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GCS Chart

The document is a Neurological Observation Chart used to assess a patient's neurological status through various scales, including eye opening, verbal response, and best motor response. It records vital signs such as blood pressure, pulse rate, temperature, and oxygen saturation. The chart also includes sections for limb movement and pupil reaction, providing a comprehensive overview of the patient's condition.

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helenrukevwe54
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0% found this document useful (1 vote)
203 views2 pages

GCS Chart

The document is a Neurological Observation Chart used to assess a patient's neurological status through various scales, including eye opening, verbal response, and best motor response. It records vital signs such as blood pressure, pulse rate, temperature, and oxygen saturation. The chart also includes sections for limb movement and pupil reaction, providing a comprehensive overview of the patient's condition.

Uploaded by

helenrukevwe54
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CANDIDATE NAME: NEUROLOGICAL OBSERVATION CHART

PATIENT NAME: HOSPITAL NO: DATE: TIME:

TIME TIME

Spontaneous 4
Eye opening

To sound 3
Eyes closed by
(E)

To pressure 2
swelling = C
None 1
Not testable NT
Orientated 5
Verbal response

Confused 4 Endotracheal
COMA SCALE

Words 3 Tube or
(V)

Sounds 2 tracheostomy
None 1 =T
Not testable NT
Obeys commands 6
Best motor response

Localising 5
Normal flexion 4
(M)

Abnorma flexion 3
Extension 2
None 1
Not testable NT

230 40
40
1
220 39
39
2 210 38
38
200 37

Temperature °C
37
3 190 36
36
180 35
170 35
34
Blood pressure and Pulse rate

4 160 34
33
150 33
32
140 32
31
5 130 31
30
120 30
110
6
100
90
7 80
70
60
8 50
40
Pupil 30
scale Respiration
(mm) 20

Size
Right + reacts
Reaction
PUPILS - no reaction
Size c eye closed
Left
Reaction
Normal power
Mild weakness
Severe weakness
Arms

Record right (R)


LIMB MOVEMENT

Spastic flexion and left (L)


Extension separately if
No response there is a
Normal power difference
between the
Mild weakness
two sides
Legs

Severe weakness
Extension
No response
Total GCS Score
Oxygen Saturations

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