1 00:00:09,184 --> 00:00:11,988 Hi, everyone, and welcome back to another episode 2 00:00:11,988 --> 00:00:13,663 of the Nurse station podcast. 3 00:00:14,222 --> 00:00:16,854 In today's episode, we have nurses coming together 4 00:00:16,854 --> 00:00:18,768 to talk about the importance of taking care 5 00:00:18,768 --> 00:00:19,406 of our hot. 6 00:00:20,534 --> 00:00:23,389 This session is eligible for contact hours and 7 00:00:23,389 --> 00:00:25,713 in disclosure in compliance with Anc 8 00:00:26,482 --> 00:00:30,237 commission on accreditation. This educational activity does not 9 00:00:30,237 --> 00:00:32,789 include any content that relates to the products 10 00:00:32,789 --> 00:00:35,581 and or services of a commercial interest that 11 00:00:35,581 --> 00:00:37,335 would create a conflict of interest. 12 00:00:38,228 --> 00:00:40,541 Today, we have some expert nurse panel here 13 00:00:40,541 --> 00:00:43,093 with us today, join across the health system. 14 00:00:43,731 --> 00:00:45,725 My name is Michelle Rasmussen Mu, and I 15 00:00:45,725 --> 00:00:48,054 am a nursing quality specialist here at Tis 16 00:00:48,054 --> 00:00:48,295 kim. 17 00:00:49,414 --> 00:00:51,335 Hi. My name is Lauren Moran. I'm a 18 00:00:51,335 --> 00:00:54,054 nursing professional development specialist on the Long Island 19 00:00:54,054 --> 00:00:56,707 campus, and I cover the neuroscience units, as 20 00:00:56,707 --> 00:00:57,739 well as the resource pools. 21 00:00:59,089 --> 00:01:01,153 Hi. My name is Kim Marshall. I'm on 22 00:01:01,233 --> 00:01:02,741 M mp DSI 23 00:01:02,741 --> 00:01:05,543 cover Si CUCTIC 24 00:01:05,694 --> 00:01:08,160 trauma and 4 North telemetry from the Long 25 00:01:08,319 --> 00:01:09,194 Island campus. 26 00:01:09,989 --> 00:01:12,217 Hi. My name is Amy Marco. I'm the 27 00:01:12,217 --> 00:01:15,095 mechanical circulatory support, clinical resource nurse, and I'm 28 00:01:15,095 --> 00:01:16,129 on the Manhattan campus. 29 00:01:17,004 --> 00:01:19,232 Hi. My name is Adrian Dora. I'm a 30 00:01:19,232 --> 00:01:21,791 staff red. Distributors nurse for traumatic brain injury 31 00:01:21,791 --> 00:01:24,336 and stroke rehab at Ru Institute H. 32 00:01:25,290 --> 00:01:27,119 Hi. My name Joanna Marvel. I'm the Stroke 33 00:01:27,119 --> 00:01:29,560 program coordinator at the Nyu land and Brooklyn 34 00:01:29,679 --> 00:01:32,157 campus. Great. Thank you, everyone, and thank you 35 00:01:32,157 --> 00:01:33,855 for joining us today and for those 36 00:01:34,314 --> 00:01:34,554 introductions. 37 00:01:35,193 --> 00:01:36,792 So I am sure of many of you 38 00:01:36,792 --> 00:01:38,765 who are listening in today. Already know that 39 00:01:38,884 --> 00:01:41,908 February is hot health awareness month. A time 40 00:01:41,908 --> 00:01:43,602 when people focus on their cardiovascular 41 00:01:44,057 --> 00:01:44,216 health. 42 00:01:44,932 --> 00:01:47,240 Here at Nyu, we celebrate national wear Red 43 00:01:47,399 --> 00:01:50,060 Day on February third to help raise awareness 44 00:01:50,116 --> 00:01:50,910 about heart disease. 45 00:01:51,624 --> 00:01:54,323 So as I was researching various topics on 46 00:01:54,323 --> 00:01:56,723 hot disease for this podcast, third I came 47 00:01:56,723 --> 00:01:59,196 across an article and learned that prevent and 48 00:01:59,196 --> 00:02:01,829 reverse hot disease is a central mission of 49 00:02:01,829 --> 00:02:03,105 the Nyu lang, 50 00:02:03,519 --> 00:02:06,816 hot initiative, which was launched in 20 22 51 00:02:06,955 --> 00:02:09,772 to ensure that every patient we treat benefits 52 00:02:09,911 --> 00:02:11,130 from the latest practices 53 00:02:11,524 --> 00:02:13,139 guidance and life even 54 00:02:13,515 --> 00:02:14,812 interventions. So 55 00:02:15,347 --> 00:02:17,281 I know that 1 of our life even 56 00:02:17,498 --> 00:02:20,366 interventions is definitely a ventricular assist devices. 