Hey all you neuro nurses. I have a question that is haunting me.
I worked with a TBI patient in a trauma ICU a few weeks ago. Patient was s/p cranie, readmitted from rehab after change in mental status. Discovered his VP shunt was infected. VP shunt was revised with ventriculostomy inserted for drainage/intrathecal therapy. ICPs never monitored that I know of. Patient is better know, but intrathecal therapy continues, so the ventric remains in. They were using Codmans, but I felt uncomfortable knowing that all his CSF could drain out of her head without any alarms alerting me or any sort of value shut off. Eyeballing was the only guarantee that everything was safe. Order was to leave the drain open post therapy.
Does AANN say anything about this sort of practice?