Bushnik, PhD, Santa Clara Valley Medical Center at
Citation Rappaport, M. (2000).
The Coma/Near Coma Scale. The Center for Outcome Measurement
in Brain Injury. http://www.tbims.org/
combi/cnc ( accessed
Training & Testing
While one person does the testing, 2, 3 or more observers rate each
item independently. Afterwards discuss ratings. If a rating is changed,
leave the initial rating but place changed rating in parenthesis
next to it. Repeat this process on 5 to 10 patients or until raters
train themselves to place patients in the same category range. Thereafter
single ratings can be used but, for purposes of reliability, a minimum
of two independent ratings per patient is encouraged.
"Comments" record special information that may have had an extraordinary
effect on the ratings on a given day.