57 00:02:20,939 --> 00:02:23,120 So, Amy, as the mechanical circulatory 58 00:02:23,580 --> 00:02:25,659 supports Crm. Can you tell us a little 59 00:02:25,659 --> 00:02:26,939 bit more about the program? 60 00:02:27,740 --> 00:02:28,240 So 61 00:02:28,554 --> 00:02:30,707 Our advanced heart failure team is really committed 62 00:02:30,707 --> 00:02:32,781 to making sure we have the best offerings 63 00:02:32,781 --> 00:02:35,014 for patients who are presenting, you know, with 64 00:02:35,014 --> 00:02:37,088 acute and chronic symptoms of advanced heart failure, 65 00:02:37,248 --> 00:02:40,071 and Mcs device are a really great option 66 00:02:40,207 --> 00:02:42,432 for these patients. We have a range of 67 00:02:42,432 --> 00:02:45,292 temporary devices, including Imp to an visual heart. 68 00:02:45,944 --> 00:02:48,576 We have, you know, cent temporary ads, but 69 00:02:48,576 --> 00:02:51,049 what I primary work with is a durable 70 00:02:51,128 --> 00:02:53,920 L device. So these are for patients with 71 00:02:53,920 --> 00:02:55,356 your class for heart failure. 72 00:02:55,848 --> 00:02:58,147 Who we've really tried to optimize using guided 73 00:02:58,147 --> 00:02:59,836 medical practice, but despite 74 00:03:00,207 --> 00:03:02,823 optimization, they're continuing to deteriorate from their disease, 75 00:03:03,394 --> 00:03:05,951 and it gives these patients a pathway to 76 00:03:05,951 --> 00:03:08,348 prolong life and also improve quality of life. 77 00:03:08,987 --> 00:03:11,157 So our team is very committed and made 78 00:03:11,157 --> 00:03:13,465 of a multi approach. These patients, you know, 79 00:03:13,625 --> 00:03:15,694 have a lot of clinical and emotional needs. 80 00:03:15,853 --> 00:03:17,286 So it it really is a a really 81 00:03:17,286 --> 00:03:20,094 beautiful collaboration between our surgeons, like cardiologist, 82 00:03:20,723 --> 00:03:23,026 our nurse practitioner team, the nurses, all the 83 00:03:23,026 --> 00:03:25,250 staff who care for these patients on the 84 00:03:25,250 --> 00:03:28,427 units, our social work team, our diet pharmacy, 85 00:03:29,078 --> 00:03:30,906 all over our therapy, It's it's really a 86 00:03:30,906 --> 00:03:32,972 great collaboration to ensure that these patients really 87 00:03:32,972 --> 00:03:35,277 do get the best care, especially since they 88 00:03:35,277 --> 00:03:37,503 are supported with this, you know, complex intervention. 89 00:03:38,631 --> 00:03:40,778 Wow. That's really amazing And I'm sure that 90 00:03:40,778 --> 00:03:43,482 the collaboration is certainly key to that. And 91 00:03:43,561 --> 00:03:45,152 I'm sure that there's a lot of clinical 92 00:03:45,152 --> 00:03:46,918 needs that need to be met to meet 93 00:03:46,918 --> 00:03:48,593 the needs of these patients. And I'm sure 94 00:03:48,593 --> 00:03:50,428 there's a lot of training to guide these 95 00:03:50,428 --> 00:03:52,024 nurses on how to care for these patients 96 00:03:52,024 --> 00:03:53,221 and a lot of education. 