PASTA component | Core content expected to be delivered | Local variation permitted |
---|---|---|
Information | Must use PASTA format | Any clinical information collection system (paper/electronic) |
Pre-notification | Must be performed for all PASTA admissions | Paramedic call to ED Paramedic call to HASU Dispatch call to ED Dispatch call to HASU Pre-notification may or may not include patient-identifiable information |
Handover | Must follow study format | Occurs in most suitable area for rapid handover and registration Receiving hospital team are ED and/or stroke service clinicians May include other relevant information for individual patients |
Scan | Paramedic assists with transfer to scan if < 15 min since handover | Any appropriate hospital clinician accompanies patient Any brain imaging modality which would assist treatment decisions Transfer by ambulance or hospital trolley as long as no delay incurred |
Assist | Patient transferred off ambulance trolley onto hospital trolley Paramedic offers assistance for initial tasks Ambulance crew prepares for departure | Team may not require assistance for each or all task(s) Ambulance operational conditions may shorten paramedic stay |
Checklist | Paramedic enquires about progress from any hospital team member at 15 min since handover | Checklist completion should reflect usual local service procedures (e.g. telemedicine specialist review) |
Feedback | Paramedic seeks feedback about provisional diagnosis and onset time | Any member of hospital team can provide feedback Paramedic can seek feedback on any aspect of the assessment The hospital team may not (yet) be able to provide feedback |