No.1 Neurological observations
- The fifteen point Glasgow Coma Scale should be used to assess the patient’s
- Written guidelines are available on how to perform and record neurological
- Specific Instruction is given on how to apply painful stimuli appropriate to the
physiological area being assessed.
- An individualised, documented care plan is available which meets needs of the patient and demonstrates evidence of on-going reassessment.
- Dots (•) not lines or ticks, must be used to fill out the GCS chart.
- On commencement of shift handover, one set of observations must be performed
together by each staff member.
- A complete set of observations is carried out by the same person and where ever
possible, continuity of observations should be maintained by the same person
throughout the shift.
- A formal assessment of competence and knowledge is made and recorded in a
competency manual or staff assessment procedure.
- Patients and clients have access to verbal and written information.