97 00:03:53,874 --> 00:03:56,511 Sounds really exciting. And, you know, I hear 98 00:03:56,511 --> 00:03:59,707 a lot about Nyu Land hot initiative, you 99 00:03:59,707 --> 00:04:02,199 know, through Raw social media sites. There's been 100 00:04:02,199 --> 00:04:04,276 recent articles that have been posted at are 101 00:04:04,276 --> 00:04:06,673 all just they're so dynamic and so excited 102 00:04:06,673 --> 00:04:08,590 to hear how we're Karen for these patients. 103 00:04:09,164 --> 00:04:11,162 I'm really trying to improve their quality of 104 00:04:11,162 --> 00:04:11,402 life. 105 00:04:12,201 --> 00:04:14,518 Agreed. Thank you, Amy. It just sounds like 106 00:04:14,518 --> 00:04:16,516 such an amazing program. So I wanted to 107 00:04:16,516 --> 00:04:20,038 ask Kim as the nursing professional development specialist 108 00:04:20,038 --> 00:04:21,950 of the cardio I see on the long 109 00:04:21,950 --> 00:04:23,782 island campus, can you tell us a little 110 00:04:23,782 --> 00:04:26,115 bit about what like taking care of patients 111 00:04:26,115 --> 00:04:28,035 with the ventricular assist device both in the 112 00:04:28,274 --> 00:04:29,095 Icu setting 113 00:04:29,475 --> 00:04:29,955 telemetry settings? 114 00:04:30,675 --> 00:04:32,995 Sure, Lauren. Thank you for the question, and 115 00:04:32,995 --> 00:04:33,795 glad to be here. 116 00:04:34,449 --> 00:04:36,758 So education for the patient and the nurse 117 00:04:36,758 --> 00:04:39,386 is so important for them to understand the 118 00:04:39,386 --> 00:04:42,015 use of the left ventricular assist device known 119 00:04:42,015 --> 00:04:42,811 as the L. 120 00:04:43,304 --> 00:04:45,368 For both the patient and the bedside nurse. 121 00:04:46,003 --> 00:04:48,862 Giving the patient control over the situation by 122 00:04:48,862 --> 00:04:51,347 having involved in their care during the hospital 123 00:04:51,403 --> 00:04:52,197 stay is key. 124 00:04:52,770 --> 00:04:55,110 This creates a strong nurse patient 125 00:04:55,490 --> 00:04:57,810 relationship that will build trust in the care 126 00:04:57,810 --> 00:04:59,250 of the patient with El. 127 00:04:59,904 --> 00:05:01,898 Some of the care that the nurses door, 128 00:05:02,057 --> 00:05:04,291 and will complete at the bedside and surgical 129 00:05:04,610 --> 00:05:08,917 Icu include dressing changes, drive line changes, control 130 00:05:08,917 --> 00:05:12,219 a system checks, or battery checks and finding 131 00:05:12,436 --> 00:05:15,562 patients mean material pressure by utilizing a doppler 132 00:05:15,858 --> 00:05:17,451 on the patient's break post. 133 00:05:18,420 --> 00:05:21,044 Nurses also have to understand what the patient 134 00:05:21,044 --> 00:05:24,066 is going through with the implant of this 135 00:05:24,066 --> 00:05:27,031 device. The outcome may look different for every 136 00:05:27,167 --> 00:05:29,642 patient. Whether it it be a bridge to 137 00:05:29,642 --> 00:05:32,522 transplant, that's when the patient's receiving a heart 138 00:05:32,577 --> 00:05:33,236 or a 139 00:05:33,609 --> 00:05:34,402 destination therapy, 140 00:05:34,893 --> 00:05:37,121 That's a patient living with an l for 141 00:05:37,121 --> 00:05:39,030 the rest of their lives until death. 142 00:05:39,666 --> 00:05:42,943 This is 1 emotional support. Comes from nurses. 143 00:05:43,102 --> 00:05:45,251 It comes into play for both the patient 144 00:05:45,251 --> 00:05:46,127 and their family. 145 00:05:46,684 --> 00:05:49,231 It does take a team as Amy said, 146 00:05:49,549 --> 00:05:52,111 to take care of these patients. And the 147 00:05:52,111 --> 00:05:53,065 team at Nyu 148 00:05:53,940 --> 00:05:56,666 Long Island is here to help our L 149 00:05:57,041 --> 00:05:58,336 community patients 150 00:05:58,950 --> 00:06:00,404 transition through the Si 151 00:06:00,779 --> 00:06:01,017 stay. 152 00:06:01,827 --> 00:06:02,782 More smoothly. 