It is a bit scarey that they have left someone to look after an EVD with no theoretical background knowledge of how it works and how to look after it!! If you are after more practical, specific info...
I've never irrigated a subdural drain or heard of them being irrigated. ???fairly uncommon practice. Post evacuation of SDH the pt would be lying flat for 24-48/24 with the drain tube on thumb print...
Our GCS criteria must be slightly different as if the pt does not obey commands or localise to central pain (sternal rub) we apply nailbed pressure bilaterally to elicit a withdrawl/abnormal...
In my experience the only drains that nurses can remove are sugaleal/scalp drains/JP drains. EVD's and subdural drains are always taken out by the medical staff as they require a suture to close. The...
You are talking about very different procudures here and lots of complications can affect patients recovery. Craniotomy + e/o tumour are generally up and about day 1 post op depending on their...
Matt - Neurotrauma is awesome. Being a bit scared is healthy helps keep you on your toes. But just enjoy it - be keen and interested, learn the art of neuro obs and assessment (takes time to perfect...
auzzieneuronurse replied to zaga21's topic in Emergency
Hmmm, very interesting, I'm "just" a ward nurse intruding to add my two cents. The wards and ED are vastly different worlds and it takes different nursing skills and strengths to do both but why is...
auzzieneuronurse replied to zima60's topic in Emergency
This is one of the most interesting debates I've read to date. Great thoughts and comments. I work in a major trauma hospital on a busy neuro ward and the battle between us and ED is never ending...
Hello, As a Melbournian I feel a bit insulted that we aren't even in the running! It is a great place!! I would probably choose somewhere on the east coast as its much easier and cheaper to travel up...
Not sure how you can zero the system to atmospheric pressure if you don't remove the cap?? We zero the system once a shift in a completely sterile procedure and change the cap at the same
I LOVE neuro/trauma it's a fascinating and extremely challenging area of nursing!!!! It's busy, stressful, heavy and yes can be quite sad and confronting (esp the young head injured pts). We care for...
Well Done!! You fought hard for the best outcome for your patient and should have been treated with the respect you deserve!!!! Listen to your instincts! Some neurosurgeons don't think TCD's hold much...
auzzieneuronurse replied to TweetiePieRN's topic in General Nursing
I agree that the beeping from IMED pumps is enough to drive someone crazy if they go on incessantly!!! I have shown patients or their families where the silence button is and encouraged them to use it...
You would still need to log roll your patient at some point if you have an experienced team and use the correct techniques the patient should not be in