Table 4.

Abbreviated Status Epilepticus Checklist¹⁷ and Number (%) of Each Graduating Neurology Resident Getting Each Specific Item Correct

Checklist Item	No. (%), N = 16
1. Obtains a history	1 (6)
2. States out loud the patient's level of alertness	9 (56)
3. Examines eyes	10 (63)
4. Examines for any focal weakness	12 (75)
5. States that the patient is having a seizure	16 (100)
6. States out loud time of seizure onset	6 (38)
7. Calls for help	13 (81)
8. Repositions patient onto the side	4 (25)
9. Evaluates patient's airway: suction patient	4 (25)
10. Places pulse oximeter	15 (94)
11. Asks RN to provide oxygen if the patient is hypoxic	13 (81)
12. Asks RN to check blood pressure	16 (100)
13. Asks RN to initiate cardiac tele monitoring	13 (81)
14. Performs a brief neurological exam: check if any eye deviation	9 (56)
15. Ensures that the patient has a working IV access	9 (56)
16. Orders first-line ASD (must be given within 5 minutes of seizure onset)	16 (100)
17. Asks RN to check finger stick blood glucose	7 (47)
18. Orders appropriate labs	8 (50)
19. Orders an appropriately dosed second ASD (ordered within 5 minutes from the first ASD)	7 (44)
20. Calls pharmacy or asks RN to communicate the emergent need for ASDs	9 (56)
21. Orders a stat computed tomography scan of the brain	13 (81)
22. Communicates with attending physician/fellow on call to staff the case	6 (38)
23. States out loud the concern for non-convulsive status epilepticus	11 (69)
24. Orders a post-load ASD level	0 (0)
25. Orders an emergent EEG	11 (69)
26. Makes appropriate decision regarding disposition/level of care	11 (69)

Abbreviations: RN, registered nurse; ASD, antiseizure drugs; EEG, electroencephalogram.

Note: The detailed checklist is published elsewhere.¹⁷