Evid Based Nurs 15:64 doi:10.1136/ebnurs.2011.100300
  • Care of older people
  • Quantitative study - other

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.

  1. Patricia Zrelak2
  1. 1Betty Irene Moore School of Nursing, University of California Davis, Sacramento, California, USA
  2. 2Stroke Program, University of California Davis Medical Center, Sacramento, California, USA
  1. Correspondence to Holli A DeVon
    Betty Irene Moore School of Nursing, University of California Davis, 4610 X St., Suite 4202, Sacramento, CA 95817, USA; Holli.DeVon{at}

Commentary on:

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.

  • ■ …

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