Published Jan 4, 2005
I have heard about q15min x1 hr, then q30min for 2 hours....
I don't think anyone where I work actually knows for sure! Anybody have the real deal so I can know "for sure"????
gwenith, BSN, RN
Julie - if you don't mind I will move this to the neuro forum so that it will not get lost and you will get specific feedback.
Answer is - it really depends. Post operatively we used to do 15 minutely for 1 hour and then half hourly for 2 and then hourly forever. However we also recovered patients and that requires continuous monitoring anyway.
jschut, BSN, RN
Nah, I don't mind you moving it...
I was wondering more along the avenue of someone hitting their head...
I work in LTC and all too often when a resident falls and bumps their head, no one knows the exact time to do neuro checks.
I want to know.
Nah, I don't mind you moving it...I was wondering more along the avenue of someone hitting their head...I work in LTC and all too often when a resident falls and bumps their head, no one knows the exact time to do neuro checks.I want to know.
I believe it depends on the facility. At the facility I worked at we did Neuro checks Q 15 minutes x2 hours, then Q30 min x2 hours, then Q1hr x2 hours, then every shift for 3 days. I always dreaded a fall with a head injury!
I would IF I could FIND my faclities p&p manual.
Too many times I have seen the q15min x1hr, q 30min x4 hr and so on, and then, alot of those have been falsified since some nurse say, "Awwww...they are ok." or "I don't want to wake them up."
I just want to do the right thing and be a good nurse. Thanks for your help though.
Wow, that's way more intense than us (and we're a neuro ward!) - post-fall we do half-hourly for four hours, four hourly for twelve.
UM Review RN, ASN, RN
For a suspected stroke, we do neuro checks AND vitals q2h X24 hrs, then q4h X24 hrs, then q shift. If there's any deterioration, we do the NIHSS over again, call the doc, get the CT brain repeated, and start over again.
We have a whole page full of standing orders for stroke. Sometimes our stroke orders are used for patients who've fallen. In fact, we had someone with a subdural hematoma from a fall recently.
We use a frequent vitals sheet and a neuro checklist that speeds up the charting process greatly.
Hope that helps.
alot of those have been falsified since some nurse say, "Awwww...they are ok." or "I don't want to wake them up."I just want to do the right thing and be a good nurse.
I just want to do the right thing and be a good nurse.
"If you have any increase in any of those symptoms and I'm not here, please use your call light to call me."
Most patients are not happy about being awakened all those times, but I always stress that it's because we care about them and want to treat them quickly if something's wrong. And truth to tell, it's hard to tell sometimes if someone is groggy from sleep or really having a hard time remembering how old they are, but at least we try.
Sorry if I'm so long-winded today. Guess it's bedtime. :chuckle
I would IF I could FIND my faclities p&p manual..
Ahhh well... NOT to worry! (I hope!)
I start a new job at a new LTCF this Saturday! :chuckle
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