Posterior Circulation Strokes

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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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Greg N. -

To add clarity to the chart I write "HINTS negative WITH reassuring saccade"

Evie M. -

I think this is a great way to clarify - thanks!

Tyler B. -

I think it's best to just chart the actual findings for each part of the HINTS exam, ie
Head impulse testing is negative
Nystagmus is not present (or describe if it is present)
Test of skew is negative

That way it is very clear exactly what is happening with each part of the test. Since there are three parts of the test that is done, just document each part of the test.

Evie M. -

I like this, and would add some clarification for the head impulse test, such as: "head impulse test is negative, with reassuring catch up saccade", or "head impulse suggests peripheral etiology" I find that using the terms "negative" and "positive" still creates some ambiguity with HINTS so its always a good idea to clarify.

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