HIGHLIGHTS
SUMMARY
Time frame between scores may alter NIHSS scoring due to stroke progression or symptom resolution. In this center, the initial NIHSS is scored by the neurologist; however, for monitoring purposes, the RN conducts an NIHSS screening within 30 min of the initial response. This study sought to evaluate the congruency between neurologists and RN initial NIHSS scores for stroke patients and to determine patient and clinical factors that may influence NIHSS scoring inconsistencies. This study found that NIHSS scores were consistent between neurologists and RNs in two-thirds of patients, supporting previous reliability studies . . .
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