ABSTRAK Program spesialis keperawatan medikal bedah khususnya neurologi dimaksudkan untuk menjadikan seorang perawat spesialis neurosains yang berperan dalam pemberi asuhan keperawatan lanjut, melakukan pembuktian ilmiah, dan agen pembaharu. Asuhan keperwatan yang dilaksanakan pada kasus stroke hemoragik dan 30 pasien dengan gangguan neurologis dengan pendekatan Model adaptasi Roy RAM . Perilaku maladaptif yang paling sering ditemui pada mode adaptasi fisiologis adalah penurunan kapasitas adaptif intrakranial dan resiko perfusi serebral tidak efektif. Evidence Based Nursing dilakukan dengan menerapkan aromaterapi lavender pada 5 pasien neurologi dengan insomnia dengan hasil p value 0,002 . Program inovasi menerapkan skrining National Institute Health Stroke Scale NIHSS , Berg Balance Scale BBS , Three Inkontinence Question 3 IQ , Frenchay Aphasia Screening Test FAST , Insomnia Severity Index dan Adult Non Verbal Pain Scale ANVPS untuk dapat menunjang pengkajian khusus pada pasien neurologi. Skrining yang diaplikasikan dapat membantu mengidentifikasi masalah keperawatan khususnya pada pasien neurologi.ABSTRACT Specialist nurse program of medical surgical nursing esspecially neuroscience specialist nurse play role in nursing pactice as advanced nursing care providers, conduct scientific evidence and innovator. Roy adaptation model approach was used in the nursing care of haemoragik stroke and 30 patients of neurological disorders cases. Decrease intranial adaptive capacity and risk of ineffective cerebral tissue perfussion was the most often of nursing diagnosis enforced which was caused maladaptive behavior in physiological mode. Evidence based nursing was implemented by practice lavender aromatherapy for 5 neurologic disorders patients with insomnia and the result p value 0,002. Innovation program implemented of screening tools of the National Institute Health Stroke Scale NIHSS , Berg Balance Scale BBS , Three Inkontinence Question 3 IQ , Frenchay Aphasia Screening Test FAST , Insomnia Severity Index dan Adult Non Verbal Pain Scale ANVPS to support the neurological patients assesment. Aplication of screening tools could help to identified nursing problems esspecially to neurological patients