Assessing pupil size - Sounds simple, but...    1. 0     I have
worked at two equally well recognized teaching hospitals in an
ICU setting. Most everything is the same, but I've noticed a
difference in how pupil size is assessed.      Hosp#1 - Assess
size of pupil as it reacts to pen light so as to eliminate
variation in room lighting.      Hosp#2 - Assess size of pupil
upon initial inspection, regardless of room lighting, etc. (and
before using pen light).      I do look at the pt's pupils
initially, but I make my measurement based on the size to which
they constrict.      So I am wondering - how does everyone else
do it?      Get the hottest topics every week!      Subscribe to
our free Nursing Insights newsletter.    2. 8 Comments...    3.
0     Your assessment should include both. For example if pupils
are constricted or dilated without stimulation - and - do they
constrict with stimulation - and - are they equal/unequal in
both situations.   4. 2     I check the pupils without the pen
light, say they are