CONNECTICUT VALLEY HOSPITAL Neuro Assessment Flow Sheet
This document is the Neuro Assessment Flow Sheet used by Connecticut Valley Hospital. It helps nurses to record and monitor patients' neurological status. Key indicators include consciousness level, movement, hand grasps, pupil reaction, and vital signs.
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How do I fill this out?
To fill out this form, start with the patient's name and MPI number. Use the provided key to score each assessment accurately. Fill in the date, time, and your initials to save the recorded details.
How to fill out the CONNECTICUT VALLEY HOSPITAL Neuro Assessment Flow Sheet?
1
Enter patient information.
2
Use the key to score each assessment.
3
Record vital signs and neurological signs.
4
Note fall status and stable intervals.
5
Initial and sign the completed form.
Who needs the CONNECTICUT VALLEY HOSPITAL Neuro Assessment Flow Sheet?
1
Nurses for recording and monitoring patient neurological status.
2
Hospital management for maintaining patient records.
3
Medical providers for reviewing patient assessments.
4
Administrators for keeping hospital records organized.
5
Auditors for compliance and quality checks.
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With PrintFriendly, you can easily edit this PDF by uploading it to our platform. Use our intuitive editing tools to update patient information, scores, and other details. Save and download the edited PDF seamlessly.
1
Upload the PDF to PrintFriendly.
2
Select the patient details and fields to edit.
3
Use the editing tools to update scores and vital signs.
4
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5
Download the edited PDF.
What are the instructions for submitting this form?
Submit the completed form to the designated physican or healthcare professional overseeing the patient's care. For electronic submissions, save the form and send it via the hospital’s online submission portal or email it to the concerned department. Maintain a copy for internal records and ensure proper filing in the patient’s case history.
What are the important dates for this form in 2024 and 2025?
Ensure this form is filled and submitted promptly for patient monitoring. Regular updates may be needed based on the hospital’s protocol.
What is the purpose of this form?
The Neuro Assessment Flow Sheet is designed to help healthcare professionals monitor and record the neurological status of patients at Connecticut Valley Hospital. By using this form, nurses and medical providers can document vital neurological indicators such as consciousness levels, movement, hand grasps, pupil reactions, and vital signs. This detailed documentation is crucial for ongoing patient assessment, ensuring accurate tracking of patient health and facilitating prompt medical response when necessary.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Name: Enter the full name of the patient being assessed.
- 2. MPI #: Enter the unique Medical Patient Identifier number.
- 3. Date and Time: Record the date and time of the assessment.
- 4. Level of Consciousness: Use the provided key to score the patient’s consciousness level.
- 5. Movement: Use the provided key to assess and score the patient's movement.
- 6. Hand Grasps: Evaluate and record the strength of hand grasps using the key.
- 7. Pupil Reaction: Use the provided scale to score the reaction of the patient's pupils.
- 8. Vital Signs: Record the patient’s blood pressure, pulse, respiration, and temperature.
- 9. Initials and Nurse Signature: Sign and initial the form to verify assessment completion.
What happens if I fail to submit this form?
Failing to submit this form accurately and promptly can result in serious consequences for patient care.
- Delayed Medical Response: Delayed or inaccurate submissions may lead to inadequate medical response during critical situations.
- Incomplete Patient Records: Failure to submit can result in incomplete or missing patient assessment records.
- Non-compliance: Hospitals may face compliance issues and audits failures.
How do I know when to use this form?
- 1. Post-Fall Assessments: Use this form immediately after a patient experiences a fall.
- 2. Routine Check-Ups: Incorporate this form into regular check-ups and patient monitoring routines.
- 3. Adverse Event Monitoring: Use this form when monitoring patients after adverse medical events for detailed neurological observation.
- 4. Hospital Admissions: Complete this form upon the admission of a patient to record initial neurological status.
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