NIH Stroke Scale
Standardized neurological assessment for suspected stroke
0/15
0/ 42
Severity
No stroke symptoms
0 of 15 items completed
Photo Example
How to test
Observe responsiveness. If not alert, try minor stimulation (voice, then tactile). If still unresponsive, apply noxious stimulation.
Scoring notes
Observe the patient. May be assessed casually while taking history. A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation.
Final Assessment
0
/ 42
No stroke symptoms
0
None
1-4
Minor
5-15
Moderate
16-20
Mod-Severe
21-42
Severe
Bedside Swallow Screen
Perform a swallow screen before giving anything by mouth. Document the result.
Score at least one item to generate a note.
This tool assists clinical documentation. Verify scores against the official NIH Stroke Scale protocol. Clinical decisions remain the responsibility of the treating provider.