EVD---EVD CARE ESPECAILLY IN ICU SETTINGS MORE ESSENTIAL , THIS PPT EXPLAINS YOU ABOUT EVD IN BRIEF, INDICATIONS, COMPLICATIONS , , EVD CARE PROCEDURE, NURSING DIAGNOSIS & MANGEMENT ASSOCIETED WITH EVD RELATED INFECTIONS ...
The CVP catheter is an important tool used to assess right ventricular function and systemic fluid status. Normal CVP is 2-6 mm Hg. CVP is elevated by : overhydration which increases venous return.
The CVP catheter is an important tool used to assess right ventricular function and systemic fluid status. Normal CVP is 2-6 mm Hg. CVP is elevated by : overhydration which increases venous return.
Central Venous Catheter Care- A Nursing skill Tse Sona
- Shared on the request of al the delegates who attended and those who couldn't attend the webinar on "CVC care- A Nursing Skill'' due to limited seats. I hope it will be helpful to all
A lumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During a lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebro-spinal fluid. This is the fluid that surrounds your brain and spinal cord to protect them from injury.
Central Venous Catheter Care- A Nursing skill Tse Sona
- Shared on the request of al the delegates who attended and those who couldn't attend the webinar on "CVC care- A Nursing Skill'' due to limited seats. I hope it will be helpful to all
A lumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During a lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebro-spinal fluid. This is the fluid that surrounds your brain and spinal cord to protect them from injury.
Intensive care unit (ICU) equipment includes patient monitoring, respiratory and cardiac support, pain management, emergency resuscitation devices, and other life support equipment.
Precautions for Central Venous Catheters in NeonatesKing_maged
Includes: different methods of venous access, CDC guidelines for prevention of catheter-related infections as well as precautions for umbilical catheters use .. Prepared by Dr. Maged Zakaria, NICU Resident, Ain-Shams University Maternity Hospital
A study to assess the effectiveness of structured teaching program on knowledge regarding care of patients after cardiac surgery among staff nurses at Shree Narayana, Hospital, Raipur, chhattisgarh.
HOSPTAL ACQUIRED PNEUMONIAE , PREVENTION AND MANAGEMENT PROTOCALS MURUGESH.pptxMURUGESHHJ
this is an brief explanation for one of most common infection in hospital i.e , HAI, meaning, causes, prevention & management stragies , VAP OR VAE & NVHAP bundles, especially usefull for nurses ...
IMPORTANCE OF ORAL CARE IN ICU MURUGESH HJ.pptxMURUGESHHJ
THIS PPT EXPLAINS ABOUT IMPORTANCE OF ORAL HYGIENE ESPECIALLY FOR UNCONSIOUS PATIENTS, SEVERLY ILL PATIENTS , IT EXPLAINS YOU ABOUT PROCEDURE, IMPORTANT ARTICLES , MOST BENEFICIAL FOR NURSES
HEART SOUNDS ASSESSMENT FOR NURSES MURUGESH.pptxMURUGESHHJ
IT IS AN BRIEF DESCRIPTION ABOUT SIMPLE ASSESMENT OF HEART , ANATOMY & PHYSIOLOGY OF HEART ,HEART SOUNDS, NORMAL & ABNORMAL SOUNDS..ESPECIALLY MOST USEFULL TO NURSES...
Neuroassessment important neuro reflex’s in icu for nurses +rass score+tbiMURUGESHHJ
its an small guide to assess the neuorological status with various pictures , it explains clearly about GCS, MUSCULAR POWER ASSESSMENT , PUPILLARY REACTION & IMPORTANT REFLEXES specially for nurses ....it has brief information about TBI PROTOCAL & RASS SCORE
Chest auscultation & lung sounds assessment for nursesMURUGESHHJ
its an brief explanation regarding respiratory system & most common sites to assess lung sounds &lobe associated lung infections...visuals explains briefly & clearly about abnormal lung conditions
Artereal blood gas meaning,brief guide for nurses murugeshMURUGESHHJ
ABG-It is an vital &fastest test to assess the patient haemodynamics , this ppt explains you briefly about ABG meaning, components,sampling, allens test & nurses roles....
Mechanical ventilator, common modes, indications,nursing responsibilities MURUGESHHJ
it is an brief summary with diagrammatic presentation for NURSES regarding Mechanical ventilator, uses, complications, types, important terms,common modes, NIV, uses, NURING ROLES & RESPONSIBILITIES for handling INTUBATED patients...
it is an brief description and slides about the CYANOSIS,ISCHEMIA, ISCHEMIC MANAGEMENT MEANING , HEPARIN , HEPARIN USES , IV INFUSION, SIMPLE HEPARIN IV INFSUION CALUCULATION FORMULAE , ANTIDOTE AND NURSING MANAGEMENT,expalins in diagrammatic manner for nurses, ICU nursing educators,primarily its most benificial for INTENSIVE NURSES works in critical area units like ICUs , CT ICUS etc...
