Neuro Assessment Form

Specialties Neuro

Published

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?

Up Vote Up Vote ×
Specializes in CCRN, CNRN, Flight 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

Up Vote Up Vote ×
Specializes in 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.

Up Vote Up Vote ×
Specializes in 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!!

Up Vote Up Vote ×
Specializes in ICU.

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

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

Up Vote Up Vote ×
Specializes in Telemetry/Med Surg.

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

Up Vote Up Vote ×

Orientation

GCS

All cranial nerves (L+R)

reflexes

Any drains? Amount and color of CSF

Proprioception

Up Vote Up Vote ×

facial symmetry

EOM

orientation

Up Vote Up Vote ×

Could you send me your flow sheet. I am taking a nurse refresher and studying neuro now. Gloria

Up Vote Up Vote ×
+ Add a Comment