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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.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?
Roxan, RN
Neuro Critical Care
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.
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!!
Found a couple of good assessment sites - this one incorporates a link to the stroke assessment scale
joyful nurse
26 Posts
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?