Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations

Table 3

Consultation time intervals.

Time Interval	VN-NP Telemedicine Algorithm (mean and standard deviation, minutes)
Onset to Door	32.3±20.5
Onset to Call	42.8±21.2
Onset to Lab	110.5±12.0
Onset to Decision	112.6±31.1
Onset to rt-PA	159.0±8.5
Door to Call	19.6±18.7
Door to Consent	39.8±26.0
Door to Lab	75.0±32.4
Door to Neuro Exam	54.2±15.1
Door to CT Reading	78.2±23.4
Door to Decision	69.6±9.6
Call to Consent	21.0±10.8
Call to Neuro Exam	31.5±11.5
Call to Decision	53.2±9.0
Consent to Neuro Exam	9.0±16.8
Consent to Decision	30.7±19.3
Consent to rt-PA	67.0±30.5
Decision to rt-PA	45.5±21.9

Definitions: Onset:stroke symptom onset time or the time the subject was last known to be at baseline state; Door:emergency department triage time; Lab:time lab results reviewed; Decision:time that thrombolysis eligibility was determined; rt-PA:time of IV rt-PA administration; Consent:time of subject or representative written consent; Neuro Exam:time that the NIHSS evaluation started; CT Reading:time that CT was interpreted.