Neuro Assessment
The Glasgow Coma Scale evaluates these 3 functions
What is eye opening, verbal, motor
DNV requires evidence of this within 45 minutes of ED arrival.
What is head CT or imaging
tPA patients should avoid this for 24 hours
What is anticoagulants or antiplatelets
Swelling in the brain post-stroke may require thi
What is neurosurgery or ICU management
Document neuro findings with this detai
What is specific changes from baseline
A stroke patient NIHSS should be reassessed when
What is with any neuro change
Documenting “last known well” affects this stroke metric.
What is eligibility for intervention
Name one vital sign change that must be reported
What is sudden BP spike or bradycardia
Stroke patients are at risk for this pulmonary complication
What is aspiration pneumonia
Never use this vague term in neuro documentation
What is “unchanged” or “stable” without context
Name a subtle neuro change requiring escalation
What is decreased attention or delayed speech
Stroke core measure STK-5 focuses on wha
What is antithrombotics by end of hospital day 2
Post-tPA patients must be monitored for this complication.
What is bleeding or hemorrhagic conversion
Large infarcts may cause this dangerous shift
What is midline shift or herniatio
Time-stamped events should include this.
What is provider notification
This documentation tool is used for neuro checks
What is flowsheet or stroke pathway form
DNV compliance checks must show staff competency in this.
What is stroke recognition and response
Avoid inserting this post-tPA
What is Foley or invasive line
Frequent neuro checks help detect this early.
What is deterioration or hemorrhagic conversion
All documentation must align with this stroke protocol.
What is facility’s stroke pathway or DNV standards
Always assess for this in patients with posterior strokes
What is coordination or balance
This metric tracks how fast a stroke alert is initiated
What is door-to-stroke alert time.
Maintain bedrest for how long after tPA
What is 24 hours or per protoco
Anticoagulant reversal is critical in this scenario
What is hemorrhagic stroke or bleeding
Include this in every post-intervention note
What is patient response to tPA or thrombectomy