auzzieneuronurse

auzzieneuronurse

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All Content by auzzieneuronurse

  1. setting up EVDs

    auzzieneuronurse replied to slholmes's topic in Neuro Intensive Care, ICU

    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...

  2. subdural drain...what to do?

    auzzieneuronurse replied to APNgonnabe's topic in Neuro Intensive Care, ICU

    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...

  3. nailbed pressure

    auzzieneuronurse replied to gasmaster's topic in Neuro Intensive Care, ICU

    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...

  4. EVD's, and Brain drains

    auzzieneuronurse replied to fillyupp's topic in Neuro Intensive Care, ICU

    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...

  5. Post op cranies

    auzzieneuronurse replied to RNOTODAY's topic in Neuro Intensive Care, ICU

    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...

  6. Help, my preceptor is in neuro....

    auzzieneuronurse replied to focker-male nurse's topic in Neuro Intensive Care, ICU

    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...

  7. Is ER nursing Floor nursing???

    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...

  8. The War with the Floors

    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...

  9. Interested in Australia

    auzzieneuronurse replied to Cali83's topic in Australia, New Zealand

    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...

  10. ICP Transducers

    auzzieneuronurse replied to Treb4K's topic in Neuro Intensive Care, ICU

    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

  11. Neuro--tell me why you do/don't like it!!

    auzzieneuronurse replied to irishnurse68's topic in Neuro Intensive Care, ICU

    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...

  12. TCDs, SAH, HHH VERY LONG

    auzzieneuronurse replied to ParrotHeadRN's topic in Neuro Intensive Care, ICU

    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...

  13. Ever caught a visitor playing with an IV pump??

    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...

  14. Do you tell nurses ands Dr's that you are a nurse when you are the pt?

    auzzieneuronurse replied to FlyLady's topic in General Nursing

    I tend to tell them as they give you a little more info and less dumbed down! They figure it out pretty quickly by the questions you ask

  15. care of the C spine fx patient

    auzzieneuronurse replied to dorimar's topic in Neuro Intensive Care, ICU

    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

  16. ICP Transducers

    auzzieneuronurse replied to Treb4K's topic in Neuro Intensive Care, ICU

    In my unit nurses routinely take CSF specs from EVD's three times a week - we use an aseptic technique and take a fresh sample from the port below the burette. We used to take it from the port closest...

  17. CVPs and Central Lines

    auzzieneuronurse replied to BoyNurse07's topic in Medical-Surgical

    Hey boy nurse, 1) In my unit we never disconnect the CVP line (infection control) until we no longer need it and don't add heparin to the bag but I'm dealing with SAH pts. The presssure bag should...

  18. Overstimulation in comatose patients

    auzzieneuronurse replied to derelys9's topic in Neuro Intensive Care, ICU

    Hello all, I am just new to this and work on a neurosurgical ward not in ICU but has anyone mentioned PTA (post traumatic amnesia)?????? This occurs post TBI and can last from days to weeks to months...