Diabetic ketoacidosis meaning,types &management for nurses murugeshMURUGESHHJ
its an brief information about the Diabetic ketoacidosis, causes, signs & symptoms ,hospital management protocals in simple english......provides more information with diagrammatic way ...thank you all
its an brief information for Intensive nurses about the Neurological assessment ,GCS, braian death assessment & expalins about important brain reflex's pertaining to icu setup, for making this pdf i used out hospitlas protocal, nursing journals.....
THIS IS AN BRIEF INFORMATION ABOUT AN ONE OF MY FAVOURITE SUBJECT ARDS & & ITS MANAGEMENT ,ROLES OF INTENSIVE NURSES , IT WILL EXPLAINS ABOUT CATEGORIES, PF RATIO, PRONE POSITIONING & NURSING CARE .....FOR THIS I REFFERED OLD SLIDE SHARE PPTS & IN HOSPITAL ROUTINELY PRACTICING POLICIES
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
2. INTRODUCTION….
An External Ventricular drainage or ICP monitor is a
temporary method of draining of Cerebrospinal from the
ventricular system of the brain when the normal flow of
CSF altered….
the normal range of ICP is 0-15mmhg
An EVD system involves introducing a catheter into one
of the ventricles of the brain ..
> .This procedure is undertaken in OTs by Neurosurgery
team..
>.A EVD system may be connected to a butterfly
secured into a ventricular access device..
3. EVD Indications…..
common indications include raised Intra cranial
pressure(ICP):-
-. Head injury
-. Intracranial hemorrhage -. Acute hydrocephalus
-. cerebral or spinal tumors -. Meningitis or or ventriculitis or shunt
infection ..
Contraindications-
Patient is having any coagulation problems or patient is receiving
anticoagulation therapy
Patient is having scalp infections…
4. Positioning,Zeroing and Securing the EVD..
1.check all connections and tubings are secure ensuring that move
with the head ..
2. If intubated & ventilated means maintain head end elevation >30
degree
3.Establish correct zero reference point using visual landmarkings
“tragus of the ear”
4.Ensure that the chamber is at correct level on gauze as
prescribed by the neurosurgeon.This should be recorded in the
physicain notes as well as documented in the Nurses notes (
usually set at the 10-15cmH2o) ….
5. Mandatory checklists…
At the beginning of each shift it is the responsibility of the nurse RN caring
for a patient with an EVD to complete the following mandatory safety checks:
● Patient has a valid EVD order set on EMR that includes; height (value), height (units),
reference point (e.g. Tragus), drainage (e.g. continuous), notify RMO if drainage is
greater than (mL/hr).
● Reportable limits are noted and adhered which is patient specific.
● EVD drainage point is set at the prescribed level (as per Neurosurgeon documentation in
postoperative orders).
● EVD transducer is levelled to the patient’s external auditory meatus (Tragus).
● EVD column is oscillating and patent.Head dressing is dry and intact.
● Report any signs of changes in patient’s neurological condition to the Medcal team
6. Documentation…..
It is imperative that the management of the drain is documented hourly. Follow TBI chart…
Hourly documentation must include:
● Drain status (e.g. clamped/unclamped).,,Drain levelled (e.g. tragus/ mid sagittal line).
● Drain height (cmH2O).
● Hourly output (mL).,CSF appearance (e.g. rosé, clear, cloudy) ,the drain oscillating?,Patient position
(e.g. supine, lateral, sitting up in chair).
● Patient state (e.g. alert, crying, settled, c/o headache).
● Dressing status (e.g. dry and intact, old ooze).,Dressing intervention.
7. Complications of EVD…..
1.infection ( fever,redness or exudate at the site)
2.blocked Drain
-.inadequate drainage ,tube block or accidentally clamped
3. Excess Drainage :- excessive drainage can lead to
collapsed ventricles , subdural haemorrhage or in some
cases upward herniation..
4. Fluid & electrolyte loss - sodium potassium loss
5.CSF leak
6.accidental removal of EVD
8. NURSING INTERVENTIONS…..
Interventions to lower or stabilize ICP include “elevating the head
of the bed to thirty degrees, keeping the neck in a neutral position,
maintaining a normal body temperature, and preventing volume
overload”
1.Monitor vital signs,GCS , Intake out chart & CSF drainage output chart hourly ,watch
for signs of ICP or LOC
2.frequently check EVD tube for any kink, blockage ,if identified inform immediately to
Intensivist or Neurosurgeon
3. DURING TRANSPORTATION, CHANGING THE POSITION, WHILE MAKING
PATIENT SUPINE please make sure EVD in CLAMPED status..
9. NURSING INTERVENTIONS…..
4.while handling with EVD CIRCUIT Prefer aseptic precautions like Hand hygeine , Hand washing
5.EVD Sampling should be done by NEUROSURGEON (as per policy)
6.Never inject anything
7.Hourly CSF drain output monitoring , suppose there is no output in 1 hour please check the tubing
& inform immeadiately to neurosurgery team, watch closley for patient GCS..
8.level of EVD should be adjusted by the Neurosurgeon,please make sure for clear
documentation
9. Follow TBI chart
10. Patient & family education