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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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