nuero checks

Wave Watcher · Mar 18, 2015

I have head injury neuro check sheets. Let me see if I can attach them and post here. Give me just a few minutes.

Wave Watcher · Mar 18, 2015

HEADS UP to Brain Injury Awareness | HEADS UP | CDC Injury Center

Go to this website and you find forms and great information for your clinic and to give to parents.

vikivail26 · Mar 18, 2015

Thanks so much. Great website!

MollyJ · Mar 18, 2015

I will generally record pupils, extremity strength and can do BP and pulse for "bigger" hits. I look for signs of trauma (scalp abrasions). I like to just observe kids. Just walk away and "let them rest". Some kids will complain of headache but then they will socialize with other kids, want to read a book (I have Guiness books in my office) or just stay perky and interested in what is happening around them. I generally think the best thing you can do (for bigger hits) is re-evaluate over time and tell teachers to send kids back to you for c/o headache, head down on the desk, not focusing on what's going on. I always call parents for bigger hits and tell them what I am seeing and planning but tell them I am willing to do whatever they want to do. I always like to get the teacher to tell me what they saw or observed. Kids who get clocked playing basketball, goes down and stays down, comes in looking dazed, is happy to lie on my couch--those kids write their own story. They go home. Likewise, the approach of assess and reassess will help you make a decision. There are very few situations where you must decide to send them home this minute and you never lose the option, upon reassessment, to send them home.

In the wake of discussions of post concussion care for students involved in school sports, I had the opportunity to have a couple of random guys tell me about their concussive head injuries. One kid didn't remember the game and slept the whole next day.

Look at the whole kid.

JenTheSchoolRN, BSN, RN · Mar 18, 2015

I also did observation. I use the CDC tools myself. I look at pupils, vitals if it was a more severe "hit." But just by watching a kid, I can get a sense of "off-ness," so to speak. Those kids go home with recommendation for follow-up. Other pass just fine and I send them to class and follow-up with the parent/guardian.

What is interesting is that most of the students I have sent out after observation for a head injury received the head injury a day or two before (hockey practice is a big place it happens).

chasinRT · Mar 19, 2015

I have a fifth grader with a history of concussion last year in football. He came in last week after recess with complaint of dizziness after bumping his head on the playground. Everything checked out ok, but of course I called his mom and he went home. Came in a few days ago with the same complaint, and again everything checked out ok; when he told me he was dizzy, he looked everywhere but at me and of course I'm pretty sure that he is fibbing. But of course I called mom, explained to her that he checked out okay but said he was dizzy. Mom came and got him. Teacher came storming in my office, furious with me for "sending him home". I calmly explained to her that I didn't send him home, his mother chose to come and get him based on his complaint of dizziness; I told her that his mom needed to be the one to tell him to cut the crap and I HAVE to report to his mom. It's my license, not hers.

vikivail26 · Mar 19, 2015

Better safe than sorry. It is tough sometimes. Hopeful mom will have him cleared by a dr.

Wave Watcher · Mar 19, 2015

Thanks so much. Great website!

Ya welcome. :-)

OldDude · Mar 19, 2015

I also did observation. I use the CDC tools myself. I look at pupils, vitals if it was a more severe "hit." But just by watching a kid, I can get a sense of "off-ness," so to speak.
Exactly...especially on the elementary level. This can't be taught. It only comes from doing a bazillion pedi-assessments before you can hone in on this presentation. I think Tabers should put "off-ness" in their dictionary. Excellent description Jen-Elizabeth.

nursemeanie · Mar 20, 2015

What is interesting is that most of the students I have sent out after observation for a head injury received the head injury a day or two before (hockey practice is a big place it happens).

This isn't unusual at all... Kids frequently don't show concussion signs for 24-48 hours post-injury