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Challenges in the Critical Care WorkplaceUNDERESTIMATION PUPIL SIZE BY CRITICAL CARE AND NEUROSURGICAL NURSES By Robert G. Kerr, MD, PhD, Andrea M. Bacon, RN, BSN, Laura L. Baker, MS, ARP, FNPC, Janelle
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Step 1: Position yourself in a well-lit area.
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Step 2: Ensure that the pupil is fully dilated before measuring.
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Step 3: Use a ruler or caliper to measure the diameter of the pupil.
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Step 4: Record the measurement in millimeters.
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Step 5: Repeat the process for the other eye.
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Step 6: Compare the measurements to establish any variations or abnormalities.

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Underestimation of pupil size is when the actual number of students in a school is less than what was previously estimated.
School administrators or officials responsible for student enrollment are required to file underestimation of pupil size.
Underestimation of pupil size is typically filled out using a specific form provided by the education department or local authorities.
The purpose of underestimation of pupil size is to accurately reflect the number of students in a school for funding and resource allocation purposes.
The information reported on underestimation of pupil size typically includes the school name, student enrollment numbers, reasons for the underestimation, and any supporting documentation.
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