Managing the Patient with Stroke - Understanding and Using the NIHSS

 

Every year, approximately 795,000 people suffer a stroke. According to the American Stroke Association (2016), it is the 5th largest cause of death in the United States, killing nearly 130,000 people per year. Of those patients who survive, many experience moderate or severe impairments that require special care. The National Institutes of Health Stroke Scale (NIHSS) is a tool used to measure the severity of stroke symptoms, as well as aid in the identification of the injury location. The NIHSS has also been shown to strongly predict the likelihood of a patient’s recovery after stroke. This course will assist clinicians in the acute care setting who are caring for patients suffering from acute stroke. 

$15.00

Hours: 1.25
REL-AC-0-MANAGEPATIENT27

Certificates

Certificates provided by accrediting body (10 Match)

California Board of Registered Nursing

1.25 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.25 contact hours for participating in this course.

District of Columbia Board of Nursing

1.2 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.20 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.25 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.25 contact hours for participating in this course.

Georgia Board of Nursing

1.25 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.25 contact hours for participating in this course.

Accreditation Council for Continuing Medical Education

1.25 HOURS


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

South Carolina Board of Nursing

1.25 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Florida Board of Medicine

1.25 HOURS


Florida Board of Medicine CE Provider #: 50-290

Florida Physician Assistants

1.25 HOURS


West Virginia Board of Registered Nursing

1.25 HOURS


Course Details

Course Code: REL-AC-0-MANAGEPATIENT27
Hours: 1.25
Type: Online Course
Content Expiration Date: 6/30/2021
Learning Objectives:
State the primary purpose in using the NIHSS.
Name all NIHSS areas of assessment.
List all stroke scale items used to test patients for stroke severity.
Calculate summative NIHSS score and identify levels of stroke severity.

Outline:

Section 1: Introduction



A. About This Course



B. Learning Objectives



Section 2: About the NIHSS



A. Meet Thomas



B. What is the NIHSS?



C. History and Use



D. Thomas



E. Review



F. Summary



Section 3: Administration of the NIHSS



A. Staff Education



B. Underlying Guidelines



C. Exceptions



D. Thomas



E. Review



F. Summary



Section 4: The NIHSS



A. The Scale



B. 1a: Level of Consciousness



C. 1b: Level of Consciousness- Questions



D. 1c: Level of Consciousness- Commands



E. 2: Best Gaze



F. 3: Visual



G. 4: Facial Palsy



H. 5a/b: Motor Arm (Left/Right)



I. 6a/b: Motor Leg (Left/Right)



J. 7: Limb Ataxia



K. 8: Sensory



L. 9: Best Language



M. 10: Dysarthria



N. 11: Extinction and Inattention



O. Scoring



P. Thomas



Q. Review



R. Summary



Section 5: Conclusion



A. Summary



B. Course Contributors



C. Resources



D. References



E. Congratulations!


Expert Reviewer: Daniel Migliaccio, MD
Dr. Daniel Migliaccio is currently a Clinical Assistant Professor of Emergency Medicine at the University of North Carolina at Chapel Hill. He completed his residency in Emergency Medicine at Stanford University. During Residency,  Dr. Migliaccio was able to obtain an Honors Certificate in Medical Education from the Clinical Teaching Scholars Honors Program. He was also fortunate enough to be able to focus on his ultrasound skills, leading to an award for Outstanding Achievement in Ultrasound. Dr. Migliaccio is passionate about medical education, point of care ultrasound, and optimizing patient care using current literature. He is currently Vice President of the Young Physician Section of AAEM and is enthusiastic about promoting Emergency Medicine and patient care nationally. Disclosure: Daniel Migliaccio, MD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Adam Roesner, BSN
Adam Roesner, BSN has been working with various quality measures optimization since 2013. His experience in program management in both clinical and performance measures allows a unique perspective on the challenge faced by healthcare systems today. Adam has presented trainings on HCAHPS programs for sales forces and executive leadership alike, and has managed various skin health and HCAHPS educational programs and bundles for acute, post-acute, and IDN facilities. Disclosure: Adam Roesner, BSN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; Physicians; in the following settings: Acute Care Facility.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.