153 00:06:03,815 --> 00:06:05,644 Wow. That's the me. And, you know, I'm 154 00:06:05,644 --> 00:06:07,474 sure it really is a lot of work 155 00:06:07,792 --> 00:06:09,834 that it takes to really support those types 156 00:06:09,874 --> 00:06:11,388 of patients, you know, like, as you said, 157 00:06:11,547 --> 00:06:13,003 whether it's a bridge to transplant 158 00:06:13,380 --> 00:06:14,734 or if they will living in with these 159 00:06:14,734 --> 00:06:15,132 devices. 160 00:06:15,770 --> 00:06:18,160 So Adrian as a clinical nurse who sees 161 00:06:18,160 --> 00:06:20,008 these patients on the rehab of side. Can 162 00:06:20,008 --> 00:06:21,763 you tell us a little bit more from 163 00:06:21,763 --> 00:06:22,401 the clinical, 164 00:06:22,959 --> 00:06:25,511 bedside nurse perspective on, you know, how you 165 00:06:25,511 --> 00:06:27,346 are able to take care of these patients 166 00:06:27,346 --> 00:06:29,180 and offer them that emotional support? 167 00:06:30,074 --> 00:06:32,395 It's really very challenging because, first of all, 168 00:06:32,555 --> 00:06:34,555 when they are in acute rehab that's when 169 00:06:35,355 --> 00:06:37,355 frustration sets in because, like, you know, they're 170 00:06:37,355 --> 00:06:39,250 able to determine what they can't and can 171 00:06:39,449 --> 00:06:39,688 do. 172 00:06:40,485 --> 00:06:40,725 So, 173 00:06:41,681 --> 00:06:44,733 we are just doing lots of positive reinforcements 174 00:06:45,190 --> 00:06:46,784 to make sure that, you know, they are, 175 00:06:46,864 --> 00:06:47,980 like, kept on the right track. 176 00:06:48,554 --> 00:06:50,730 And also, we're setting, like, our goals 177 00:06:51,267 --> 00:06:54,300 weekly. So we are, more realistic with it. 178 00:06:55,178 --> 00:06:58,388 And also, be for this charge, we're having 179 00:06:58,388 --> 00:06:59,527 this weakened 180 00:06:59,906 --> 00:07:00,805 stroke class 181 00:07:01,184 --> 00:07:03,522 with emphasis on, like, a 182 00:07:04,381 --> 00:07:05,201 heart health 183 00:07:06,313 --> 00:07:08,628 medication management at home because, usually, 184 00:07:09,186 --> 00:07:12,299 our stroke patients are really not that aware 185 00:07:12,299 --> 00:07:14,076 of, like, the connection between 186 00:07:14,469 --> 00:07:14,549 like, 187 00:07:15,348 --> 00:07:16,647 stroke and heart health 188 00:07:17,026 --> 00:07:19,184 because when they tend to ask about, like, 189 00:07:20,063 --> 00:07:22,141 brain health, their focused mostly is on memory. 190 00:07:22,780 --> 00:07:25,262 So we try to, like, reinforce them as 191 00:07:25,262 --> 00:07:27,250 to how helpful it is that if you 192 00:07:27,250 --> 00:07:29,636 take care of your heart, you're somehow, like, 193 00:07:29,875 --> 00:07:31,386 taking care of your brain as well. So 194 00:07:31,386 --> 00:07:33,730 it kinda like incentivize them 195 00:07:34,185 --> 00:07:37,287 and also, like, it increases, like, medication compliance 196 00:07:37,287 --> 00:07:37,764 at home. 197 00:07:38,893 --> 00:07:39,847 Thank you, Adrian. 198 00:07:40,245 --> 00:07:42,471 As a neuroscience nurse myself, I love that 199 00:07:42,471 --> 00:07:44,539 you brought up the brain. We can't talk 200 00:07:44,539 --> 00:07:46,209 about the heart without mentioning the brain. So 201 00:07:46,368 --> 00:07:48,374 I'm glad we have joanna here today, Joanna, 202 00:07:48,534 --> 00:07:50,048 I wanna ask you, can you tell us 203 00:07:50,048 --> 00:07:52,518 about the stroke program here at Nyu land 204 00:07:52,518 --> 00:07:54,805 in any new initiatives related to stroke? Joanna 205 00:07:55,162 --> 00:07:56,590 I'm Joanna Mar I'm 1 of the stroke 206 00:07:56,590 --> 00:07:59,210 program coordinators and our stroke program is unique. 