There has been some confusion on the coming “Code White”. I hope to eliminate some of the confusion with this email.
Code White is an organized response to new onset neurological symptoms that may be acute ischemic or hemorrhagic stroke symptoms. This process has been being worked on in the stroke committee and education for the last year. It was approved by IPC last month and is going for final signatures.
In May the emergency department ended it service with Mayo Clinic for Telestroke services as any extension of the existing contract would have committed us to them for another year. We were still in negotiations with the new company and our inhouse neurologists, Dr. Baker and Dr. Sullivan covered for the interim. This process however required that there was a stroke team in place in the emergency department to ensure the timely treatment of stroke patients. Instead of giving them training on one process in May and retraining them to a new process once our new telestroke company started in August, we chose to do training that would ensure they were …show more content…
Sullivan and Dr. Baker are off( which will be abour 4-5 weeks during the year). 7 of their neurologists are credentialed through YRMC and began providing service in the ED on August 2. To ensure that there was a prepared ICU CWRT in place when we went live with Code White, we began training the ICU RC, relief RC, and a couple of other ICU responders in June. This early training has allowed them to become familiar with the process prior to implementation of Code White. They have occasionally been able to observe ED strokes to help them understand the process. Dr. Baker, Dr. Sullivan, and myself all gave lectures to the ED and ICU CWRT on the role and expectations of the team. Dr. Sullivan has two similar teams in Tucson and has lent her expertise in their