If not a stroke alert, then statement in ED note: ‘Thrombolytics considered, not given due to ________________’
Mild non-disabling stroke symptoms
NIH of 0
Thrombin or factor Xa inhibitors (novel oral anticoagulants) within 48 hours
See PDF above for complete list
Must document statement of thrombolytic consideration.
‘Thrombolytics considered’ does not count.
‘Patient symptoms are completely resolved’ is like stating ‘Rapid Improvement’, and neither of those statements are acceptable contraindications.
‘Non-disabling’ is the phrase that must be used.
DO NOT USE THE PHRASES “Rapid improvement”, “Low NIHSS”, or “Symptoms resolved” unless linked to an accepted contraindication.
