Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations
Objective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP) in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio v...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | International Journal of Telemedicine and Applications |
| Online Access: | http://dx.doi.org/10.1155/2010/507071 |
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| _version_ | 1832554901950955520 |
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| author | Bart M. Demaerschalk Terri-Ellen J. Kiernan STARR Investigators |
| author_facet | Bart M. Demaerschalk Terri-Ellen J. Kiernan STARR Investigators |
| author_sort | Bart M. Demaerschalk |
| collection | DOAJ |
| description | Objective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP) in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio video telemedicine consultation with a VN-NP at a remotely located stroke center in partnership with a vascular neurologist. Demographic information, National Institutes of Health Stroke Scale (NIHSS) scores, diagnoses, CT contraindications to thrombolysis, thrombolysis eligibility, and time interval data were collected. The inter-rater agreement between VN-NP and vascular neurologist assessments was calculated. Results. Ten patients were evaluated. Four were determined to have ischemic stroke, one had a transient ischemic attack, two had intracerebral hemorrhages, and three were stroke mimics. Overall, three patients received thrombolysis. The inter-rater agreement between VN-NP and vascular neurologist assessments were excellent, ranging from 0.9 to 1.0. The duration of VN-NP consultation was 53.2±9.0 minutes, which included the vascular neurologist supervisory evaluation time of 12.0±9.6 minutes. Conclusion. This study illustrated that a stroke center VN-NP, in partnership with a vascular neurologist, could deliver timely telemedicine consultations, accurate diagnoses, and correct treatments in acute stroke patients who presented to remotely located rural emergency departments within a hub and spoke network. VN-NPs may fulfill the role of a telestroke provider. |
| format | Article |
| id | doaj-art-3edff2fd41ed4d83b41e5ca896dfc9cb |
| institution | Kabale University |
| issn | 1687-6415 1687-6423 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Telemedicine and Applications |
| spelling | doaj-art-3edff2fd41ed4d83b41e5ca896dfc9cb2025-02-03T05:50:13ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232010-01-01201010.1155/2010/507071507071Vascular Neurology Nurse Practitioner Provision of Telemedicine ConsultationsBart M. Demaerschalk0Terri-Ellen J. Kiernan1STARR Investigators2Division of Cerebrovascular Diseases and Division of Critical Care Neurology, Department of Neurology, Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USADivision of Cerebrovascular Diseases and Division of Critical Care Neurology, Department of Neurology, Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USADivision of Cerebrovascular Diseases and Division of Critical Care Neurology, Department of Neurology, Mayo Clinic Hospital, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAObjective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP) in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio video telemedicine consultation with a VN-NP at a remotely located stroke center in partnership with a vascular neurologist. Demographic information, National Institutes of Health Stroke Scale (NIHSS) scores, diagnoses, CT contraindications to thrombolysis, thrombolysis eligibility, and time interval data were collected. The inter-rater agreement between VN-NP and vascular neurologist assessments was calculated. Results. Ten patients were evaluated. Four were determined to have ischemic stroke, one had a transient ischemic attack, two had intracerebral hemorrhages, and three were stroke mimics. Overall, three patients received thrombolysis. The inter-rater agreement between VN-NP and vascular neurologist assessments were excellent, ranging from 0.9 to 1.0. The duration of VN-NP consultation was 53.2±9.0 minutes, which included the vascular neurologist supervisory evaluation time of 12.0±9.6 minutes. Conclusion. This study illustrated that a stroke center VN-NP, in partnership with a vascular neurologist, could deliver timely telemedicine consultations, accurate diagnoses, and correct treatments in acute stroke patients who presented to remotely located rural emergency departments within a hub and spoke network. VN-NPs may fulfill the role of a telestroke provider.http://dx.doi.org/10.1155/2010/507071 |
| spellingShingle | Bart M. Demaerschalk Terri-Ellen J. Kiernan STARR Investigators Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations International Journal of Telemedicine and Applications |
| title | Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations |
| title_full | Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations |
| title_fullStr | Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations |
| title_full_unstemmed | Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations |
| title_short | Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations |
| title_sort | vascular neurology nurse practitioner provision of telemedicine consultations |
| url | http://dx.doi.org/10.1155/2010/507071 |
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