Neuro Assessment Form

  1. 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?
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  2. 8 Comments

  3. by   RoxanRN
    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. by   bellehill
    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.
  5. by   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!!
  6. by   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
  7. by   suzy253
    Just stumbled across this timely post. Thanks Gwenith. I'll be starting neuro in my upcoming senior year. Cheers
  8. by   jess1023rn
    Orientation
    GCS
    All cranial nerves (L+R)
    reflexes
    Any drains? Amount and color of CSF
    Proprioception
  9. by   sosand
    facial symmetry
    EOM
    orientation
  10. by   icucu777
    Could you send me your flow sheet. I am taking a nurse refresher and studying neuro now. Gloria

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