Measurement of the patient’s state of consciousness using validated scales.
Objective:
To determine the patient’s level of consciousness.
Equipment:
– Glasgow scale.
Material:
– Nursing records. – Procedure: – Preserve the patient’s privacy. – Inform the patient. – Request the collaboration of the patient and family. – Assess the patient’s level of consciousness with the Glasgow scale. – Record in the nursing documentation: patient’s state of consciousness, date and time, incidents and patient’s response.
Observations:
If a patient has an abrupt decrease in the Glasgow scale score notify the physician immediately
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