An emergency department manager in a rural hospital wants to investigate "telestroke" processes. Which actions by the nurse manager would best facilitate this process? (Select all that apply.)
a. Collaborate with pharmacy on supplies of appropriate drugs.
b. Discuss store-and-forward capabilities with radiology.
c. Install special telephone lines for live consultations.
d. Investigate the possibility of acquiring robotic technology.
e. Request funding for interactive live videoconferencing.
B, E
Telestroke programs improve outcomes for patients with ischemic stroke. Upon arrival to the emergency department with symptoms of a potential ischemic stroke, the stroke specialist can examine a patient, obtain medical history and review computed tomography studies remotely. Patients can receive tissue plasminogen activator before transfer to a tertiary medical center, if warranted. The manager needs to determine how well images are forwarded and their clarity upon receipt and obtain funding for interactive live videoconferencing so the stroke specialist can "examine" the patient remotely.
Collaborating with pharmacy on the amount of drugs needed on hand would be done after the telestroke program was implemented. This action is not part of getting the telehealth process started, although once approved, it would be important to ensure adequate supplies were on hand.
Special telephones are not needed.
Robotic technology is not needed.
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