After a collaborative stakeholder workgroup and best practice research, LERN has established four hospital levels of care as part of Louisiana’s “hub and spoke” model which includes Comprehensive Stroke Center and Primary Stroke Center hubs, and spoke hospitals connected by telemedicine.

The LERN Board has approved guidelines and protocols for stroke patient care to deliver the patient to the Right Place at the Right Time to receive the Right Care.

• Hospital Stroke Level Requirements
• Stroke Pre-hospital Care Guideline
• Stroke Pre-Hospital Stroke Destination Protocol (effective 1/1/2024)
• Stroke Webinar Recording of Pre-Hospital Destination Protocol (effective 1/1/2024)
• Slides for Pre-Hospital Destination Protocol Webinar ( effective 1/1/2024)
• VAN Assessment
• Post Thrombolysis Inter-Hospital Transfer Guideline Evaluation form
• ED Provider Emergent Stroke Care Guide
• Anticoagulant Associated Intracranial Hemorrhage Guideline
• Post-Thrombolytic Symptomatic ICH Reversal Guideline
• Spontaneous ICH Guideline
• Wake up Unknown Symptom Onset Stroke Guideline

For more information about LERN’s Stroke efforts, contact Deb Spann, LERN’s Tri-Regional coordinator.