I have been in nursing for 33 years and typically the protocol has been neuros every 15 mins x 1 hour, then every 30 mins x 1 hour, then hourly x 4 hrs, then every shift for a total of 72 hrs. Except for the last facility I worked was in my opinion a little Overkill (in ALL their policies) but their neuro checks were like every 15 mins x 1 hour, then every 30 mins x 1 hour, then hourly x 24 hrs, then every shift 7 days Yes you read that right!!! EVERY HOUR x24 HOURS THEN EVERY SHIFT x7 DAYS!!!!! This is an LTC facility and many residents are confused and waking up every hour x24 hours and shining a light in their eyes and vitals and the entire neuro check will certainly cause them to be more confused and get up without assistance and fall over and over again. So when you have 3 people on neuro checks every hour, don't expect me to get any other patient care done let alone the charting and paperwork to go with it. They are over the top in so many areas.