Which professional typically completes the NIHSS during a stroke alert?

The National Institutes of Health Stroke Scale (NIHSS) is a systematic assessment tool used to evaluate the severity of a stroke and to quantify neurological deficits. While different healthcare professionals may have the capability to administer the NIHSS, the role of the ICU charge RN is particularly significant in the context of a stroke alert due to their advanced training and understanding of critical care protocols.

An ICU charge RN typically has comprehensive knowledge and experience in managing complex patient conditions, including stroke patients, which positions them well to perform the NIHSS effectively. Their training often involves a focus on neurological assessments, and they are adept at identifying and interpreting various neurological signs and symptoms that are critical to the NIHSS.

Additionally, the charge RN plays a vital role in coordinating care within the ICU setting, which includes ensuring that timely and accurate neurological assessments are conducted and communicated to the rest of the healthcare team. This coordination is essential in acute situations such as stroke alerts, where rapid decision-making can significantly affect patient outcomes.

In contrast, while emergency physicians and bedside nurses may also participate in stroke alerts and can perform the NIHSS, the specific expertise and role of the ICU charge RN in managing acute care and critical assessments make them particularly suited for completing the NIHSS during these urgent situations. The