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Frequency of neuro checks in Neuro ICU

Nurses   (2,823 Views | 2 Replies)
by Soleil72 Soleil72 (New) New

287 Profile Views; 1 Post

Just wondering how frequently nurses do neuro checks in the neuro ICU. We do hourly neuro checks for weeks. To me it seems excessive when patient's have not had a neuro change in days. Often when we ask the Attending if we can change to q2 we get shot down. I understand patients with SAH with vasospasm risks need to be monitored more closely but strokes, SDH, tumor resections? Of course patients who received TPA we do the standard q15, q30, q 1... I have worked at other facilities where neuro checks were done q1 X12 then q2 then changed to q4 when appropriate. Thanks in advance, Diane

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Here.I.Stand has 16 years experience as a BSN, RN and specializes in SICU, trauma, neuro.

1 Follower; 4,976 Posts; 42,875 Profile Views

We do the q15/30/60 min post-tPA. We do them q 1 hr for unstable bleeds or if there's other specific cause for concern, but most of our pts are q 2 hrs. If they have an EVD or a Camino we check an ICP q 1 hr at least, but don't necessarily wake them up for a neuro check.

Q 1 hr neuro checks for weeks in relatively stable pts is a recipe for delirium. :no:

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HouTx has 35 years experience as a BSN, MSN, EdD and specializes in Critical Care, Education.

9,051 Posts; 45,287 Profile Views

My guess? The frequency may be tied to admission/discharge criteria & they want to avoid the 'why is this person still in ICU?' issues that may arise if those q 1h checks are stopped... but then, I am a self-admitted cynic.

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