When the health care provider looks at the
results, what do you think they saw?
Well, we ruled out any signs of bleeding.
So the health care provider, the
physician, he or she,
looked at the lab results that are back,
the report of the head CT,
and they decided, obviously, to do another
assessment of Mr. Johnson,
because they want to start thinking about
alteplase therapy. Now, alteplase
is a thrombolytic drug. The reason
we had to do that CT
first is we wanted to make sure that
he wasn't bleeding into his head.
If Mr. Johnson has significant
bleeding in his head,
there'd be no way we would give a thrombolytic.
But since we've ruled that out
because you got him to CAT scan right away,
and now we have the results back,
that physician is ready to start thinking
about the next step.
So now it's time to talk to Mr.
Johnson and his wife
and their adult children at the bedside
because you're going to discuss the current
indings and the possible treatment options.
Now, this is a key role for the nurse.
The health care provider will meet with the
patient and the family members that
the patient feels is appropriate. So be
sure to ask Mr. Johnson and his wife
who they would like to be there. And
the health care provider will lay out
the options and help the patient and
family understand all the
positives and the negatives of the
different treatment options.
Your role, as a nurse, is to listen very
carefully to what the healthcare provider is
communicating, even good to
take some short, brief
notes because you have to think about what
this family is going through. I mean,
they were just having breakfast this
morning. It was just a normal day,
and now they're here in your ER.
So it's very difficult
for them to process information. These
are likely very intelligent people,
but the stress and trauma of everything
that they're going through, makes it
difficult for them to really
So by you taking short, careful
notes, when the
patient's family or the patient
asks you questions,
you make sure that you give them the same
answers that the physician did, so you're
all on the same page. Now,
the physician laid out the options
Mrs. Johnson and her children agree
with the alteplase therapy, as does
Mr. Johnson. So I know that's a little bit of
a touchy subject because we know that he
has suffered a stroke. So you'll have to kind
of navigate that with the healthcare
provider to see who's most appropriate
to make that full decision.
Okay. Back in CAT scan. Got the results.
We've decided the next option
is to consider alteplase or
We've talked to the patient and their family,
and everyone agrees they
understand the risks of this therapy
and they want to proceed.