Neurological Observation Record Policy

Changed
Mon, 07/15/2024 - 17:17
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Neurological Observation Record Policy

 

Neurological Observation Record 

Residents Name:  ____________________________________________________________________ Room #:  ___________________ 

 

Date 

Time 

BP 

Pupil Response 

Extremity Strength 

Comments:  (e.g. changes in emotional state, behavior, speech or consciousness) 

Signature 

 

Q 30 min x 4 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Q 1 hour x 4 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Q 8 hours x 48 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Neuro assessment code:  ü - Indicates Normal for Resident     * - Indicates Abnormal for Resident – See Nurse’s Notes        

References 

  • Centers for Medicare & Medicaid Services. State Operations Manual, Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. [Link to current CMS SOM] 

  • CMS Requirements of Participation for Long-Term Care Facilities. [Link to current guidelines] 

 

         

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