auzzieneuronurse

Latest Activity

1. setting up EVDs

   auzzieneuronurse replied to slholmes's topic in Neuro

   It is a bit scarey that they have left someone to look after an EVD with no theoretical background knowledge of how it works and how to look after it!! If you are after more practical, specific info I'd suggest you search for the company that produce...

2. subdural drain...what to do?

   auzzieneuronurse replied to APNgonnabe's topic in Neuro

   I've never irrigated a subdural drain or heard of them being irrigated. ???fairly uncommon practice. Post evacuation of SDH the pt would be lying flat for 24-48/24 with the drain tube on thumb print suction and lower that the patients head. Once the ...

3. nailbed pressure

   auzzieneuronurse replied to gasmaster's topic in Neuro

   Our GCS criteria must be slightly different as if the pt does not obey commands or localise to central pain (sternal rub) we apply nailbed pressure bilaterally to elicit a withdrawl/abnormal flexion/extension response.

4. EVD's, and Brain drains

   auzzieneuronurse replied to fillyupp's topic in Neuro

   In my experience the only drains that nurses can remove are sugaleal/scalp drains/JP drains. EVD's and subdural drains are always taken out by the medical staff as they require a suture to close. The residents are also the one's to instil intrathecal...

5. Post op cranies

   auzzieneuronurse replied to RNOTODAY's topic in Neuro

   You are talking about very different procudures here and lots of complications can affect patients recovery. Craniotomy + e/o tumour are generally up and about day 1 post op depending on their deficits. Recovery depends on the type, size and site of ...

6. Help, my preceptor is in neuro....

   auzzieneuronurse replied to focker-male nurse's topic in Neuro

   Matt - Neurotrauma is awesome. Being a bit scared is healthy helps keep you on your toes. But just enjoy it - be keen and interested, learn the art of neuro obs and assessment (takes time to perfect and pick up subtle changes) and get a hold of a the...

7. Is ER nursing Floor nursing???

   auzzieneuronurse replied to zaga21's topic in Emergency

   Hmmm, very interesting, I'm "just" a ward nurse intruding to add my two cents. The wards and ED are vastly different worlds and it takes different nursing skills and strengths to do both but why is that a bad thing and why do we need to demean what t...

8. The War with the Floors

   auzzieneuronurse replied to zima60's topic in Emergency

   This is one of the most interesting debates I've read to date. Great thoughts and comments. I work in a major trauma hospital on a busy neuro ward and the battle between us and ED is never ending (almost as bad as our war with ICU!). How about a bit ...

9. Interested in Australia

   auzzieneuronurse replied to Cali83's topic in Australia

   Hello, As a Melbournian I feel a bit insulted that we aren't even in the running! It is a great place!! I would probably choose somewhere on the east coast as its much easier and cheaper to travel up and down the country than to travel across it. I'd...

10. ICP Transducers

    auzzieneuronurse replied to Treb4K's topic in Neuro

    Not sure how you can zero the system to atmospheric pressure if you don't remove the cap?? We zero the system once a shift in a completely sterile procedure and change the cap at the same time.

11. Neuro--tell me why you do/don't like it!!

    auzzieneuronurse replied to irishnurse68's topic in Neuro

    I LOVE neuro/trauma it's a fascinating and extremely challenging area of nursing!!!! It's busy, stressful, heavy and yes can be quite sad and confronting (esp the young head injured pts). We care for an extremely vulnerable population of patients and...

12. TCDs, SAH, HHH VERY LONG

    auzzieneuronurse replied to ParrotHeadRN's topic in Neuro

    Well Done!! You fought hard for the best outcome for your patient and should have been treated with the respect you deserve!!!! Listen to your instincts! Some neurosurgeons don't think TCD's hold much weight but with her clinical signs it would have ...

13. Ever caught a visitor playing with an IV pump??

    auzzieneuronurse replied to TweetiePieRN's topic in General Nursing

    I agree that the beeping from IMED pumps is enough to drive someone crazy if they go on incessantly!!! I have shown patients or their families where the silence button is and encouraged them to use it and then press the call bell and wait for me. The...

14. Do you tell nurses ands Dr's that you are a nurse when you are the pt?

    auzzieneuronurse replied to FlyLady's topic in General Nursing

    I tend to tell them as they give you a little more info and less dumbed down! They figure it out pretty quickly by the questions you ask anyway.

15. care of the C spine fx patient

    auzzieneuronurse replied to dorimar's topic in Neuro

    You would still need to log roll your patient at some point if you have an experienced team and use the correct techniques the patient should not be in danger.