Neuro
This assessment is commonly used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability
What is the Modified Rankin scale?
The name of the Adult Inpatient fall assessment and how often it is assessed
What is the morse scale and q8hrs?
A score calculated from 11 components and is used to quantify the severity of strokes.
What is the National Institutes of Health Stroke Scale (NIHSS)?
Mechanical Thrombectomy patients require these assessments.
What are neuro/neurovascular assessments & vital signs, q15 min x 2hours, q30 min x 6hrs, q1h x 16hr and NIHSS q8hours for 48 hours?
What is a STA-MCA bypass?
Post fall patients need this provider documentation.
What is a post fall powerplan & post fall note (not a regular event note)?
This clinical grading scale estimates the mortality based on GCS, age and CT findings.
What is the ICH score?
Activity, ADL care, Procedure/treatment, skin care, patient refused
What are antiembolism device removal reasons?
(under VTE prevention)
In an echocardiogram, this is detected through a bubble study.
What is a PFO (patent foramen ovale)?
Post fall patients need this nursing documentation.
What is a post fall assessment form (via ADHOC), post fall debriefing form and a SBSafe?
A grading system used to classify the severity of a SAH based on the patient's clinical outcome. The higher the grade the lower the survival rate.
What is the Hunt and Hess scale?
Post titration this is required to evaluate whether the titration was effective.
What is a follow up blood pressure?
Keeping the bed in the lowest position, padding the side rails, & ensuring working oxygen/suction setup is at the bedside are all...
What are seizure precautions?
Name the 5 P's in which can prevent falls with hourly rounding
What is Potty Positioning Possessions Pain Pumps?
This scale predicts vasospasm after a SAH and has 4 levels. (the higher the grade the higher the risk of vasospasm)
What is the Modified fischer scale?
This is important to chart in order to prove you provided cleaning to the foley tubing and perineal area each shift
What is proper documentation of cath care?