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​Stroke & Rehabilitation
Medicine Program

 

RVH’s stroke program is home to the Enhanced District Stroke Centre which includes RVH, clinical stroke services and broader regional planning responsibilities (Central East Stroke Network). We are dedicated to providing the best possible experience to those who are at risk for having a stroke or who require care and rehabilitation after a stroke.

As an Enhanced District Stroke Centre, we are the only hospital in Simcoe County who provide the clot busting drug Tissue Plasminogen Activator (tPA) for acute ischemic stroke. tPA can minimize disability associated with stroke. Patients from Simcoe County are brought immediately to RVH by ambulance for further assessment if their signs and symptoms of stroke have been present for less than 3.5 hours. Patients who are eligible and receive tPA will be transferred back to their home hospital after 24-48 hours of monitoring. Patients who are determined not eligible for tPA will be transferred to their home hospital for further care directly from the RVH Emergency department.

RVH provides best practice interprofessional inpatient and outpatient stroke care. Inpatient services are provided on the Integrated Stroke and Rehabilitation Unit. Outpatient services are available through the Stroke Prevention Clinic and Day Rehabilitation Program.

 

 

 

Area's of care

Inpatient

Integrated Stroke Unit and Rehabilitation Inpatient


Contact Us

Integrated Stroke Unit​ and Rehabilation 
Phone: 705-728-9090 Ext. 47350

Manager: Shelley Debison
 
Phone: 705-728-9090 Ext. 47305
Fax: 705-797-3073

Outpatient

Rehabilitation Day Program


Contact Us

Rehabilitation Day Program
Phone: 705-728-9090 Ext. 47347

Hours of Operation: 

Monday - Tuesday:  9a.m. - 4 p.m.

Wednesday: 9 a.m. - noon
Friday: 9 a.m. - 4 p.m.

Location: Register at Treatment Clinic Recurring Check In on Level 1 before going to Rehabilitation Day Program. From Treatment Clinic Recurring Check In turn left following the Blue Navigation line. Rehabilitation Day Program is located at the end of the hallway on your left.
Note: Press the accessibility door button to enter the clinic.

Outpatient

Stroke Prevention Clinic


​Contact Us

Stroke Prevention Clinic
Phone: 705-728-9090 Ext. 23300
Fax: 705-728-3039 

Hours of Operation:
Monday and Thursday: 8 a.m. - 4 p.m.

Our Partner

Central East Stroke Network


Contact Us

Central East Stroke

Network Manager: Cheryl Moher
Phone: 705-728-9090 Ext. 46300

Location
201 Georgian Drive, Barrie, ON L4N 6M2


 

​Resources

Please visit the links below for more information on Stroke.

Post Stroke Checklist

North Simcoe Muskoka Self-Management Programs

The Living with Stroke Program

Stroke Recovery Barrie

North Simcoe Muskoka Health line

Stroke Engine Family

Heart and Stroke


       

Guiding Principles

• Provide patient and family centered care that reflects the RVH MY CARE strategic plan

• Provide care that reflects the Canadian Best Practice Recommendations for Stroke Care

• Value roles and perspectives of patients and families in the recovery journey

• Provide care that is compassionate while inspiring hope and instilling trust for patients and families

• Think big and work together with patients and families to maximize recovery and optimize quality of life

• Provide leadership and collaborate with our community partners in advancing stroke care within Simcoe County, North Simcoe Muskoka Local Health Integrated Network (NSN LHIN), and the Central East Stroke Region

 

Goals & Objectives

RVH provides cross continuum stroke services through hyperacute, acute and rehabilitation
(inpatient and out-patient) and stroke prevention services. Across these settings, the overarching goals of the stroke program are to:

• Provide best practice stroke care that is supported by clinical pathways, validated assessments and comprehensive care planning that reflects the Canadian Best Practice Recommendations for Stroke Care

• Conduct timely interprofessional assessment of all patients admitted using validated assessment tools

to own our clinical practice and ensure stroke care expertise within the interprofessional team through annual maintenance of stroke care competencies

