Nurses trained in the use of the ROSIER tool can assess signs and symptoms of stroke with comparable accuracy to doctors performing standard neurological assessment.
- 1Betty Irene Moore School of Nursing, University of California Davis, Sacramento, California, USA
- 2Stroke Program, University of California Davis Medical Center, Sacramento, California, USA
- Correspondence to Holli A DeVon
Betty Irene Moore School of Nursing, University of California Davis, 4610 X St., Suite 4202, Sacramento, CA 95817, USA;
Implications for practice and research
■ Rapid assessment of patients with potential stroke is imperative for triage nurses.
■ The Recognition of Stroke in the Emergency Room (ROSIER) scale may help triage nurses rapidly recognise stroke and differentiate between potential stroke and common stroke mimics.
■ The following guidelines are recommended for patients with ischaemic stroke1:
■ Administration of recombinant tissue plasminogen activator (rt-PA) within 3 h of ischaemic stroke and up to 4.5 h in a select subgroup of patients.
■ Evaluation of stroke symptoms by a physician within 10 min of arrival.