Abstract TP217: Radiology-Led Visual Cue Intervention to Improve Stroke Protocol Adherence Across Emergency and Inpatient Settings

Background: Stroke outcomes are highly dependent on timely neuro assessments, yet adherence to core measures such as NIH Stroke Scale (NIHSS) documentation and dysphagia screening is often inconsistent in emergency and inpatient settings, particularly in lower-volume stroke units. Methods: To address this gap, the Radiology Department at Queen’s West implemented a low-cost, technician-driven intervention using RN Neuro Protocol stickers . Radiologic technologists applied the stickers as visual cues for nursing staff to complete time-sensitive neuro assessments. Inclusion criteria were: stroke code activation, suspected stroke or transient ischemic attack (TIA), or computed tomography angiography (CTA)/perfusion imaging. Patients undergoing head CT for non-stroke indications (e.g., trauma, falls) were excluded. Compliance with NIHSS and dysphagia screening was tracked using the Get With The Guidelines (GWTG) registry. Results: Early outcomes demonstrated substantial improvement. Dysphagia screening completion rose from the low 70% range pre-intervention to 85% at 30 days , and to 100% at 60 days . NIHSS documentation increased from the low 80% range pre-intervention to 96.3% at 30 days , and to 100% at 60 days . Nursing staff reported improved situational awareness and cross-department communication, particularly during shift transitions. Radiologic technologists reported seamless workflow integration and greater ownership in stroke patient care. Conclusions: The RN Neuro Protocol sticker is a simple, cost-effective strategy that strengthens adherence to critical stroke protocols by engaging radiology technologists as active partners in patient safety. This scalable, multidisciplinary approach improves reliability under high acuity conditions and offers a practical blueprint for institutions seeking to enhance stroke care performance and certification readiness.