Acute Stroke-Ready Hospital
ASRHs, previously called stroke-capable hospitals, are hospitals that have made an institutional commitment to effectively and efficiently evaluate, diagnose, and treat most ED stroke patients but that do not have fully organized inpatient stroke systems of care. ASRHs have many of the same elements as a PSC:
• Written emergency stroke care protocols
• Written transfer agreement with a hospital with neurosurgical expertise
• Director of stroke care to oversee hospital stroke policies and procedures (this may be a clinical staff member or the designee of the hospital administrator)
• Ability to administer intravenous rtPA
• Ability to perform emergency brain imaging (eg, CT scan) at all times
• Ability to conduct emergency laboratory testing at all times
• Maintenance of a stroke patient log
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