What portion of the NIHSS assessment is critical during shift changes?

The comparison of change via the bedside shift report (BSSR) with the two nurses is critical during shift changes because it ensures continuity of care for stroke patients. The NIH Stroke Scale (NIHSS) provides an objective way to quantify the degree of impairment caused by a stroke. When nurses collaborate during a shift change to discuss the NIHSS scores, they can assess any changes in the patient's neurological status, which may indicate improvements or worsening of the condition.

Engaging in this dialogue allows for a better understanding of the patient's current state, encourages a shared awareness of treatment plans, and facilitates timely interventions if changes are noted. This practice emphasizes teamwork and communication, which are essential in managing stroke patients who require closely monitored and rapid response due to the dynamic nature of their condition.

Moreover, this approach aligns with best practices for patient safety and quality care, ensuring that vital information regarding the NIHSS assessment is communicated effectively, rather than relying solely on documentation or isolated assessments.