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ABNN-SCRN exam Format | ABNN-SCRN Course Contents | ABNN-SCRN Course Outline | ABNN-SCRN exam Syllabus | ABNN-SCRN exam Objectives

- Anatomy, Physiology, and Pathophysiology of Stroke
- Vascular Anatomy
- Brain Structure
- Stroke Types
- Stroke Syndromes
- Associated Stroke Disorders
- etiology
- Stroke Mimics
- Neuroplasticity
- Cellular Composition and Changes
- penumbra

- Hyperacute Care
- Initial triage
- Assessments
- Diagnostic Tests
- Treatment Considerations
- Thrombolytic Therapy
- Hemorrhagic Interventions
- Ischemic Interventions
- Advanced Interventions
- thrombectomy
- surgical
- Complication Management and Education
- Medications
- Quality Stroke Metrics
- door to needle
- Patient Disposition

- Assessment and Diagnostic Tests
- Hemorrhagic Interventions
- Ischemic Interventions
- Complication Management
- Multidisciplinary Plan of Care
- Safety Measures
- Individualized Care for Activities of Daily Living
- Therapeutic Environment
- sensory
- positioning
- Psychosocial Care
- Education
- Quality Stroke Metrics
- Medications
- Early Rehabilitation and Discharge Planning

- Multidisciplinary Plan of Care
- Goals of Rehabilitation
- Levels of Rehabilitative Care
- Rehabilitation Considerations
- spasticity
- safety
- Stroke Education
- Medication Management
- Community Resources
- support groups

- Primary and Secondary Preventative Care
- Comorbidities and Stroke Risk Factors
- Prevention Measures and Social Determinants of Health
- Diagnostic Tests
- imaging
- lab work
- Medication Education and Management
- Quality Stroke Metrics
- patient education
- Community Health Education

- Correlate deficits or expected complications to site of injury
- Identify physiologic changes at the cellular level
- penumbra
- Identify stroke signs and symptoms
- typical
- atypical
- Recognize stroke syndromes
- Middle Cerebral Artery Syndrome
- Horner's Syndrome
- Wallenberg Syndrome

- Identify underlying etiology of stroke
- Identify stroke mimics
- Differentiate between stroke types
- ischemic
- hemorrhagic
- transient ischemic attack
- Collaborate with multidisciplinary team
- Assess ABCs
- Establish chief complaint
- Identify appropriate level of care
- stroke unit
- certified stroke center
- Stabilize patients for admission or transfer
- Activate an emergency stroke response
- EMS
- Rapid Response
- Code Stroke
- Implement door to treatment times
- protocol and pathways
- Collect focused medical history
- Correlate chief complaint with patient's history and signs/symptoms
- Facilitate diagnostic tests according to clinical practice guidelines
- imaging
- lab work
- Conduct neurological exams
- NIHSS
- GCS
- patient baseline
- Differentiate between expected neurological exam findings and emergent concerns
- Prioritize patient's needs based on comprehensive and focused exams
- Hunt & Hess scale
- ICH score
- modified rankin scale
- Assess, monitor, communicate, treat, and document vital signs and pain
- Assess, monitor, communicate, treat, and document oxygenation and ventilation
- Assess, monitor, communicate, treat, and document hydration
- IV solutions
- oral fluid intake
- Assess, monitor, communicate, treat, and document cardiac rate and rhythm
- Assess, monitor, communicate, treat, and document blood glucose
- Assess, monitor, communicate, treat, and document intracranial pressure
- Identify indications and facilitate advanced interventions for ischemic strokes
- thrombolytics
- mechanical embolectomy
- intra-arterial thrombolysis
- hemicraniectomy

- Identify indications and facilitate advanced interventions for subarachnoid hemorrhage
- aneurysm clipping or coiling
- external ventricular drain placement
- Identify indications and facilitate advanced interventions for intracerebral hemorrhagic strokes
- surgical interventions
- Identify indications and facilitate interventions for treatment of cerebral vasospasm
- Calculate, administer, monitor, communicate, and document medications
- Identify inclusion and exclusion criteria for thrombolytic therapy per clinical practice guidelines
- Facilitate administration of thrombolytic therapy
- Manage and assess patient post-thrombolytic administration (expected vs adverse outcomes) per clinical practice guidelines
- Recognize signs of reperfusion syndrome and anticipate potential interventions
- Assess arterial access site and distal extremity post-neurointerventional radiology procedure
- Identify complications of neurointerventional radiology procedures
- hematoma
- arterial dissection
- arterial thrombosis
- pseudo-aneurysms
- bleeding

- Correct coagulopathy including use of reversal agents for anticoagulants
- Identify and manage carotid vascular abnormalities
- Monitor patient safety before, during, and after procedures
- Identify indications and post-procedural care for external ventricular drain
- Identify indications and post-operative care for surgical interventions
- decompression
- carotid endarterectomy
- Implement safety measures
- infection prevention
- fall or seizure precautions
- Assess swallowing ability, including risk of aspiration, and implement precautions
- Implement venous thromboembolism prophylaxis as indicated
- Facilitate compliance with stroke program quality indicators
- door-to-needle
- VTE prophylaxis
- Participate in quality improvement projects
- Provide nursing interventions to address activities of daily living
- early mobilization
- range of motion
- elimination

- Identify, manage, and support rehabilitation needs and goals
- spasticity
- cognition
- psychosocial
- dysphagia
- Provide a therapeutic, patient-centered environment to accommodate for patient deficits and needs
- Assess for and provide patient-centered, inclusive, and culturally sensitive care
- Facilitate care goals such as discharge planning, palliative care, and end-of-life care

- Collaborate with care team on nutritional needs
- specialty diets
- fluid consistency
- alternate forms of nutrition
- Create and maintain a patient-centered and multidisciplinary plan of care
- Facilitate the discharge planning process
- Incorporate patient-specific transfer techniques and assistive devices
- Identify and educate on patient-specific comorbidities and stroke risk factors
- Assess family and/or caregiver dynamics as it impacts care outcomes
- Recognize psychosocial impact of stroke on patient outcomes
- poststroke depression

- Assess barriers and social determinants of health as it impacts care
- Support the spiritual/emotional needs of patient, family, and caregivers
- Provide and reinforce stroke education to patients, family, and caregivers, including risk factors, symptoms, and activation of EMS
- Provide education on primary and secondary preventions and the importance of provider follow-up
- Provide education about medications and medication management to patients, family, and caregivers
- Provide stroke education to the community including community outreach programs
- Identify patient-centered community resources
- support groups
- financial support
- Collaborate with care team for patient referrals

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