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Bradycardia Hypotension Apnea Cyanosis Other Lateral Deviation Nystagmus Discordance Eyes Bicycling Rowling Lip smacking Fasciculations Chewing Sucking Duration Subtle Myoclinic* Multifocal Clonic* Focal Clonic* (part) Isolated Tonic* (part) Generalized Tonic* Seizure Type Skin Check* Extremity Strength Pupil Reactivity* (right/left) Pupil Size* (right/left) Neonatal Arousal Scale* TIME DATE NEUROLOGICAL ASSESSMENT / HYPOTHERMIA Comments * Definitions on back INITIALS S.

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Guidelines for the neurological observation of patients with a head injury from the National Institute for Clinical Excellence (NICE) suggested neurological observation every 30 minutes until a GCS of 15 was achieved, then every hour for two hours, followed by every two hours thereafter4.

Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.

Neurological Assessment Flow Sheet is used to assess, monitor, and record specific neurological signs/status following an injury resulting in suspected or actual head trauma. The Flow Sheet prompts clinician assessment of: • Level of Consciousness. • Pupil Response. • Motor Functions.

Record vital signs and neurologic observations at least hourly for 4 hours and then review. Continue observations at least every 4 hours for 24 hours, then as required. Notify treating medical provider immediately if any change in observations.

Impact of Neurological Nursing Assessment It is important that a neurological nursing assessment be performed every four hours or sooner in order to ensure continuity of care and that no adverse effects or changes have occurred.

They recommend neurological assessments and blood pressure (BP) monitoring every 15 minutes for 2 hours, every 30 minutes for 6 hours, and every 60 minutes until 24 hours after starting treatment.

Nurses observe for signs and symptoms that may be abnormal and link them to general areas of the nervous system that may be causing the disturbance. Nurses must also recognize when further neurological injury is manifesting, intervene appropriately, and notify the physician for a change in plans for the patient.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232