---
title: EVT checklist
description: "## Activate case - Activate case 7111 - Neuro Intervention - Anesthesia to call back - After anesthesia accepts, call x66310 or x 54472 to book via main OR - state the case is 'E-Zero' to start immediately (to ensure…"
url: "https://vghneuro.ca/docs/evt-checklist/"
updated: "2023-03-09"
category: Clinical
tags:
  - checklists
  - procedures
---

# EVT checklist

## Activate case

- Activate case 7111 - Neuro Intervention - Anesthesia to call back
- After anesthesia accepts, call x66310 or x 54472 to book via main OR - state the case is 'E-Zero' to start immediately (to ensure registered in SurgiNet)
- If case cancelled, call 66310 to let them know

## Enter orders

- PowerPlan: ED/NEURO Ischemic Stroke Reperfusion Treatment - IR Cerebral Thrombolysis orders

## Contact family

- Informed consent
- Confirm contact phone (e.g. cell #)

## Prep patient

- Foley
- Shave groin
- Transport monitor (by trauma bay)

## Admit patient

- Admit patient (x 62238)
- If patient intubated, also call PACU (x 64320)
- Notify neurology charge nurse (page 604-872-9855)

## Time-out

- Confirm blood pressure parameter with anesthesia (usual goal - maintain incoming BP)
- Confirm if stenting likely and discuss actions (e.g. NG for ASA)

## Post-procedure

- Write admission orders (always use PowerPlan: NEURO Ischemic Stroke Admission After Reperfusion -- even if no TPA given)
- Choose Neuro Goals blood pressure parameter:
  - If good reperfusion, usually < 140 / < 90
  - If no reperfusion, usually keep post-TPA default
- All patients should get SCDs for DVT prophylaxis, even if no TPA was given
- **Ensure leg stays flat to prevent hematoma - at least 6 hours**

## Post-CT

- Confirm blood pressure parameter (may need lower target if blood on CT) -- if so, MODIFY the existing Neuro Goals order
- Confirm if additional anti-thrombotic needed for stented patient

## Return to ward

- Document post-procedure neurological exam -- **do not test leg drift -- only test distal foot movement**

### *Related*