Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam technique. Scores should reflect what the patient does, not …

NIH Stroke Scale Instructions • Administer stroke scale items in the order listed. • Record performance in each category after each subscale exam. • Do not go back and change scores. • Follow directions provided for each exam technique. • Scores should reflect what the patient does, not what the clinician thinks the patient can do.

Patients with trauma, amputation, or other physical impediments should be given suitable one-step commands. Only the first attempt is scored. 2. Best Gaze: Only horizontal eye movements will be tested. Voluntary or reflexive (oculocephalic) eye movements will be scored but calorie testing is not done.

NIH STROKE SCALE IN PLAIN ENGLISH 1a. Level of Consciousness 0= Alert 1= Sleepy but arouses 2= Can’t stay awake 3= No purposeful response or reflexive motor only (comatose) 1b. Questions (month, age) 0=Both correct 1=One correct …

NIH Stroke Scale The NINDS tPA Stroke Trial No. ___ ___ - ___ ___ ___ - ___ ___ ___ Pt. Date of Birth ___ ___ / ___ ___ / ___ ___ Hospital _____ ( ___ ___ - ___ ___ )

NIHSS Checklist The National Institutes of Health Stroke Scale (NIHSS) is a standardized tool for assessing the severity of neurological deficits in suspected ischemic stroke. Practitioners who are documenting an NIHSS score should have completed a certification program (available for free online). The steps of the NIHSS are

National Institutes of Health Stroke Scale (NIHSS) Score Instructions BaselineScale Definition Date/Time 24 Hrs Post TPA Discharge Date/Time 1a. LOC 0 = Alert keenly responsive 1 = Not Alert but arousable by minor stimulation to obey, answer, respond 2 = Not Alert; requires repeat stimulation, obtunded, requires strong stimuli