.NEU_NORMAL

Skilled neuro assessment: alert, mental status at baseline; CN grossly intact (face symmetric, speech clear, swallow intact, pupils equal/reactive, EOM/fields full); motor 5/5 symmetric, no drift, normal tone; sensation grossly intact; coordination intact; gait steady; stroke screen negative; no focal deficits. RN judgment applied to screen for stroke and detect acute change given {dx}. Continued skilled monitoring indicated.

.NEU_EXAM

LOC {alert/...}; CN {symmetric/droop, speech, pupils, EOM, fields}; motor {grade/group/symmetry}; drift {y/n}; tone {normal/abnormal}; sensation {intact/deficit}; coordination {intact/ataxia}; gait {steady/unsteady}.

.NEU_STROKE

F.A.S.T./BE-FAST: face {droop y/n}; arm {drift/weakness y/n}; speech {slurred/aphasic y/n}; balance {y/n}; eyes {y/n}; screen {neg/POS}; last known well {time}; action {911 activated}.

.NEU_SEIZURE

Seizure {type}; duration {sec}; post-ictal {y/n}; injury {y/n}; safety measures applied; antiepileptic adherence {ok/gap}; action {MD/911 if prolonged}.

.NEU_SKILL

Performed systematic neuro exam; screened stroke; compared to baseline; {activated EMS/coordinated evaluation}; managed neuro-med adherence; mitigated deficit-related fall risk.

.NEU_TEACH

Reviewed stroke warning signs (F.A.S.T.) and the 911 imperative, seizure precautions, {neuro-med adherence} with {pt/cg}; method {teach-back}; mastery {##}%.

.NEU_COORD

Provider notified at {time} re {focal deficit/seizure/headache}; reported {content}; {EMS activated}; order received {evaluation}; reassessment {when}.

.NEU_NECESSITY

Skilled nursing required today to {action} for {RN-level reason} given {dx}, resulting in {measurable effect}.