Neuro Assessment Form

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    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?
  2. 8 Comments so far...

  3. 0
    Quote from 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
  4. 1
    Quote from 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.
    icucu777 likes this.
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    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!!
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    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
  7. 0
    Just stumbled across this timely post. Thanks Gwenith. I'll be starting neuro in my upcoming senior year. Cheers
  8. 0
    Orientation
    GCS
    All cranial nerves (L+R)
    reflexes
    Any drains? Amount and color of CSF
    Proprioception
  9. 0
    facial symmetry
    EOM
    orientation
  10. 0
    Could you send me your flow sheet. I am taking a nurse refresher and studying neuro now. Gloria


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