Abstract TP32: From Stroke Code To Stroke Clinic; The Emerging Role Of The Stroke Nurse Navigator

Abstract

Background: With numerous stroke centers across the US now caring for complex stroke patients, the role of the stroke nurse navigator has catapulted to be one of the critical elements of a successful stroke program. Our hospital developed an innovative model that addresses the transitions of care after stroke and describes the unique nurse navigator model for stroke patients and families. Methods: Under a triple aim mission statement to support patients and families throughout the care continuum, five practice domains were identified spanning the patient’s stroke journey - see table 1. For each domain, expected experiences were described and best practices were outlined. Results: Our hospital supported hiring stroke nurse navigators to develop best practices as a complementary role to the stroke care teams during each phase of the patient’s hospitalization to promote a seamless from stroke code to stroke clinic. After discharge, the navigators aligned with acute and subacute rehabilitation teams, visiting nurse agencies, and with patients and caregivers at home. In addition to clinical care, the navigators participated in quality improvement projects, regulatory readiness for certification, and community outreach programs - see Table 2. Discussion: The stroke nurse navigator, as a critical member of the stroke program, is uniquely positioned to optimize the transitions of care for patients and families recovering from stroke. This evolving model of acute and recovery stroke care identifies the practice domains and outlines the navigator practice responsibilities that compliments the medical care along the stroke recovery care continuum.Table 1. Table 2.