[joyful nurse]

We have just started doing neurosurgery in our mixed ICU/CCU. Our current documentation flow sheet only has the Glascow Coma scale on it. Would any of you be willing to share a neuro assesment form that has worked for you?

[RoxanRN2003]

Originally Posted by joyful nurse

We have just started doing neurosurgery in our mixed ICU/CCU. Our current documentation flow sheet only has the Glascow Coma scale on it. Would any of you be willing to share a neuro assesment form that has worked for you?

The neuro assessment section of our flowsheet includes the GCS (with the motor responses further divided by extremity - each extremity gets a number) and pupil size/reaction. However, this is the same flowsheet used in all the ICUs.

Roxan, RN
Neuro Critical Care

[bellehill]

Originally Posted by RoxanRN2003

The neuro assessment section of our flowsheet includes the GCS (with the motor responses further divided by extremity - each extremity gets a number) and pupil size/reaction. However, this is the same flowsheet used in all the ICUs.

Roxan, RN
Neuro Critical Care

Ours also has a section for cough/corneal/gag/swallow assessment along with a pronator drift check. Our flowsheet is also used in every ICU.

[gwenith]

There are a lot of other neuro assessment forms besides the Glascow coma scale and when I find what I have done with the assignment I wrote I will post some articles for you to evaluate.

Trouble is that the GCS is the most researched of all the scales - however I do beleive we have become fixated upon it and we certainly need an adequate adaptation for ventilated patients!!

[gwenith]

Found a couple of good assessment sites - this one incorporates a link to the stroke assessment scale

http://rnweb.com/rnweb/article/artic....jsp?id=120796

[suzy253]

Just stumbled across this timely post. Thanks Gwenith. I'll be starting neuro in my upcoming senior year. Cheers

[jess1023rn]

Orientation
GCS
All cranial nerves (L+R)
reflexes
Any drains? Amount and color of CSF
Proprioception

[sosand]

facial symmetry
EOM
orientation