Section Subsection Row Name (20 Char)      * denotes a calculated row Row (f, a, n)  f=Fixed     a=Automatic n=Normal Lists: short name (7 char) Lists: Long name (16 char)
Neuro Basic GCS Eye F
 
 
  Assessment GCS Verbal F    
    GCS Motor F    
    GCS Total * F    
    Neuro Assessment N
 
 
  Orientation N    
           
  Complex Consciousness N
 
 
  Assessment Cognition Scale(RLA) N    
    RamseySedation Scale N    
    SAS(Riker) Scale N    
    Pupil Size R/L N    
    Pupil Shape R/L N
    Pupil Reaction R/L N
    Consensual Response N    
    EOM R/L N    
    Vision R/L N    
  Movement RUE/LUE N    
    Strength RUE/LUE N    
    Movement RLE/LLE N    
    Strength RLE/LLE N    
    Shivering N    
    Sensory Levels R/L N    
    Pronator Drift R/L N    
    Type of Stimuli N    
    Headache Location N    
    Headache Intensity N    
    Tremor Type N    
    Tremor Location N    
    Facial Symmetry N    
    Tongue N    
    Seizure Aura N    
    Seizure Focus N    
    Seizure Onset N    
    Seizure Location N      
    Seizure Incontinence N      
    Seizure Skin Color N      
    Seizure Duration N      
    Post-Ictal Duration N      
    Train of 4 Baseline N      
    Train of 4 Site N      
    Train of 4 Response N      
    Caloric Test N    
    Apnea Test N    
             
  Swallow Alert? N
 
 
  Screen Facial Symmetry ? N    
  Tongue Movement ? N    
    Drooling,Absence ? N    
    Cough ? N    
    Evaluation N    
           
  Problems Altered LOC N
 
 
    Imp Verbal Communica N    
    Sensory Impairment N    
    Integrate Regulation N    
           
  Interventions Neuro Referral N
 
    Referral Status,N N  
           
  Teaching Teaching, Neuro N
 
 
    Taught to Whom,Neuro N    
    Response, Neuro N    
    Additional Needs,N N    
           
  Outcomes Neuro Baseline N
 
 
    Physio Baseline N    
    Effective Communica N    
    Improved Sensory N    
           
  BASS Scale Language/ Mental N
 
  Visual N  
    Sensory/ Motor N  
    BASS Total* N  
  Aldrete Score Aldrete:Conciousness N
 
  Aldrete:Respiratory N  
    Aldrete:Circulation N  
    Aldrete:Color N  
    Aldrete:Activity N  
    Aldrete Score Total* N  
  Spinal Level Spinal Level N
 
CIWA and Alcohol Scale:  could be moved to Safety.      
CIWA Scale CIWA:Nausea/Vomiting N
 
  (SF) CIWA: Tremor N  
  CIWA: Pulse/ Sweat N  
    CIWA: Anxiety N  
    CIWA: Agitation N  
    CIWA: Orientation N  
    CIWA: Headache N  
    CIWA:Tactile Disturb N  
    CIWA: Visual Disturb N  
    CIWA: Auditory Distb N  
    CIWA Scale Total* N  
           
  Alcohol With- Tremor N
 
  drawal  Tachycardia N  
  Santa Rosa Hypertension N  
  Diaphoresis N  
    N/V N  
    Fever N  
    Agitation N  
    LOC N  
    Sleeplessness N  
    Halucinations N  
    Seizures N  
    ETOH Total Score N