Timed check sheet

All times are 24-hour. Type four digits — 0742, 1930 — and they format themselves. Everything runs in your browser; nothing on this page is saved, sent, or stored anywhere.

Sheet type

No TNK given

Post-op vitals tool

Stroke alert

Date

Time

Patient label / MRN (optional)

Arrived in Neuro ICU — date

Time

Thrombolytic

Pre-TNK vitals date

Pre-TNK vitals time

TNK administered date

TNK administered time

Check intervals

Q15 min for

Q30 min for

Q1 hr for

Rounding

Include 24-hour CT head

Hours after anchor

Values are hours. Presets load with the sheet type — edit them after if this patient differs.

Stroke protocol audit sheet

Stroke alert

Arrived Neuro ICU

Pre-TNK vitals

TNK administered

Affix patient label

Room

Primary RN

Page ___ of ___

Date	Due	Elapsed	Time done	Initials	Comment / variance

Required before discharge from protocol

Item	Date	Time	Initials	Comment
Thrombolytic stroke care plan initiatedPlan of care active in the chart
Stroke education providedPatient and family, documented
Dysphagia screening completedBefore any oral intake, including medications

Staff signature / title

Audited by

Date reviewed

Verify against current unit protocol.