Abstract
Management strategies in the treatment of infants with posthemorrhagic ventricular dilation include the placement of a ventricular reservoir. Traditionally, ventricular punctures of these reservoirs have been performed only by physicians. In the pilot project described in this article, we taught nursing staff to perform punctures of a cerebral ventricular reservoir in neonates with hydrocephalus to give nurses more control in their daily care of these infants.All consecutive punctures performed between August 2006 and March 2007 (n = 302) were studied. The chart was reviewed for the infant's state during the puncture, the caregiver who performed the puncture, and the timeliness of the puncture with respect to schedule and to infant state. During the day shift, there was no significant difference in timeliness, whether the puncture was performed by a physician, a nurse, a physician assistant (PA), or a nurse under the supervision of a physician. On the night shift, punctures were performed on schedule significantly more often when they were carried out by nurses (p>.001). This pilot project demonstrated that nurses can learn to perform cerebrospinal fluid removal from a ventricular reservoir. Because it increased the timeliness ...Continue Reading
References
Jun 1, 1992·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·P GurtnerF P Schinco
Aug 1, 1983·Developmental Medicine and Child Neurology·J LorberT Lonton
Dec 1, 1981·Archives of Disease in Childhood·M I Levene
Feb 12, 1999·Pediatric Neurosurgery·R J HudginsC L Gilreath
May 5, 2000·The Cochrane Database of Systematic Reviews·A Whitelaw
May 2, 2001·The Cochrane Database of Systematic Reviews·A Whitelaw
Apr 5, 2002·The Journal of Clinical Endocrinology and Metabolism·Vanessa E MurphyVicki L Clifton
Jul 2, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·B P MurphyJ J Volpe
Mar 2, 2005·Obstetrics and Gynecology·Janyne E AlthausErnest M Graham
Apr 23, 2005·Archives of Disease in Childhood. Fetal and Neonatal Edition·L S de Vries, L Hellström-Westas
Jul 13, 2005·Early Human Development·Valerie BertelleJacques Sizun
Nov 1, 2005·Surgical Neurology·Saim KazanMahmut Akyuz
Jun 7, 2006·Archives of Disease in Childhood. Fetal and Neonatal Edition·A J BrouwerL S de Vries
May 1, 2007·Early Human Development·Kathleen A Vandenberg
May 17, 2007·The Journal of Perinatal & Neonatal Nursing·V BertelleJ Sizun
Apr 25, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J L BienstockJ Althaus
Jul 3, 2008·Current Opinion in Infectious Diseases·Carmel Curtis, Nandini Shetty
Feb 3, 2009·Cerebrospinal Fluid Research·David ShoomanOwen Sparrow
Citations
Mar 3, 2012·Journal of Neurosurgery. Pediatrics·Shenandoah Robinson
Aug 24, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·A J BrouwerL S de Vries