Hello fellow PICU nurses!
I'm looking to see what is your current practice with sending EVD cultures. Do you follow a protocol to send them daily, twice a week, only when needed, etc.? Also, who sends them? The nurse or doctor? Or someone else? I am looking to explore this further, but I could use some help from you guys! If you have a protocol you could send that would be even better! Any response to this would be much appreciated.
Jan 30, '10
That would help tremendously! I am looking to create a protocol that specifies this particular aspect.
Last edit by NotReady4PrimeTime on Jan 30, '10
: Reason: removed personal email address
Jan 31, '10
This may not exactly be what you're asking, but.....
At our hospital, only neurosurgery docs are allowed to collect specimens. We can change the EVD bags with sterile technique, but that is the limit. Generally speaking, if an infection is suspected, the child is cultured in the OR when they are externalized, then started on antibiotics. Three consecutive days of negative cultures collected by neurosurgery are required before the infection is "cleared" ... well, not cleared exactly, but the time it took to reach this stage helps determine the length of the course of IV abx that child needs (usually a few weeks), and also determines when the child's shunt can be reinternalized. (They usually wait until the antibiotics are at therapeutic levels before they start checking... although honestly neurosurg doesn't always stick to their own policies).
Hope that helps a little.
Last edit by Scooby484k on Jan 31, '10
: Reason: needed to correct some details