How to Assess an Unconscious Neuro Patient Like a Neuro ICU Nurse

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I'm Kati Kleber, MSN RN CCRN-K and I worked in a neurocritical care unit for 4.5 years. I was a charge nurse and preceptor. I recorded this video to give those of you floating to neuro or new to the area some practical tips because assessing an unconscious neurologically compromised patient is much different than assessing an awake neuro patient. This is me assessing my husband, who is clearly not unconscious. Please imagine there's a ventilator attached to him.
*Please note, I am planning to record an updated version of this in the coming months*
If you want a checklist of how to assess a CONSCIOUS neuro patient, click here: kleber-media-llc.ck.page/47b5...
If you want more detailed instruction on the care of acute care neuro patients, check out my Neuro Nurse Crash Course here: freshrn.teachable.com/p/neuro...
Check out the blog post here: www.freshrn.com/how-to-assess...
All of the information on this channel and related social media platforms is for informational purposes only. It is meant to supplement, not replace, your existing knowledge. While patient scenarios may be discussed, identifying details have been changed to protect their privacy and ensure compliance with the Health Insurance Portability and Accountability Act of 1996. You must always follow your facility’s policies, procedures, and protocols as well as be familiar with your respective State Board of Nursing and Standard of Care.
Join my email list here: www.freshrn.com/
Click here for my podcast: www.freshrn.com/podcast
Connect on social:
Facebook: / freshrn
Twitter: / kati_kleber
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LinkedIn: / fresh-rn
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Опубликовано:

28 мар 2016

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Комментарии : 37

@LizRN 4 года назад

Your neuro clinical expertise is money!! New 2020 nurse grad here love your videos, thank you!

@megantackett1921 5 лет назад

Thank you. I’m binge watching all your videos. I’m going to do a travel assignment in NEURO ICU in Columbus and I’m from medical ICU so your helping me so much.

@allyu274 Год назад

I transitioned from MSICU to Neuro ICU and the learning experience has been amazing so far, intimidating but good. This video was helpful

@beegee14 8 лет назад

starting Neuro ICU as a new grad, so much to learn of course, but wanted to say I appreciate all of your videos tremendously!

@freshrn 7 лет назад

Wonderful! I'm so glad they help!

@beegee14 7 лет назад

Kati Kleber absolutely! almost at my year and your vids really helped me look like a stud (although a cautious, non-know-it-all one) during my preceptorship. Neuro for the win: )

@beegee14 2 года назад

Update 5 years later! I just accepted a job with one of the worlds largest Neuroendovascular medical device companies. I'm reviewing and revisiting neuro vids and wanted to give my appreciation. Your content absolutely helped make this accomplishment possible and for that I am so incredibly grateful.

@andrewlocke6781 2 года назад

I loved this video. I'm new to neuro from CV step-down and I feel like I don't know anything, this makes me feel better. This is the real real that nurses need. Thanks.

@BethHawkes1212 8 лет назад

What great tips "Do your first assessment with the last (previous) nurse"

@freshrn 7 лет назад

Thanks Beth!

@HolyQueefNuggets Год назад

I graduate in May and just accepted a Neuro ICU position! I've been following you for a while and you've been like my virtual preceptor. This information is so incredible to have. Thank you!

@freshrn Год назад

AH YESSS! Congrats!! Neuro ICU is seriously the best. It will be a big learning curve, but it feels amazing once you're flying solo and feel comfortable in the role. So pumped for you!

@alsdjfknbo 4 года назад

Wow this was amazing, thank you so much for making this video, I really appreciate it. You're incredibly intelligent and thank you for sharing your knowledge.

@jalelomeli8241 2 года назад

You’re amazing! This video is very informative and is a great reference for me as a PACU nurse dealing with the post op neuro patient.

@myia07 4 года назад

I love your details!!

@scorpianforever1 6 лет назад

Thanks Katie, very informative video, as I am new to neuro. This helped a lot. Appreciate it👍

@kcmichener 6 лет назад

wow ive been searching for videos like these THANKS!!

@satsuki5279 2 года назад

Thank you, Kati! This is really helpful!

@samparmus4216 7 лет назад

Thank you for this video!

@dr.eseosaighodaromdphd8662 2 года назад

thank you for posting!

@emin.761 Год назад

Thanks for making this video😊

@jamieabatemarco6993 4 года назад

amazingly detailed and informative, thank you

@furkandemirkaya2251 3 года назад

thank you! your videos really helped me out during placement

@freshrn 3 года назад

I'm so glad! YAHOOO!

@NurseHowie 7 лет назад

This was so useful! The beer recs and the nursing info helps. As a nurse manager, What qualities and skills do you look for with new nurses in the neuro ICU? Do you have any stories of good or really bad candidates? I'm starting my externship there next month. Thanks!

@freshrn 7 лет назад

Great question! So I actually sat on the peer interview committee and wasn't actually a manager. But I do have some stories... once, had a candidate continually bring up examples of when other people messed up to make herself look better. Another came after a clinical and looked like she couldn't care less. Another one provided really short answers that didn't provide any details/depth. GREAT candidates are authentic, typically a little nervous but I'm cool with that because they care, ask good questions, and provide honest - not cliche- answers! All the best to you!!!!

@princessmia9227 8 лет назад

Thanks so much for the video!! I work in a very large, very busy level one trauma center ER, and I am a newer nurse. We get all kinds of patients, but I feel like I have neuro patients a lot. Unfortunately Neuro seems to be my biggest weakness. The assessment tips you shared were super helpful though! I'm hoping they well help me to better assess, and take care of those types of patients!

@princessmia9227 8 лет назад

Will** my bad!

@freshrn 7 лет назад

I'm so glad they've helped Andrea! I know this response is super late.. I'm sure you're already a charge nurse, training a newbie by now! :-)

@nickmucci5104 5 месяцев назад

You were right when you said 2 years for babinski reflex

@Ktrvrn 5 лет назад

Hi! Is there a way you could improve the volume or make a podcast. Love the subject material!

@freshrn 4 года назад

I did start a podcast! 40 episodes with much better sound quality are at FreshRN.com/podcast! And just got some better equipment so my newer videos will be a lot better. I plan on rerecording some of these older ones.

@CJC1512 7 лет назад

Do you think a new grad can handle neuro ICU? I have an interview in a few days. Its my absolute dream job but it does seem intimidating!

@freshrn 7 лет назад

I'm sorry, I know this is 10 months late. New grads in neuro ICU is challenging, but doable. You really have to be on your game, looking up stuff at home, and taking extra time to learn stuff... because when you're at work worrying about learning how to do the task kind of things like starting IVs, using pumps, etc. it's hard to comprehend complex neuro anatomy. So you must be all in when you're there and looking at stuff at home.