• Work together with families and caregivers to address individualized education and information needs;

• Work together with our community partners to achieve smooth transitions across the stroke care continuum, ensuring quality and timely care in the right setting

 

Hyper-acute (Emergency phase) –Our goals are to:

• Provide timely access to appropriate assessment, screening and diagnostic testing that meets

Canadian Best Practice Recommendations for Stroke Care (Hyperacute Standards- Section 3.0)

• Provide thrombolysis (t-PA) to eligible patients within 60 minutes of arrival to RVH Emergency Department

• Refer all non-admitted patients with Transient Ischemic Attacks/mild strokes to the RVH Stroke Prevention Clinic

 

Acute Care- Our goals are:

• Complete nursing admission assessments, Falls Risk and Pressure Ulcer Risk assessments within
24 hour

• Complete interprofessional team assessments on all patients with stroke within 48 hours of admission

• Conduct comprehensive assessments using validated assessment tools

• Minimize complications of stroke through the use of evidence based care pathways, validated screening tools and comprehensive care planning

• Initiate referral to vascular surgery for consideration of carotid endarterectomy

to initiate secondary stroke prevention through education, self- management and healthy lifestyle support, risk factor management

• Complete the Alpha Functional Independence Measure (Alpha FIM®) on all patients on day 3 of admission to support triage to the most appropriate care setting within the recommended time frames

• Access stroke prevention services for medical optimization

 

Inpatient Rehabilitation

Our goals are to:

• Work together with patients and their families

• Provide best practice interprofessional rehabilitation, tailored to individual needs and functional goals;

• Empower patients and families to be active partners in the rehabilitation journey and goal setting process;

• Facilitate seamless transitions to the community through comprehensive and inclusive discharge planning with the interprofessional team

• Ensure effective communication and linkages between the Integrated Stroke Unit, the Rehabilitation Day Program and the North Simcoe Muskoka Community Care Access Centre (NSM Home and Community Care)

• Our discharge planning processes and evaluate the effectiveness of transitions through post discharge phone calls

 

Community Reintegration

Our goals are to:

• Provide patient and families with information about NSM Home and Community Care, community rehabilitation and other community resources, facilitate linkages and initiate referrals

• Offer eligible patients timely access to hospital based outpatient inter-professional stroke rehabilitation through the Rehabilitation Day Program

• Work together with community partners to facilitate ongoing self-management, health promotion and successful community reintegration and lifelong recovery for patients and their families

• Think big and work together with our community partners to address current gaps in stroke care within Simcoe County, NSM LHIN and Central East Stroke Region

 

Stroke Prevention Clinic

• Provide early access to multidisciplinary assessment, diagnostic testing, treatment, and referral for patients who have been identified at high risk for stroke

• Provide education on lifestyle and vascular risk management, stroke prevention and warning signs
for stroke

• Facilitate linkages to community programs including community exercise programs and cardiovascular rehabilitation for secondary prevention and chronic disease management

 

Outpatient Day Rehabilitation

Admission criteria for Rehabilitation requirements:

 

Patient admission into the program is dependent on meeting the following criteria.

The patient must:

· Be 18 years of age or older

· Have a diagnosis of: stroke, or amputation requiring prosthetic training.  Patients with neurodegenerative disease as their admitting diagnosis are not eligible for admission.

· Be referred to the program by a physician, or nurse practitioner. The referral must be complete and may be returned if additional information is required

· Be medically stable and able to tolerate a minimum of three hours of therapeutic activity per day

· Have experienced the neurological event for which he or she is referred within the past 3 months and/or be a new prosthetic limb user

· Require the services of one of the following: Occupational Therapy, Physiotherapy, Speech Language Pathology, Registered Nursing, Social Work

· Not be receiving inpatient hospital care

· Not be a resident of a long term care facility

· Reside within the provider service area for Royal Victoria Regional Health Centre or has received care for the referring diagnosis at RVH

· Demonstrate rehabilitation potential and have functional goals that are attainable in a three month period

 


Signs of Stroke: