When is it appropriate to discharge to 'somewhere else'?
What do you answer if the patient has been discharged to a care home where they are receiving 24/7 care? (Question 7.9.2)
If social services have allocated a personalised support budget to a patient can these visits be included in 7.9.2?
Should the modified Rankin Scale score be solely related to disability resulting from stroke or include general level of disability? (Question 7.4)
What should be entered if there is not an up to date Modified Rankin Scale (MRS) score on discharge available?
What happens when a patient is identified as high risk of malnutrition but after a swallow assessment is no longer considered at risk?
If a patient is screened and not identified as high risk of malnutrition, but are screened again due to their condition deteriorating, and are then identified as at risk of malnutrition, what screening results should be entered onto SSNAP?
When does the ‘clock’ start for questions regarding the first 72 hours of care?
A patient has been transferred to another team within 24 hours of admission. How do I complete sections 1-3?
What is the most accurate way to reflect the pathway of a stroke patient who initially passed a swallow screen but then goes on to develop problems after 72hrs?

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Will selecting “not known” for components of NIHSS affect the audit compliance level for my team?

George Dunn

June 27, 2017 11:41

Yes, wherever possible teams should avoid entering 'not known' for the components of NIHSS as this is the most heavily weighted component of the audit compliance level.

In some instances, “not known” is a valid and appropriate selection, therefore there is leeway built in to the calculation of audit compliance scores to allow 'not known' to be entered for the very small number of cases where it is not possible to fully record NIHSS.

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