NURSING ROLE MANAGEMENT IN PREPARING ACUTE ISCHEMIC STROKE PATIENTS AND FAMILIES FOR EMERGENCY THROMBOLYTIC THERAPY

Abstract

This article analyzes and proposes management guidelines for nursing roles in preparing acute ischemic stroke patients and their relatives for intravenous thrombolysis, specifically within the context of the Golden Jubilee Medical Center, Mahidol University. As a facility that has developed a fast-track system for patient care, nurses play a pivotal role as primary coordinators. In the pre-administration phase, nursing responsibilities focus on screening, initial assessment, and coordinating with the multidisciplinary team to ensure timely drug administration. During the intra-administration phase, the nurse’s role is critical in monitoring for complications-such as intracranial hemorrhage-tracking vital signs and performing continuous neurological assessments. In the post-administration phase, the emphasis shifts to psychosocial preparation for patients and relatives to support long-term rehabilitation. The proposed framework encompasses neurological assessment, time management, and safety monitoring. The analysis indicates that clearly defined nursing roles enhance coordination efficiency, minimize delays in service access, and promote understanding among relatives, thereby ensuring patient safety throughout the emergency care process. Consequently, this article serves as a valuable resource for establishing nursing standards and developing health service system policies.