Acute Stroke Unit Orientation

Acute Stroke Unit Orientation (developed by Southwestern Ontario 2015): A Self-Directed Acute Stroke Unit Learning Program for Nurses and Allied Health Team

Stroke Distinction 

Accreditation Canada Stroke Distinction Program for Acute Stroke Services helps to provide a framework for the implementation of Stroke Best Practices. Kingston Health Sciences Centre has achieved Stroke Distinction in 2012, 2014 and 2018. 

To review latest KHSC Accreditation Canada Report, click here


AlphaFIM - Southeastern Ontario

For more information relating to AlphaFIM, please contact your Regional AlphaFIM(R) lead:

Shelley Huffman, BScPT
Regional Stroke Rehabilitation Coordinator
Stroke Network of Southeastern Ontario
613-549-6666 x6841 


National Institute of Health Stroke Scale (NIHSS)

The NIH Stroke Scale is a simple, reliable and valid clinical stroke assessment tool and document for nuerological status in acute stroke patients

Canadian Neurological Scale (CNS)

The CNS is a validated and recommended tool for assessing and monitoring the neurological status of stroke clients.  Please note that the Southeastern Ontario CNS Card must be ordered from

Stroke Assessment & Prevention Pocket Cards (Heart & Stroke Foundation of Canada)

Dysphagia Screening, Monitoring & Management

Monitoring for Dysphagia Post Stroke Using the Screening Tool for Acute Neurological Dysphagia (STAND): Case Study Video

The following case studies demonstrate the importance of screening, monitoring and managing patients following a stroke for swallowing difficulties, known as dysphagia.

Module 1: Management of Dysphagia in Acute Stroke - Brockville General Hospital

In this online learning module you will learn the importance of screening stroke survivors for swallowing difficulties known as dysphagia and how to monitor and manage patients following a stroke for dysphagia.

Module 2: Dysphagia Screening Tool: STAND - Brockville General Hospital

In this online learning module you will learn how to perform a dysphagia screen using the "Screening Tool for Acute Neurological Dysphagia" also known as the STAND. At Brockville General Hospital, to complete this learning to be able to perform the STAND you will have to complete online learning modules 1 and 2 and then perform 1 return demonstration and 2 bedside patient demonstration with the SLP or a Dysphagia Screening Champion.

Risks of Swallowing Problems after Stroke:  ICES Research Video Series (Moira Kapral) 

About 50% patients who have recently had a stroke will experience dysphagia (swallowing problems) which can in turn lead to pneumonia, disability, and even death. That's why guidelines recommend that swallowing tests be conducted in all stroke patients within the first 72 hours after stroke, before taking any food or liquid by mouth.
It was found that 1 in 5 stroke patients were not given swallowing tests, particularly if the stroke was mild, even though all patients who experience stroke (whether severe or mild) are at risk of swallowing problems. They say that all care providers need to be aware of the importance of swallowing tests, since failed tests or missed diagnoses put patients at very high risk of disability, pneumonia and death.

Acute Stroke Unit Implementation

Acute Stroke Care in Lanark Leeds and Grenville Counties

Beginning on May 2, 2016 Stroke Survivors in Lanark, Leeds and Grenville counties have access to specialized stroke care at the Acute Stroke Unit in Brockville through the partnership of Perth and Smiths Falls District Hospital and Brockville General Hospital. Stroke Unit Care is known to improve survival rates and to optimize recovery and return home. In this video Linda and Joan (stroke survivors) and their families describe the importance of acute stroke unit care.

A Guide to the Implementation of Stroke Unit Care

This resources supports the Canadian Best Practice Recommendations for Stroke Care in the acute care setting and inpatient rehabilitation. It provides guidance for the establishment of new stroke units and the enhancement of exising stroke untis to provide optimal services and processess of care for stroke patients.