Nursing practices theory based nursing that is evidenced based utilizing a Shared Governance model for decision-making.• All RN staff who have direct responsibility for the care of stroke patients must have knowledge of:• Stroke symptoms and warning signs• Protocols and pathways used to identify, evaluate and management of stroke patients• NIHSS and Modified Rankin Stroke scales• Stroke Alert activation and protocol• Stoke quality indicators• Available stroke patient education materials and community resources• Educational requirements• Stroke Center website resources. The plan may include activities, such as administering medication, including careful checking of dosages and avoiding interactions; starting, maintaining, and discontinuing intravenous (IV) lines for fluid, medication, blood, and blood products; administering therapies and treatments; observing the patient and recording those observations; and consulting with physicians and other healthcare clinicians.