Background: It is estimated that 91% of stroke risk can be attributed to modifiable risk factors; however, on a population level, these risk factors are not well controlled. One recent response to reducing the burden of stroke has been to improve childhood knowledge about stroke. The purpose of our initiative was to educate high school students about stroke and careers in neuroscience. Methods: Thirteen students in Yale University Pathways to Science Summer Scholars participated in a 5-day program called Stroke Busters. Summer Scholars is a free summer science day program for rising 10th- 12th grade students. The demographic breakdown is 32% Asian, 30.1% Black, 20.4% Latinx, 15.5% White, and 1.9% Middle Eastern. Stroke Busters is a program within Pathways that includes an interactive stroke lecture, mock stroke code simulation, interactive mechanical thrombectomy demonstration, and a workshop where students created their own stroke learning materials. Students completed an 8 question pre and post-test that assessed stroke knowledge. Results: Between 7/11-7/15/22 thirteen students participated in Stroke Busters . The average test scores increased from 38% to 73%. Prior to the program, eight students (62%) listed that a stroke occurred in the brain and four students (31%) correctly identified the acronym “FAST”; 100% of students got these items correct in the post-test. The score for identifying 4/4 stroke symptoms improved from 56% to 92%. Twelve students provided feedback; the overall satisfaction rating for the program was 4.44/5. Students commented on the stroke simulation as the most enjoyable part of the program. Conclusion: In this high school stroke educational program students improved their knowledge about stroke significantly. This is the first stroke education program to our knowledge that focuses on high school students using a multi-day curriculum led by a diverse group of healthcare professionals.

Introduction: Video telestroke consultations are increasingly utilized to provide acute stroke care virtually, yet it remains uncertain whether patients are satisfied with this medium of care. We aimed to evaluate patient perception of their care during video telestroke consultations in a HUB and SPOKE telestroke network. Methods: Patients from Yale New Haven Health System and affiliate hospitals evaluated by video telestroke were screened for enrollment and contacted between 7-14 days from telestroke encounter to administer a telephone survey. Patients were excluded if the suspicion for cerebrovascular event was low, if primary language was not English, if in hospice, and if patient had confusion, cognitive impairment or aphasia during telestroke encounter or survey. The survey asked patients to rate the quality of the telestroke encounter and their satisfaction with various aspects of clinical care (Figure). Patient responses were evaluated using Chi-square analysis with SPSS v23. Results: A total of 325 video telestroke consultations occurred between May 8, 2021 and August 5, 2021. Eighty-nine patients met criteria to be contacted for a follow up survey. Of those, thirty-one patients responded to the survey (15 female, mean age of 58.9 years old) and 80.6% of patients did not have any prior telemedicine experiences. Only 6.7% of patients perceived shortcomings in the ability of the emergency staff to use videoconference equipment and 13.3% observed difficulties with audio quality. Difficulties with equipment and audio quality were not associated with patient’s ability to understand their diagnosis (p=0.787 and p=0.782) and treatment recommendations (p=0.558 and p=0.684). All patients expressed good or very good satisfaction with video telestroke use and perceived that the video consultation was as good as a bedside visit. Conclusions: Despite encountering some technical difficulties, patients expressed satisfaction with video telestroke encounters.

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.