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Table 1 Target clinical behaviours

From: Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department: a systematic review using the theoretical domains framework (TDF)

Clinical behaviour Description
Triage All patients presenting with signs and symptoms of suspected acute stroke should be triaged as Australian Triage Scale Category or 2 (seen within 10 mins)
Thrombolysis All patients to be assessed for tPA eligibility
All eligible patients to receive tPA
Management of temperature All patients to have their temperature taken on arrival to Emergency Department (ED) and then at least four hourly whilst they remain in ED
Temperature 37.5 °C or greater to be treated with paracetamol (acetaminophen) within one hour
Management of blood glucose levels Venous blood glucose level (BGL) sample sent to laboratory on admission to ED
Finger prick BGL recorded on admission and finger prick BGL monitored every 6 h (or greater if elevated)
Insulin administered to all patients with BGL > 10 mMol/L within one hour
Swallow assessment Patients to remain nil by mouth until a swallow screen by non- Speech Pathologist (SP) or swallow assessment by SP performed
All patients who fail the screen to have a swallowing assessment by a SP
Transfer All patients with stroke to be discharged from ED within 4 h
All patients with stroke to be admitted to the hospital’s stroke unit