The purpose of this National Working Group is to develop and implement a strategy that supports provision of a stroke thrombolysis service in all large and medium sized DHBs using clearly documented protocols and quality assurance measures. For small DHBs it is expected a thrombolysis service is provided or a timely, effective pathway to access a service elsewhere.
The Thrombolysis Working Group has agreed the following:
Minimum quality assurance requirements were agreed:
Have attended a thrombolysis training course and have access to expert back-up when making treatment decisions
- Door to needle time- Door to CT time- Post-thrombolysis CT findings- Post-thrombolysis vital status, and- Pre and post level of functioning (ideally NIHSS score).
Use of the SITS registry is suggested but further review is required before routinely recommending this registry.
Links to thrombolysis education and resources:
i. STARS Web-based Thrombolysis Masterclass Modules:http://www.strokeadvancingmodules.org/labyrinth_thrombo/
ii. Complete NIHSS Certification http://nihss-englidh.trainingcampus.ne/uas/modules/trees/windex.aspx
iii. World Stroke Academy – Hyper-acute Stroke course (free)
iv. Acute Stroke Online (AHA) – (8 hour - US$24.95) http://www.heart.org/HEARTORG/CPRAndECC/HealthcareTraining/Stroke/Acute-Stroke-Online_UCM_307440_Article.jsp