Epilepsy help

[teddyp]

Does anyone work at a hospital with an epilepsy center? I am coordinating the epilepsy center at my hospital and we are looking at creating a standard order set for epilepsy patients. I would like to have any input from someone regarding order sets.

Thanks

[ChevRN]

Does anyone work at a hospital with an epilepsy center? I am coordinating the epilepsy center at my hospital and we are looking at creating a standard order set for epilepsy patients. I would like to have any input from someone regarding order sets.

Thanks

Is this an epileipsy monitoring unit? I used to work on one. Patients who are candidates for resection surgery (usually temporal area) are in either phase 1 or phase 2 monitoring. In phase 1, the electrodes are glued outside the scalp. In phase 2, the electrodes are surgically implanted in the scalp.

I have memories of working there. I work on a neurology/neurosurgery general practice unit. For a while the acute stroke unit and epilepsy monitoring unit were integrated with the neuro/neurosurgery GPU. RNs who received training would take turns going to the epilepsy unit and stroke unit.

In phase 1 and 2 monitoring, patients were on 24 hour video monitoring. Most of the time I would just be watching the patients on the video monitors.

As far as standard orders, from my experience I could note some, including:

All patients having patent IV access, Ativan iv push for seizures, bilateral soft restraints and Posey vest for patients with implanted electrodes, in order that they do not pull them out if seizing. Oxygen nasal cannula and suction setup for seizing patients.

ChevRN