NUR 101 Neurological - Notes about the Neuro check process PDF

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Notes about the Neuro check process...

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NUR 101: Neurological Exam Student: ____________________ Task Score Grading

P/F Grading

Assemble equipment and begin assessment

Safe Accurate 3Pts Student performed all required tasks correctly w/in time allotted.

Assisted Accurate 2pts Student performed all required tasks but required cue assistance and longer time to complete.

PASS

Dependent 1pt Student missed one or more tasks and required instruction to complete.

Unsafe 0pt Student omitted task, learning is incomplete.

FAIL

Wash hands. Greet and identify the patient. Explain procedure to patient. Provide privacy. Ask patient how he/she feels and observe the environment. Observe non-verbal cues, mobility, and ROM throughout assessment. LOC

Task: CN I assessment of smell and airway patency, occlude one nostril then other nostril CN II Eyes: Distant and near vision~ Snellen Acuity (eye level 20 feet, cover one eye then other) Jaeger (1 foot from eye, read ~ can use a newspaper or menu if card not available) CN III, IV, VI: Extraocular movement (EOM) –six cardinal fields using finger, PERLA: Pupils Equal Round Reactive to Light and Accommodation, check sclera and conjunctiva CN V Facial sensation with cotton ball, muscles of mastication (palpate during jaw clenching) CN VII: Facial movement: raise eyebrows, smile, frown, pucker, puff out checks CN IX, X: Gag reflex, uvula movement (say Ah) and midline position CN XI: ROM Sternomastoid and trapezius muscle strength (shoulder and head resistance) Patient shrugs shoulders and turns head side to side CN XII: Inspection of tongue for deviation and/or tremors, oral cavity mucous membranes, lesions, teeth, dentures, odor, swallow. Thyroid palpation: located below Adam’s apple Carotid pulse palpation: just below angle of jaw Pass/Fail Fortis College: 1.2015

Pts...