How often should NIHSS be performed during patient transfers?

Performing the National Institutes of Health Stroke Scale (NIHSS) every 12 hours and as needed (PRN) during patient transfers is a standard practice for monitoring stroke patients. This frequency allows healthcare providers to assess any changes in the patient's neurological status that can indicate either improvements or deteriorations in their condition. The NIHSS is a critical tool in evaluating the severity of a stroke and determining appropriate care and interventions.

By conducting the NIHSS at this interval, clinicians can quickly identify any acute changes that may require immediate intervention, such as the potential for a secondary stroke or complications related to a prior event. It's essential for ongoing management and to adjust treatment plans based on the most current neurological status of the patient.

In contrast, limiting the assessment to only admission, once daily, or only when symptoms show would not provide the necessary level of monitoring that stroke patients require, especially during the dynamic phase of treatment and recovery. Regular assessments through the NIHSS ensure that any significant changes are promptly recognized and addressed.