Re: You know you're a neuro nurse if.....
Had a pt not too long ago who was AOX3, speech clear and appropriate, denied pain, nausea, numbness, tingling--assessment WNL all the way down the line. But when I asked, "How are you feeling?" he replied that he was okay, except that he felt confused. Couldn't specify confused about what, just "confused."
So I gave him a GCS of 14, because he thought he was confused, but clearly he wasn't confused, except about being confused. (Actually, he was a few hours post-ictal and probably just a little woozy around the edges. Didn't page the neurologist, but just mentioned it when I saw her next.)
I used to joke about doing it, but more recently actually have paged to report a neuro change when the GCS increased. Usually just save that until I see the doc again, though.
One of my coworkers had a pt last night who posted his name, b-day, what day it was and where he was on a sign of his door, because he wanted to get some sleep.
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