Alexandra Armitage, MS, CNL, APRN, is an experienced neurology and neurosurgical nurse practitioner who practices at the Spine and Brain Center of New England, Nottingham, NH, USA. In this venue she provides both outpatient and inpatient care of neurosurgical and orthopedic spine patients. She has also worked as a critical care nurse at the Southern New Hampshire Medical Center and as an NP in primary care for The Neurology Associates in Concord, NH, USA. In this position she provided independent primary care and in-patient care along with the supervising of neurologists. Through her extensive experience, Ms. Armitage has become acutely aware that both the staff nurse and the APRN need far more guidance in conducting the neurology exam at the bedside, and analyzing the results to quickly and competently determine the neurological status of the individual patient.