The regional Pre-Printed Order for primary hemorrhage has been revised to include updates on evidence-based practices with the Canadian Heart & Stroke best practice recommendations.

What's happening?

The student practice team would like to inform all students and faculty instructors about revisions to a Pre-Printed Order (PPO), which may impact their practice areas. The revisions are as follows:

  • Document
  • Revisions
    • Expanded diagnostic and laboratory investigations.
    • Targets for tighter blood pressure management.
    • Increased frequency of vital signs and neurological assessments.
    • Inclusion of the National Institutes of Health Stroke Scale and assessment instructions.
    • Interim medication administration record (MAR).
  • Implementation

    The revised primary intercerebral hemorrhage Pre-Printed Orders will be added to existing stroke packs in acute care web forms imprint in a phased-in approach across Fraser Health sites.

  • Effective date

    Phase 1:

    SMH - August 22, 2018
    RCH- August 29, 2018

    Phase 2:

    ARH, BH, CGH, DH, ERH, LMH, MMH, PAH, RMH –  Dates to be Confirmed

    Phase 3:

    JPOCSC, QPCC, CW – Dates to be Confirmed

    * ARH - Abbotsford Regional Hospital, BH - Burnaby Hospital, CGH - Chilliwack General Hospital, CW - Children’s & Women’s Hospital, DH - Delta Hospital, ERH - Eagle Ridge Hospital, JPOCSC - Jim Pattison Outpatient Care and Surgery Centre, LMH - Langley Memorial Hospital, MMH - Mission Memorial Hospital, PAH - Peace Arch Hospital, QPCC - Queen’s Park Care Centre, RCH - Royal Columbian Hospital, RMH - Ridge Meadows Hospital, SMH - Surrey Memorial Hospital. 

Why is this important?

The first minutes and hours following the onset of stroke signs and symptoms are strongly linked to patient outcomes. The Regional PPO for Primary intracerebral hemorrhage has been revised to include updates on evidence-based practices in accordance with the Canadian Heart & Stroke Best Practice Recommendations.

Fraser Health considers the patient experience in all parts of the health system. This includes the development and revision of policies, clinical decision support tools, forms, and Pre-Printed Orders. Our goal is to provide quality care that is sensitive and responsive to patient needs, preferences, and beliefs.

How will this impact students and faculty instructors?

Students and faculty instructors who are completing student placements in Fraser Health are expected to apply any necessary changes in their practice to ensure that patients, clients, and residents continue to receive safe and quality care. Students and faculty instructors can only access this PPO via FH Pulse when they are on a Fraser Health computer on a Fraser Health site.


Please contact the Student Practice Team at

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