The FeSS Intervention is described briefly below with further details provided in the attached documents which can be downloaded from this page.
FeSS Clinical Treatment Protocols
Three expert panels developed the FeSS Clinical Treatment Protocols. The Fever and Sugar protocols were implemented for the first 72 hours following stroke unit admission. In brief:
The Fever protocol consists of monitoring the patients temperature and the prompt treatment of a temperature 37.5°C or greater in the first 72 hours, following stroke unit admission.
The Sugar protocol consists of monitoring the patient's blood glucose levels for the first 72 hours following stroke unit admission, and the prompt treatment of a blood glucose level greater than 10mmols/L in the first 48 hours following stroke unit admission.
The Swallow protocol consists of nurses undergoing education and assessment of competency to enable them to screen patients for swallowing difficulties (the QASC trial used the ASSIST screening tool which is also available for download).
FeSS Implementation Strategy
The FeSS Implementation Strategy consisted of workshops, educational presentations and reminders. In brief:
Two teambuilding workshops were held at each stroke unit to identify perceived barriers and enablers prior to implementation of the clinical protocols.
Two interactive and didactic educational outreach meetings were conducted to inform all stroke unit staff about the protocols.
Reminders and ongoing support for the study were given.