improving outcomes

• Anticoagulants
• Antihypertensives
• Glycemic control
• Neurostimulants
• Thrombolytics
• Clinical trials on the horizon

• The transaction to comprehensive stroke centers
• Best demonstrated practices
• Updates and improvements more than a decade later

Target Audience

• Nurses
• Nurse Practitioners
• Physician Assistants