In Our Stroke Unit Eastern Health, Box Hill Hospital and Maroondah Hospital. Melbourne, Australia.

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Published: Aug 22, 2024
DOI: https://doi.org/10.59236/sc.v1i3.54

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Tanya Frost
a:1:{s:5:"en_US";s:14:"Eastern Health";}
Karen Stephens
Philip Choi

Abstract

Box Hill Hospital has approximately 750 stroke presentations per annum and in 2023, 99 patients received thrombolysis and 40 were transferred out for thrombectomy. Thrombolysis rates, for patients with ischaemic stroke that present within 4.5 hours of symptom onset, was at 37%, with a median door-to-needle (DNT) of 41 minutes, 86% of cases being treated under 60 minutes of arrival and our fastest DNT being 16 minutes. Meidan DIDO was 47 minutes with the fastest recorded 17 minutes. Reperfusion time metrics have improved significantly over the years with the biggest impact being from a direct to CT protocol, organisational coordination and the presence of an Acute Stroke Nurse (ASN) for patients receiving thrombolysis.

Article Details

Issue
Vol. 1 No. 3 (2024): Stroke Clinician
Section
Stroke Unit Showcase
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biography

Tanya Frost, a:1:{s:5:"en_US";s:14:"Eastern Health";}

Tanya Frost is a Stroke Nurse Consultant at Eastern Health, Melbourne, a busy primary stroke service. She has a Master of Advanced Practice and accreditations through the Association of Neurovascular Clinicians.

She is dedicated to standardised access to stroke care for all, especially in the systems and processes required to deliver fast, effective and comprehensive stroke care.

Tanya is currently one of the co-chair’s of ASNEN, is on the Stroke Unit Certification Committee, National Stroke Targets Taskforce, assists in stroke simulation through the Angels Initiative and is on the board of directors for the American based Neurovascular Clinicians Certification Committee (NVC-3).