207 00:07:59,686 --> 00:08:01,988 We have 3 campuses that are comprehensive stroke 208 00:08:01,988 --> 00:08:03,709 centers, which means that we're able to provide 209 00:08:03,829 --> 00:08:05,578 highest level of stroke care to all patients, 210 00:08:06,055 --> 00:08:07,884 whether they have a hem stroke or an 211 00:08:07,884 --> 00:08:10,452 ischemic stroke, and we also have an inpatient 212 00:08:10,588 --> 00:08:13,147 rehab unit that's certified as the stroke rehabilitation 213 00:08:13,147 --> 00:08:14,338 unit at the Brooklyn campus. 214 00:08:14,973 --> 00:08:17,118 Like Warren said, like Adrian mentioned you really 215 00:08:17,118 --> 00:08:18,786 can't talk about the heart without bringing up 216 00:08:18,786 --> 00:08:20,295 the brain and you can talk about the 217 00:08:20,295 --> 00:08:21,699 brain without bringing up the heart 218 00:08:22,220 --> 00:08:23,819 We always say that the best stroke is 219 00:08:23,819 --> 00:08:25,660 the stroke that never happened, the 1 that 220 00:08:25,660 --> 00:08:27,259 was prevented, and the only way you can 221 00:08:27,259 --> 00:08:29,580 do that is by optimizing your cardiovascular health. 222 00:08:30,231 --> 00:08:32,214 1 of the newest initiatives that we have 223 00:08:32,214 --> 00:08:34,514 all taken as program coordinators from our latest 224 00:08:34,514 --> 00:08:36,339 visit to the International Stroke Conference. 225 00:08:37,068 --> 00:08:40,647 Was the American Heart Association life essential 8. 226 00:08:41,442 --> 00:08:43,589 The life essential 8 is 8 metrics that 227 00:08:43,589 --> 00:08:46,395 are utilized to optimize cardiovascular health 228 00:08:47,023 --> 00:08:49,088 used to be called life simple 7, but 229 00:08:49,088 --> 00:08:51,708 most recently in June of 20 22. They 230 00:08:51,708 --> 00:08:53,455 upgraded it to 8 to include, 231 00:08:54,011 --> 00:08:56,013 sleep health. It So the 8 metrics they 232 00:08:56,013 --> 00:08:59,433 look at to optimize cardiovascular health is healthy 233 00:08:59,433 --> 00:09:01,501 diet. So teaching our patients how to eat 234 00:09:01,501 --> 00:09:01,661 better. 235 00:09:02,554 --> 00:09:04,394 Management of weight, how can we help our 236 00:09:04,394 --> 00:09:05,914 patients maintain a healthy body weight, 237 00:09:06,794 --> 00:09:07,595 being more active, 238 00:09:08,154 --> 00:09:10,007 how do we get our patients especially post 239 00:09:10,007 --> 00:09:12,182 stroke patients are really just patients who have 240 00:09:12,320 --> 00:09:14,713 recently left hospital as we get them back 241 00:09:14,713 --> 00:09:15,431 into the community, 242 00:09:15,909 --> 00:09:18,302 resuming activity that they would have previously done 243 00:09:18,302 --> 00:09:20,473 and increasing their activity more so than they 244 00:09:20,473 --> 00:09:21,352 ever have in their life. 245 00:09:22,151 --> 00:09:23,989 Also talks about controlling cholesterol. 246 00:09:24,629 --> 00:09:25,129 Previously, 247 00:09:25,588 --> 00:09:28,305 life simple 7 only looked at total cholesterol, 248 00:09:28,559 --> 00:09:31,840 but most recently, they're looking at non Hdl 249 00:09:32,055 --> 00:09:33,962 cholesterol. How do we help our patients improve 250 00:09:33,962 --> 00:09:35,948 it? Do we teach them about taking their 251 00:09:35,948 --> 00:09:36,743 statins timely? 