Who Does What?

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ATTACHMENT #4: WHO CAN DO WHAT

Form Name or Task Who will USUALLY complete it Who MAY complete it

SCREENING SC Any certified IHAST2 participant may complete this form. Usually a certified -NS or -AN will complete this form if certified-SC is not available.

ELIGIBILITY SC or -AN Any certified IHAST2 participant who is qualified to make Rankin, GCS, and WFNS assessments. Any certified -NS, -AN, or -NE may also complete this form if they are Rankin, GCS, and WFNS qualified. (All certified-ANs are GCS and WFNS qualified).

NIHSS(Preop) SC or -NE Any certified IHAST2 participant who is qualified to make NIHSS assessments. Any certified -NS or -AN may also do this assessment if they are also NIHSS qualified.

CONTACT SC Any certified IHAST2 participant may complete this form. Usually a certified -NS or -AN will complete this form if certified-SC not available.

PRE-SAH HISTORY SC or -AN Any certified IHAST2 participant. Usually this form would be completed by the certified-SC or-AN. However any certified -NS or -NE may also do this.

POST-ADMIT SCREEN SC or -AN Any certified IHAST2 participant. Usually this form would be completed by the certified-SC or-AN. However any certified -NS or -NE may also do this.

Enrollment call SC or -AN Any certified IHAST2 participant. Usually this call would be completed by the certified-SC or-AN. However any certified -NS or -NE may also do this.

NEUROSURGEON NS only Only the certified-NS who performs the primary aneurysm surgery may complete the form. All certified- NS are to have completed the Neurosurgeon qualification exam.

ANESTHESIOLOGIST AN only Only the certified-AN who cares for the patient during the primary aneurysm surgery may complete the form. All certified-ANs are required to be GCS and WFNS qualified, and to have completed the Anesthesiologist's qualification exam.

TEMPERATURE AN only Only the certified-AN who cares for the patient during the primary aneurysm surgery may complete the form. Once completed, it is sealed in an envelope and may not be seen by anyone.

NIHSS (2h Postop) SC If the primary SC is not available, the first choice for an alternate would be the -NE or another SC. If these are not available, a -NS or -AN may also do this if they are NIHSS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.

Confirmation call SC Any certified IHAST2 participant; usually a certified -NS or -AN if certified-SC not available.

DAILY POST-OP SCREEN SC Any certified IHAST2 participant who is qualified to make GCS assessments. If the certified-SC is not available, any certified -NS or -AN may also do this if they are GCS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.

INTERCURRENT EVENTS SC Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature. EXCEPTION: The certified-AN caring for the patient during the primary aneurysm surgery should complete all IE forms pertaining to intraoperative and/or early postoperative (0-2 h) events (page 6 of the ANESTHESIOLOGIST form).

MEDICATIONS SC Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.

NIHSS (24,72h & Discharge) SC or -NE If the primary SC is not available, the first choice for an alternate would be the -NE or another SC. If these are not available, a -NS or -AN may also do this if they are NIHSS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.

CONTACT FOLLOW-UP (6wk) SC Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.

OUTCOME FOLLOW-UP (6wk) SC Any IHAST2 participant who is qualified to make Barthel's, Rankin, and GOS assessments. If the certified-SC is not available, any certified -NS or -AN may also do this if they are Barthel's, Rankin, and GOS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of the patient's temperature group or intraoperative temperature.

CONTACT FOLLOW-UP (3mo) SC Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.

OUTCOME FOLLOW-UP (3mo) NE only Only the certified-NE may perform this exam.

NIHSS(3 months) NE only Only the certified-NE may perform this exam.

NEUROPSYCH (3mo) NPE Any certified IHAST2 participant who is qualified to administer neuropsychologic tests. This person CANNOT have been present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND must NOT be aware of the patient's temperature group or intraoperative temperature. The SC may NOT perform this evaluation. These tests may be administered form by the 3-month NE if they are qualified to administer these tests.

DEATH/PATIENT WITHDRAWAL SC and Local PI Usually this form would be initiated by the certified-SC. However, the local PI and/or Co-PI (certified-NS or -AN) are required to complete the narrative section.

