My question involves the stroke protocol, and utilizing the neurologist to confirm a code stroke. I am often requested to bypass the closest hospital and transport to the stroke center. Many pt’s are exhibiting neurological symptoms, but not cva. Why are we still transporting to the neuro center if it’s not a code stroke? The pt is able to get a ct and a neuro referral at the closest non neuro center.

Recently brought a pt in to hospital that was negative for facial droop, slurred speech, arm drift and has equal grips. His complaint was on dizziness but he also was being treated for a uti. Nursing staff tested his arm drift again and had him close his eyes which threw him off. Is that the proper way to assess for arm drift to have a pt close their eyes while doing it? Thank you for your help