The predominance of intense stroke consistently increments from year to year. Ideal taking care of the executives was required to upgrade the standard of taking care of. ROSIER (Recognition of Stroke Inside the Emergency Room), this strategy is an evaluation that is utilized to distinguish and intercede quickly in patients with acutee stroke. The motivation behind this investigation was to break down the ROSIER method in overseeing acutee stroke in the Emergency Room(ER). The examination configuration was an observational investigation. Right now an example of nurses, doctors and patients in the ER PKU Muhammadiyah Gamping Hospital. The instrument utilizes surveys and perception sheets. Engaging investigation and connection utilizing the rank spearmen test. The outcomes show that age, instruction and length of work are not identified with the kowledge acutee stroke on nurses and doctors about stroke and its care management. Plus, it was found in the treatment of acutee stroke utilizing the ROSIER method, the underlying evaluation was as yet not maximally did. The outcomes demonstrated that the underlying asesment of stroke patients was beneath 80%. While the supporting assessmen, the underlying analysis, the exchange framework and the commencement of the exchange procedure have been completed with a rate above 80%. The ROSIER method comprises of evaluation and treatment appraisals, which deliberately whenever actualized appropriately will incredibly help with accomplishing treatment targets, is dodging even incapacity and demise because of deferrals or wrong method in the asesment and taking care of treatment stroke acutee. Keywords: Acute Stroke, Emergency, ROSIER Method