Legend: SC = Study Coordinator; AN=Anesthesiologist; NE=Neurologic Examiner; NS=Neurosurgeon; NPE=Neuropsych Examiner. Items in ALL CAPS/BOLD refer to forms in the CRF Book

Form Name or Task	Who will USUALLY complete it	Who MAY complete it
SCREENING	SC	Any certified IHAST2 participant may complete this form. Usually a certified -NS or -AN will complete this form if certified-SC is not available.
ELIGIBILITY	SC or -AN	Any certified IHAST2 participant who is qualified to make Rankin, GCS, and WFNS assessments. Any certified -NS, -AN, or -NE may also complete this form if they are Rankin, GCS, and WFNS qualified. (All certified-ANs are GCS and WFNS qualified).
NIHSS(Preop)	SC or -NE	Any certified IHAST2 participant who is qualified to make NIHSS assessments. Any certified -NS or -AN may also do this assessment if they are also NIHSS qualified.
CONTACT	SC	Any certified IHAST2 participant may complete this form. Usually a certified -NS or -AN will complete this form if certified-SC not available.
PRE-SAH HISTORY	SC or -AN	Any certified IHAST2 participant. Usually this form would be completed by the certified-SC or-AN. However any certified -NS or -NE may also do this.
POST-ADMIT SCREEN	SC or -AN	Any certified IHAST2 participant. Usually this form would be completed by the certified-SC or-AN. However any certified -NS or -NE may also do this.
Enrollment call	SC or -AN	Any certified IHAST2 participant. Usually this call would be completed by the certified-SC or-AN. However any certified -NS or -NE may also do this.
NEUROSURGEON	NS only	Only the certified-NS who performs the primary aneurysm surgery may complete the form. All certified- NS are to have completed the Neurosurgeon qualification exam.
ANESTHESIOLOGIST	AN only	Only the certified-AN who cares for the patient during the primary aneurysm surgery may complete the form. All certified-ANs are required to be GCS and WFNS qualified, and to have completed the Anesthesiologist's qualification exam.
TEMPERATURE	AN only	Only the certified-AN who cares for the patient during the primary aneurysm surgery may complete the form. Once completed, it is sealed in an envelope and may not be seen by anyone.
NIHSS (2h Postop)	SC	If the primary SC is not available, the first choice for an alternate would be the -NE or another SC. If these are not available, a -NS or -AN may also do this if they are NIHSS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.
Confirmation call	SC	Any certified IHAST2 participant; usually a certified -NS or -AN if certified-SC not available.
DAILY POST-OP SCREEN	SC	Any certified IHAST2 participant who is qualified to make GCS assessments. If the certified-SC is not available, any certified -NS or -AN may also do this if they are GCS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.
INTERCURRENT EVENTS	SC	Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature. EXCEPTION: The certified-AN caring for the patient during the primary aneurysm surgery should complete all IE forms pertaining to intraoperative and/or early postoperative (0-2 h) events (page 6 of the ANESTHESIOLOGIST form).
MEDICATIONS	SC	Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.
NIHSS (24,72h & Discharge)	SC or -NE	If the primary SC is not available, the first choice for an alternate would be the -NE or another SC. If these are not available, a -NS or -AN may also do this if they are NIHSS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.
CONTACT FOLLOW-UP (6wk)	SC	Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.
OUTCOME FOLLOW-UP (6wk)	SC	Any IHAST2 participant who is qualified to make Barthel's, Rankin, and GOS assessments. If the certified-SC is not available, any certified -NS or -AN may also do this if they are Barthel's, Rankin, and GOS qualified AND were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of the patient's temperature group or intraoperative temperature.
CONTACT FOLLOW-UP (3mo)	SC	Any certified IHAST2 participant. If the certified-SC is not available, any certified -NS or -AN may also do this if they were not present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND are not aware of patient group assignment or intraoperative temperature.
OUTCOME FOLLOW-UP (3mo)	NE only	Only the certified-NE may perform this exam.
NIHSS(3 months)	NE only	Only the certified-NE may perform this exam.
NEUROPSYCH (3mo)	NPE	Any certified IHAST2 participant who is qualified to administer neuropsychologic tests. This person CANNOT have been present during the operation nor in the presence of the patient for the first 0-2 hours after leaving the operating room AND must NOT be aware of the patient's temperature group or intraoperative temperature. The SC may NOT perform this evaluation. These tests may be administered form by the 3-month NE if they are qualified to administer these tests.
DEATH/PATIENT WITHDRAWAL	SC and Local PI	Usually this form would be initiated by the certified-SC. However, the local PI and/or Co-PI (certified-NS or -AN) are required to complete the narrative section.

		Legend: SC = Study Coordinator; AN=Anesthesiologist; NE=Neurologic Examiner; NS=Neurosurgeon; NPE=Neuropsych Examiner. Items in ALL CAPS/BOLD refer to forms in the CRF Book