Description
Hospital-based neurologist who evaluates and treats acute and complex neurologic conditions in admitted patients, leads stroke response and inpatient consultations across ED, ICU, and wards, and coordinates multidisciplinary, primarily nonsurgical care from admission through discharge.
- • Evaluate and triage acute neurologic presentations, including stroke, seizures, encephalopathy, and neuromuscular crises.
- • Lead code stroke activations; determine eligibility for IV thrombolysis; coordinate transfer for endovascular thrombectomy.
- • Manage acute ischemic and hemorrhagic stroke, including blood pressure, antithrombotic therapy, and secondary prevention planning.
- • Manage status epilepticus and inpatient seizure disorders; initiate and titrate anti-seizure medications; monitor adverse effects.
- • Perform and interpret lumbar punctures; order and interpret CSF studies.
- • Interpret emergent neuroimaging (CT/CTA/CTP, MRI) and EEG; communicate critical findings.
- • Oversee continuous EEG monitoring and supervise EEG technologists.
- • Determine brain death using accepted tests and procedures.
- • Develop inpatient care plans and care pathways; balance risks, comorbidities, and goals of care.
- • Communicate diagnoses, prognoses, and treatment options to patients and families; obtain informed consent.
- • Coordinate care with hospitalists, intensivists, neurosurgery, interventional radiology, rehabilitation, and case management.
- • Arrange supportive services, including PT/OT/SLP, swallow evaluations, and social work; plan safe discharge or transfer.
- • Prepare, maintain, and review detailed inpatient notes, orders, and discharge summaries, ensuring compliance with hospital and regulatory metrics.
- • Advise other physicians on neurological issues and provide curbside guidance.
- • Provide training to residents, medical students, and nursing staff.
- • Participate in hospital-based stroke program activities, quality improvement, and morbidity and mortality reviews.
- • Participate in teleneurology or telestroke coverage as required.
- • Participate in continuing education to maintain board certification and stroke competencies.
- • Counsel patients and caregivers on risk factors, secondary prevention, and lifestyle modification for neurologic disease.
- • Refer patients to outpatient neurology, neurosurgery, or subspecialty clinics for follow-up and advanced therapies.
- • Order DVT prophylaxis and other general inpatient safety measures relevant to neurologic patients.
- • Monitor and address complications of hospitalization, such as delirium, dysphagia, aspiration risk, and immobility.
- • Collaborate on clinical research or quality registries related to inpatient neurology and stroke.
- • Supervise and direct medical technicians in neurologic diagnostic or therapeutic activities.
- • Coordinate transitions of care and ensure handoffs between inpatient and outpatient teams.
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Last reviewed: Jan 2026
