Feedback on the draft Clinical Care Standard for Stroke

The Australian on Safety and Quality in Healthcare has released a draft document “Clinical Care Standard of Stroke

This is available for comment until the 23rd of May.

The goal of the Clinical Care Standard for Stroke is to improve the early assessment and management of an adult with stroke so as to increase their chance of surviving a stroke, maximise their recovery, and reduce their risk of a future stroke

Even if you aren’t thinking of commenting I urge you to look at both the summary versions, the Consumer Fact Sheet Consultation Draft and the Clinician Fact Sheet Consultation Draft as they remind you of the symptoms to be aware of and the process they are wanting hospitals to undertake to improve early assessment and care.

RFDS Protocols

Sometime ago I showed you the contents of a Royal Flying Doctor Medical Chests used in remote communities, cattle stations, mining camps and others in remote areas. These items can be ordered by phone by a medical practitioner stating item, number and the drawer it is located in. These chests were put into use in 1939 with orders given by short wave radio and these days mainly by telephone. One of the earliest and longest examples of telehealth.

If a patient needs to be evacuated they have a number of protocols the RFDS follow. The drug and treatment protocols may be a little bit different to what may be used in a hospital as they usually only have to be used for a number of hours until the plane reaches a major centre and medical care.

Below are the protocols in use by RFDS Western Australia (PDF files).

Part 1. Clinical Guidelines June 2008

Part 2. Drug Infusion Guidelines

Part 3. Procedures

Part 4. Standard Drug List

Part 5. Standard Aircraft Minimum Equipment List

There are also a number of Clinical standards for patient transport and aero-medical operations produced by both the RFDS and external organisations that are followed: Standards

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