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Gcs Monitoring Sheet Eye Opening Response: Gcs Monitoring Sheet Eye Opening Response

This document contains a Glasgow Coma Scale (GCS) monitoring sheet. The GCS is used to assess a person's level of consciousness after brain injury. The sheet includes criteria for eye opening, verbal, and motor responses and associated scores. A person's scores in each category are added to determine their total GCS score. Lower scores indicate a lower level of consciousness.

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Nneg Gray
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89 views1 page

Gcs Monitoring Sheet Eye Opening Response: Gcs Monitoring Sheet Eye Opening Response

This document contains a Glasgow Coma Scale (GCS) monitoring sheet. The GCS is used to assess a person's level of consciousness after brain injury. The sheet includes criteria for eye opening, verbal, and motor responses and associated scores. A person's scores in each category are added to determine their total GCS score. Lower scores indicate a lower level of consciousness.

Uploaded by

Nneg Gray
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name: Age: Room #: Name: Age: Room #:

Date: Shift: Date: Shift:


Attending Physician Attending Physician
GCS MONITORING SHEET GCS MONITORING SHEET
CRITERIA SCORE CRITERIA SCORE
EYE OPENING RESPONSE: EYE OPENING RESPONSE:
 SPONTANEOUS (4 POINTS)  SPONTANEOUS (4 POINTS)
 TO VERBAL STIMULI, COMMAND, SPEECH (3 PTS)  TO VERBAL STIMULI, COMMAND, SPEECH (3 PTS)
 TO PAIN ONLY (2 PTS)  TO PAIN ONLY (2 PTS)
 NO RESPONSE (1 PT)  NO RESPONSE (1 PT)
VERBAL RESPONSE: VERBAL RESPONSE:
 ORIENTED (5 PTS)  ORIENTED (5 PTS)
 CONFUSED CONVERSATION, BUT ABLE TO  CONFUSED CONVERSATION, BUT ABLE TO
ANSWER QUESTIONS (4 PTS) ANSWER QUESTIONS (4 PTS)
 INAPPROPRIATE WORDS (3 PTS)  INAPPROPRIATE WORDS (3 PTS)
 INCOMPREHENSIBLE SPEECH (2 PTS)  INCOMPREHENSIBLE SPEECH (2 PTS)
 NO RESPONSE (1 PT)  NO RESPONSE (1 PT)
MOTOR RESPONSE: MOTOR RESPONSE:
 Obeys commands for movement (6 points)  Obeys commands for movement (6 points)
 Purposeful movement to painful stimulus (5  Purposeful movement to painful stimulus (5
points) points)
 Withdraws in response to pain (4 points)  Withdraws in response to pain (4 points)
 Flexion in response to pain (3 points)  Flexion in response to pain (3 points)
 Extension response in response to pain (2 point)  Extension response in response to pain (2 point)
 No response (1 point)  No response (1 point)
Nurse on Duty: Nurse on Duty:

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