Hi I work on a newly opened intergrated stroke unit and We are going to initiate the Nihss stroke scale into our nursing practice instead of using the cnss and I want to now how often are other facilities doing the nihss for each stroke patient. As of now the cnss is being assessed every 4 hours and it was proposed that we complete an nihss every 4 hours as well but to me that just seems unrealistic. Anyone have any advice or research based evidence that I can bring forward to my facility.