252 00:09:37,473 --> 00:09:39,063 We make sure that they're on a high 253 00:09:39,063 --> 00:09:41,448 intensity set when they're discharged, are they following 254 00:09:41,448 --> 00:09:42,640 up with their doctors correctly. 255 00:09:43,753 --> 00:09:46,638 Life Essential aid also looks at nicotine exposure 256 00:09:46,789 --> 00:09:48,781 So previously, they were only looking at smoking? 257 00:09:48,940 --> 00:09:50,534 Are we teaching our patients not to smoke, 258 00:09:50,852 --> 00:09:53,721 But most recently, they've updated it just to 259 00:09:53,721 --> 00:09:55,654 nicotine exposure to account for people who are 260 00:09:55,654 --> 00:09:57,095 vaping and e cigarette use. 261 00:09:58,054 --> 00:10:00,455 We also talk about managing blood sugar, so 262 00:10:00,455 --> 00:10:02,543 teaching our patients once again, have do eat 263 00:10:02,543 --> 00:10:04,554 a healthy diet and keep their blood sugar 264 00:10:04,691 --> 00:10:06,918 in a a nice range, how to optimize 265 00:10:06,918 --> 00:10:08,111 their hemoglobin A1c. 266 00:10:09,003 --> 00:10:11,398 We talk about healthy sleep, sleep something that's 267 00:10:11,398 --> 00:10:12,994 been overlooked a lot when it comes to 268 00:10:13,074 --> 00:10:16,187 Cardiovascular health, but now life essentially, it really 269 00:10:16,187 --> 00:10:19,149 highlights the need for around 7 to 9 270 00:10:19,149 --> 00:10:21,456 hours of sleep dependent on one's age and 271 00:10:21,456 --> 00:10:23,842 you know I laugh at that because as 272 00:10:23,842 --> 00:10:26,240 nurses we're always here telling our patients what 273 00:10:26,240 --> 00:10:28,067 they should be doing to make themselves healthier, 274 00:10:28,385 --> 00:10:30,211 but I'm reading 7 to 9 hours of 275 00:10:30,211 --> 00:10:32,356 sleep meanwhile, I think I only got 3 276 00:10:32,356 --> 00:10:33,650 last night. So 277 00:10:34,437 --> 00:10:36,346 ties into even though we're teaching our patients 278 00:10:36,346 --> 00:10:37,777 this, it's important for us to follow it 279 00:10:37,777 --> 00:10:38,175 as well. 280 00:10:38,891 --> 00:10:40,721 And lastly about managing blood pressure. 281 00:10:41,533 --> 00:10:43,848 By using Life essential 8, we can kind 282 00:10:43,848 --> 00:10:46,323 of structure the education we provide to our 283 00:10:46,323 --> 00:10:48,499 patients as well as provide them with resources 284 00:10:48,638 --> 00:10:49,776 outside of the health system 285 00:10:50,330 --> 00:10:52,490 Life essential 8 has this thing called my 286 00:10:52,490 --> 00:10:52,970 toolkit. 287 00:10:53,690 --> 00:10:56,649 It's a my life check online. Anybody can 288 00:10:56,649 --> 00:10:58,330 access it as long as they have Internet 289 00:10:58,330 --> 00:10:58,490 access. 290 00:10:59,143 --> 00:11:00,419 You can go on and you could put 291 00:11:00,419 --> 00:11:02,571 in your own part healthy habits, how much 292 00:11:02,571 --> 00:11:03,846 do you sleep at night? What was your 293 00:11:03,846 --> 00:11:04,984 latest cholesterol? 294 00:11:05,520 --> 00:11:07,844 What's your hemoglobin a1c? It will actually rank 295 00:11:07,844 --> 00:11:09,752 you on a scale from 0 to 100, 296 00:11:10,070 --> 00:11:11,342 and it will let you know where your 297 00:11:11,342 --> 00:11:14,443 cardiovascular health is where it should be and 298 00:11:14,443 --> 00:11:16,272 what steps you can take to optimize it. 299 00:11:16,510 --> 00:11:18,592 And This is something again comes from the 300 00:11:18,751 --> 00:11:20,500 American Heart Association and it comes from their 301 00:11:20,898 --> 00:11:23,044 Presidential Advisory committee, which to me is super 302 00:11:23,044 --> 00:11:25,588 important because this committee influences public policy. 