Clinical Services

ePoster Presentation

(EP-100) A Needs Assessment for a Telestroke Network

Sunday, April 23
4:15 PM - 4:30 PM
Location: Experience Zone - ePosters

The purpose of this project was to identify common themes in educational deficits among 14 independent Community Partner Hospitals in a telestroke network. An electronic needs assessment was created to measure their self-reflection of stroke knowledge. The goal was to use the data to create a standardized competency tool that the partner hospitals could use to educate their staff. Research Electronic Data Capture (REDcap) was used as the database to administer the needs assessment and collect the responses. Telestroke, as a subspecialty of telemedicine, has many moving parts. The end-users at the partner, or spoke sites, need to be proficient in the following:
1. Standards of care for stroke patients, which includes acute patient management, medications, treatment options, diagnostic tools, requirements for transfers, and certification standards.
2. The audio/visual technology that is required to complete a telestroke consult.
3. The role of being an effective tele-presenter, which requires the healthcare provider at the partner hospital to assist with advanced neurological tele-assessment.
There is no known standard competency model for telestroke programs and it was felt that standardization of the process would save on time, financial resources, and improve the quality of the telestroke consults (satisfaction of both the spoke healthcare provider and the stroke neurologists) at each hospital. The needs assessment consisted of 20 questions using a Likert scale and one open ended question. It was sent to all levels of healthcare providers, such as physicians, nurses, emergency medical technicians/paramedics, emergency room technicians, and any other providers that would come in contact with a stroke patient. The response rate was 10% of the total healthcare providers surveyed. The topics assessment were: telestroke, the telestroke cart, the telestroke cart location, cart functions, NIHSS, tele-presenting to the virtual neurologist, being a team leader, and speaking to patient's family. The needs assessments questions will be shared and the graphical data of the survey will be offered.

Learning Objectives:

Kelly L. Rotondo

Program Manager for LionNet
Penn State Health Milton Hershey Medical Center

Dr. Kelly Rotondo, MSN, DNP, RN is the program manager for LionNet, a 16 community hospital telestroke network in central and northeast Pennsylvania. She has almost twenty years experience in healthcare in a variety of settings, from acute care progressive care unit, hospital administration, and nursing education at all levels. Dr. Rotondo and the LionNet team are passionate about stroke education in all areas from pre-hospital, emergency room, inpatient and follow-up care.

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Morgan Boyer

LionNet Nurse Coordinator
Penn State Health Milton S. Hershey Medical Center

Morgan Boyer is the LionNet Nurse Coordinator for the 16 community hospital telestroke network in Central and Northeast Pennsylvania. She holds a variety of degrees and certifications. A critical role in Morgan's position is data management and process improvement. She works closely with assoicated faculty and partner hospital adminstration to drive change.

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Karen Martin

Registered Nurse
Penn State Health Milton S. Hershey Medical Center

Karen Martin is a Masters prepared nurse who completed clinical work with a 16 Community Hospital telestroke system as part of her Graduate Capstone project.

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(EP-100) A Needs Assessment for a Telestroke Network



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