FAQ – SSNAP

1.7: What postcode should I enter for overseas patients or those with no fixed abode?
1.9: How do I record a change of diagnosis?
1.11: What onset time should be recorded if a patient has a stroke during sleep?
1.14: For an inpatient stroke what should I enter as the first ward of admission?
2.3: What should be recorded as the patient’s NIHSS score on arrival if they are unconscious or comatose?
2.3 & 2.9: Will selecting “not known” for components of NIHSS affect the audit compliance level for my team?
2.4: If a patient is scanned as an outpatient and an infarct is detected but is not admitted to hospital until a later date (eg 24 hours or 48 hours later) what should be entered for arrival and scanning date/time?
2.4: What happens when a stroke patient has a brain scan at a hospital and is then immediately transferred to another hospital?
2.9: What NIHSS score should I enter for ‘What was the patient’s NIHSS score at 24 hours after thrombolysis?’ if the patient died within 24 hours after receiving thrombolysis?
3.1: How should I record a patient who was for palliative care in the first 72 hours but whom then recovers?
3.1: If a patient is palliative prior to their stroke, should the patient be indicated as for palliative care?
3.3: If a patient was first assessed by a stroke specialist consultant physician through telemedicine, does this count?
3.3: Definition of a stroke specialist consultant
3.4: What is the most accurate way to reflect the pathway of a stroke patient who initially passed a swallow screen but then goes on to develop problems after 72hrs?
6.6: If a patient is screened and not identified as high risk of malnutrition, but are screened again due to their condition deteriorating, and are then identified as at risk of malnutrition, what screening results should be entered onto SSNAP?
6.6: What happens when a patient is identified as high risk of malnutrition but after a swallow assessment is no longer considered at risk?
7.1: When is it appropriate to discharge to 'somewhere else'?
7.4: Should the modified Rankin Scale score be solely related to disability resulting from stroke or include general level of disability?
7.4: What should be entered if there is not an up to date Modified Rankin Scale (MRS) score on discharge available?
7.9: What do you answer if the patient has been discharged to a care home where they are receiving 24/7 care?
7.9: If social services have allocated a personalised support budget to a patient can these visits be included in 7.9.2?
Frequency of reporting cycles
When are the key SSNAP deadlines?
A patient has been transferred to another team within 24 hours of admission. How do I complete sections 1-3?
When does the ‘clock’ start for questions regarding the first 72 hours of care?
Definition of a stroke unit
How do I submit a request for SSNAP data?
How should inpatients with two stroke occurrences be recorded?
Where can I find VTE data?
Should patients who die on arrival be added to SSNAP?