Removing an EVD

  1. Hello everyone!

    I am hoping to seek guidance regarding what other hospitals do when removing an External Ventricular Drain catheter. In most of the resources I have Googled and searched, it is always alluded to that an MD removes the drain either in OR or at Bedside, or an advanced pracitioner such as an NP or PA does so. Try as I might, I cannot seem to find any literature or resource that states a Registered Nurse may remove the drain. I have also been trying to search Board of Nursing sites, but nothing definative has appeared.

    What is the practice in other Neruoscience ICUs out there? How do you all remove EVDs in your facilities?
    If possible, please send me links to whatever resources you have regarding this topic
    Please let me know! I would love to understand how best to approach this topic
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    About jrhic

    Joined: May '17; Posts: 1

    8 Comments

  3. by   Surprised1
    Our neurosurgeons remove them.
  4. by   ~♪♫ in my ♥~
    Ditto. They're removed by the NSG residents.
  5. by   m1lkofamnesia
    Neurosurgery residents or Neurosurgery NP's remove them. No removal by RNs.
  6. by   /username
    Occasionally, the RN will remove them, but it is most commonly removed by neurosurgery.
  7. by   NurseNancy888
    Neurosurgeon, nurses need to make sure physicians are aware of patient status prior to removal.. do not be let them remove ventric if patient has not yet been weaned off ventilator! (Coughing will most likely raise ICP's) the result will be brain infarction with herniation.. brain death.
  8. by   CowboyMedic
    Neurosurgery. I currently have a pt that is on a Ventric and they will be going for a VP shunt today so the neurosurgeon will remove the EVD then place the VP shunt.
  9. by   kristen312
    NSGY residents. That is, unless the patient gets to it.
  10. by   Surly Tim
    RN can remove them but (any) doctor needs to place a stich at the insertiin site.

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