If you have a patient admitted two days ago for stroke with left sided weakness and all of a sudden she is showing increased weakness to the left side, more pronounce facial droop, and slurring of her words, what would you do? I called the doctor (Neurologist and Generalist), put on some O2, took vital signs, did the NIH scale and talked with her until the transport came up for the STAT CT scan. What else can we do without an order? I really wanted to do more for this lady and consulted my charge nurse, but she said that we have done everything within our scope. I just want to have more tools in my tool box for if and when such a thing happends again. Thank you.