Telestroke Referring Site Toolkit
A Telestroke Referring Site Toolkit has been developed to provide a concise introduction to the Provincial Telestroke program for new and existing referring sites. The contents and resources in the Toolkit have been pulled from current Telestroke sites, the Ontario Stroke System and the Ontario Telemedicine Network.
It includes workflows, processes, tools, and resources that can be adapted and integrated within your organization's existing policies and procedures. Using this Toolkit, you will be able to provide a standardized, province-wide infrastructure that supports a Telestroke encounter.
The toolkit is divided into 6 chapters, with each one corresponding to a phase in the implementation process. Print off the documents in the toolkit and store them in a binder for easy access.
Since this Toolkit is a ‘first of its kind' and a ‘one of a kind', it is still a work in progress. Updates will be provided on a regular basis as we continue to fine tune its contents. All comments or suggestions for improvement are welcome.
Contact the Telestroke Program Lead at telestroke@otn.ca
Resources
Click on the resource type to expand your selection.
- Chapter 1 - Introduction & Application
- Chapter 2 - Site Implementation
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Chapter 3 - Clinical protocols
- Chapter 3 Introduction
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3.1 Intro, Foreword and Table of Contents
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3.2 Telestroke Clinical Workflows
- Section 1 Patient
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3.1.1 OTN Information for Patients and Families Brochure
- Section 2 EMS
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3.2.1 Sample Ministry of Health EMS Prompt card
- Section 3 Emergency Department Staff
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3.3.1 Steps for Acute Stroke Code – ER
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3.3.10 Billing Information for Referring Physicians
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3.3.11 NIH Stroke Scale
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3.3.12 NIH Stroke Scale Cards
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3.3.13 Telestroke Video Equipment Quick Reference Guide
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3.3.14.1 Ottawa Stroke Protocol Model
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3.3.14.2 Pembroke Stroke Protocol Model
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3.3.14.3 Peterborough Stroke Protocol Model
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3.3.2 Steps for Acute Stroke Code – Inpatient
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3.3.3 Sample Emergency Nurse Evaluation of the Acute Stroke patient
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3.3.4 Sample Nurses Checklist for the Acute Stroke patient
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3.3.5 Sample Plng & Intervention Guide TIA
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3.3.6 Sample Physician Telestroke Communication Tool
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3.3.7.1 tPA order set
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3.3.7.2 ICU post tPA Order Set
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3.3.7.3 Non tPA order set
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3.3.7.4 Consent to Adminisration of tPA
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3.3.8 Sample Contents of Code Stroke Box
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3.3.9 Billing Information for Telestroke Consultants
- Section 4 CT Technologist
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3.4.1 CT Image Transfer
- Section 5 CritiCall
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3.5.1 Criticall contact information
- Section 6 Neurologist
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3.6.1 Telestroke Consult Note
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3.6.2 Telestroke Followup Note
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3.6.3 List of Telestroke Neurologists
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Chapter 4 - Clinical Education and Training
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4.1 Table of Contents
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4.10 Sample Training Agenda for Kenora ASM Workshop
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4.11 OTN Telestroke Overview
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4.12 Dr. Howse ER Physician Training
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4.13 Dr Scharf ER Physician Info
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4.14 OREG Contact List
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4.15 NEO Stroke Network Sample Table of Contents
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4.2 Education Flowchart and Resources
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4.3 Nursing Learning Objectives
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4.4 Learning Plan Template
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4.5 Physician Competencies
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4.6 Champlain Sample Workshop Agenda
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4.7 Sample Physician Education Brochure, Telestroke
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4.8 Sample letter to ER Staff
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4.9 Champlain Telestroke Education Plan
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- Chapter 5 - Mock Consultation
- Chapter 6 - Live Site Notice