Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

(Chris Devlin) #1

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 17-5

Caring for a Patient with an External Ventriculostomy
(Intraventricular Catheter–Closed
Fluid-Filled System) (Continued)

Comments


  1. Care for the insertion site according to the institution’s
    policy. Assess the site for any signs of infection, such as
    purulent drainage, redness, or warmth. Ensure the catheter
    is secured at site per facility policy.

  2. Calculate the CPP, if necessary. Calculate the difference
    between the systemic MAP and the ICP.

  3. Remove PPE, if used. Perform hand hygiene.

  4. Assess ICP, MAP, and CPP at least hourly.


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