Slide 1

Report
BART (Brain Attack Response Team)
Recognition of RN/MD of stroke
Are any of the following
symptoms present? (FAST)
If yes to ‘FAST’, establish symptom onset time: when was patient
last know to be ‘normal self’?
If Symptom onset less than 12
hours, or if onset unclear
Dial XXXX to initiate CODE
BART
Symptom onset greater than
12 hours ago
1)
STROKE PROTOCOL EVAL: goal complete
evaluation in less than 45 minutes
1) Assess ABC, rapid neuro assessment
2) Obtain Stroke Folder for MD to complete*
3) First BART responder re-establish focal neurologic
symptoms and symptom onset time
4) Labs: if not done in last 24 hours, draw CBC,
PT/PTT, BMP and send to lab for “STAT
STROKE PROTOCOL PROCESSING” (secretary
to alert lab X44225)
5) Place IV access
6) STAT Head CT (no contrast) - to be done in
Emergency Department. Secretary to alert CT
(X62959) to clear CT scanner for “stroke protocol
patient”
7) RRT RN to facilitate direct ICU bed placement
for patients requiring acute intervention or those
with hemorrhagic strokes (intracerebral
hemorrhage, subarachnoid hemorrhage)
8) Complete remaining exam upon return from CT
9) Obtain weight (if rt-PA candidate): place 2nd IV
10) STAT EKG
11) As indicated, Stroke RN to facilitate rt-PA
administration after orders obtained from an MD
with rt-PA privileges.
2)
Notify attending MD 2) Notify
stroke program RN via pager
XXX.XXXX (24X7) for
routine consult (next business
day)
(DO NOT initiate BART)
Facial
weakness:
new
Arm/leg
weak/numb:
new
Speech:
slurred or
word-finding
problems:
new
Think:
you think it
might be a
stroke
Stroke Folders can be obtained from stroke units (3S/3SW, 7E,
10SW and Emergency Department)
(To cancel Code BART call X3000)

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