Please refer to the bottom of the neurovascular page for the key. Affix patient identification to the top of the Neurological Assessment page. Write in date. Write in location of area to be assessed. Note frequency ordered.
Initials Enter correlating legible signature and title of staff who initialed the assessment sheet.
Enter initials of the assessor. Write time of assessment. 1Note location number that is being assessed. 1Place a letter or symbol next to all the categories that apply to the assessed area. Utilize blanks to write in additional criteria that must be assessed but is not listed.