PLEASE RESPOND TO THIS CLASSMATE’S POST I

PLEASE RESPOND TO THIS CLASSMATE’S POST I felt very confident in my assessment of Mrs. Washington. I feel that my neuro assessment went very well and that I knew what to look for with this patient. I am well versed in performing a NIHSS evaluation and felt that that was appropriate, although where I work it is our practice to have two nurses perform the NIHSS together. I felt that the scenario was very realistic as I frequently see patients who “wake up” with stroke like symptoms. In my next assessment I will take more time with my assessment. I neglected one of the primary things when assessing a stroke patient and initially took the blood pressure on the affected side. In my initial attempt at the assessment, I was interrupted and had to walk away from the scenario and when I returned, I had lost track of what assessments I had performed. In the future I will be more diligent in notating which assessments were performed as well as trying to not be interrupted during my assessment. I was not surprised by any of the feedback from iHuman. I feel that this scenario reinforced the importance of the bedside swallow screening for me. It is common practice in the emergency department that patients are NPO so it is easy to forget that especially with stroke patients drinking can be hazardous. Where I work, we have recently started doing the bedside swallow screening as we are holding admitted patients in the ER prior to this the swallow screen was done on the neuro unit. I have no questions about the scenario.

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