Document Detail

MedLine Citation:
PMID:  23291873     Owner:  NLM     Status:  In-Data-Review    
ABSTRACT: When an emergent ventriculostomy is required for relief of increased intracranial pressure, it is critical that participating physicians and nurses work as an efficient team for optimal outcomes. From our experience, problems in ventriculostomy insertion have occurred because of delays in obtaining correct supplies and lack of skill in assembling the drainage system. The goals of this study were to (a) decrease the response time and (b) increase competency for successful insertion and setup of a ventriculostomy by using a "mock herniation" scenario. Three different nursing shifts in the pediatric intensive care unit at the University of Missouri Health Care were presented with a mock scenario of a child with increased intracranial pressure and impending herniation. Each group was timed on its ability to gather the correct supplies and scored on accuracy in setting up the drainage system. Subsequently, all pediatric intensive care unit nurses underwent skills laboratory training on correct assembly of the drainage system. After training, three different groups of nurses were tested again using the mock herniation scenario. This time, there was improvement in all areas tested, particularly in the mean time taken for accurate assembly and setup of the emergency ventriculostomy drainage system. We conclude that skills laboratory training reinforced by periodic mock herniations significantly decreases response time and increases accuracy of assembling supplies and setting up the drainage system for ventriculostomy insertion.
Cathy Cartwright; Usiakimi Igbaseimokumo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses     Volume:  45     ISSN:  1945-2810     ISO Abbreviation:  J Neurosci Nurs     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603596     Medline TA:  J Neurosci Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1-6     Citation Subset:  IM; N    
Questions or comments about this article may be directed to Cathy Cartwright, RN MSN PCNS, at She is a pediatric clinical nurse specialist at the Children's Mercy Hospital, Kansas City, MO. Usiakimi Igbaseimokumo, MBBS FRCS(SN) FRCS(C) MD, is attending pediatric neurosurgeon at Children's Mercy Hospital and assistant professor at University of Missouri, Kansas City.
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