303 00:11:26,399 --> 00:11:28,712 And the. Us. Really, we haven't really talked 304 00:11:28,712 --> 00:11:31,184 about preventative medicine enough, and it's a good 305 00:11:31,184 --> 00:11:33,838 sign that our country and our health systems 306 00:11:34,056 --> 00:11:36,622 throughout are really moving towards a preventative measure 307 00:11:36,622 --> 00:11:38,296 because once again, the best stroke is the 308 00:11:38,296 --> 00:11:39,252 stroke that never happens. 309 00:11:40,129 --> 00:11:42,360 Some other initiatives that we do related to 310 00:11:42,360 --> 00:11:44,848 stroke and cardiovascular health is really just partnering 311 00:11:44,848 --> 00:11:47,804 with our preventative cardiology team and while you 312 00:11:47,804 --> 00:11:49,582 has the center for prevention of cardiovascular 313 00:11:50,040 --> 00:11:50,540 disease 314 00:11:50,934 --> 00:11:54,598 and our attending often give lecture series through 315 00:11:54,598 --> 00:11:57,887 there that are available to staff, patients, caregivers 316 00:11:58,104 --> 00:12:00,096 and the community, which is really helpful. 317 00:12:00,670 --> 00:12:02,830 And we also do an annual stroke C. 318 00:12:03,149 --> 00:12:05,149 At this stroke C this year, we had 319 00:12:05,149 --> 00:12:07,070 a guest speaker. Her name was Doctor. Gina 320 00:12:07,230 --> 00:12:07,629 Gia. 321 00:12:08,204 --> 00:12:10,841 She's a preventative cardiologist from North, and she 322 00:12:10,841 --> 00:12:13,418 spoke to our group about optimizing 323 00:12:14,117 --> 00:12:15,975 residual r and stroke by 324 00:12:16,290 --> 00:12:19,250 giving the latest lifestyle and advanced preventative therapies 325 00:12:19,250 --> 00:12:21,889 for patients who don't have great cardiovascular health 326 00:12:21,889 --> 00:12:23,330 and definitely have room for improvement. 327 00:12:24,063 --> 00:12:26,557 Wow, Joanna. Thank you so much for that 328 00:12:26,695 --> 00:12:28,769 overview of our stroke program and all those 329 00:12:28,769 --> 00:12:30,284 tips you gave us to take care of 330 00:12:30,284 --> 00:12:32,119 our hearts and our brains, which is really 331 00:12:32,119 --> 00:12:33,315 what this month is all about. 332 00:12:33,889 --> 00:12:35,565 So I wanna thank you all so much 333 00:12:35,565 --> 00:12:37,741 for joining us today and being a valuable 334 00:12:37,879 --> 00:12:40,673 resource to our nursing staff and community. We 335 00:12:40,673 --> 00:12:43,243 hope that our listeners found this discussion helpful 336 00:12:43,243 --> 00:12:44,602 and useful to their practice. 337 00:12:45,161 --> 00:12:46,919 You can find links to the resources on 338 00:12:46,919 --> 00:12:49,316 our website, and for any questions or comments, 339 00:12:49,556 --> 00:12:52,460 please email hash is tag nursing station podcast 340 00:12:53,071 --> 00:12:55,293 or a nursing station podcast at n nyu 341 00:12:55,293 --> 00:12:56,245 land dot org. 342 00:12:56,880 --> 00:12:59,394 Also, remember, as a reminder, this session is 343 00:12:59,514 --> 00:13:01,188 eligible for 0.5 344 00:13:01,188 --> 00:13:03,978 contact hours. A survey will be posted with 345 00:13:03,978 --> 00:13:07,246 the recording, please access and complete the evaluation 346 00:13:07,246 --> 00:13:08,693 to a the certificate.