Rapid/Focused Neurologic Assessment

Question 1

When is a rapid/focus assessment completed?

Answer 1

1.When the patient is admitted to a health care facility on an emergent basic
2. Also a major part of frequent ongoing patient assessment and performed in the event of a sudden change in neurologic status

Question 2

What data is contained in a rapid/focus neurological assessment?

Answer 2

1. Alertness
2. Orientation
3. Movement of arms and legs
4. Pupil Size
5. Reaction to light

Question 3

Glasgow Coma Scale

Answer 3

A tool used in many acute care setting to establish baseline data in each of these areas: eye opening, motor response and verbal response. The patient is assigned a numeric score for each of these areas. The lower the score, the lower the patient’s neurologic function.

Question 4

Glasgow Coma Scale (a patient who is not responsive)

Answer 4

Speak in a normal voice, if not responsive speak in a loud voice. If patient does not respond, gently shake. If shaking if unsuccessful, proceed to:
1. Supraorbital Pressure (above the eye)
2. Trapezius Pressure (squeezing muscle located at the angle of the shoulder and neck)
3. Mandibular Pressure (jaw)
4. Sternal Rub (breast bone; not used on older adults or patients that bruise easily [those on anticoagulant therapy])