Table 1 The suggested interventions
From: Organizational solutions to improve timeliness and effectiveness of the stroke care
| Unit | Action | Responsible person | Starting date |
|---|---|---|---|
| 118 Service | ECG execution in 2 copies to be left in ER | Physician in charge of the emergency service | 10 June |
| Venous access (where possible) | Physician in charge of the emergency service | 10 June | |
| Family contacts for fibrinolysis authorization + registration of full name and date of birth of patient | Physician in charge of the emergency service | 10 June | |
| Emergency room | Patient admission in Shock Room | ER triage | 10 June |
| Ensuring two venous access of needle cannula (size 18G) | ER nurse | 10 June | |
| Insertion of bladder catheter | ER nurse | 10 June | |
| Confirmation of the patient arrival by the radiologist | ER triage | 10 June | |
| Do not perform blood gas test unless the clinical condition of the patient make this necessary | ER nurse | 10 June | |
| Avoiding the placement of the nasogastric tube | ER nurse | 10 June | |
| Neuroradiology | The neuroradiologist goes to CAR room when the stroke patient arrives in ER (II call) | Neuroradiology director | 10 June |
| Stroke unit | Formalization of the nurse role in the stroke process | Stroke Unit director + nurse Coordinator of the Stroke Unit | 10 June |
| Starting of a new procedure for the stroke nurse | Stroke Unit director + nurse Coordinator of the Stroke Unit | 10 June | |
| Writing of a new procedure | Stroke Unit director | 10 June |