November 30th, 2012 317 Views 
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ACTION |
RATIONALE |
| Change the system in accordance with manufactures recommendations (7-10 days) |
Reduces the risk of infection |
| This procedure must be carried out using an aseptic technique | To reduce the risk of infection |
| This should be carried out by health care professionals that are trained and assessed to be competent |
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| Equipment: Dressing trolley Sterile towels & sterile gloves goggles Cleansing agent i.e. betadine solution s New Drainage set Yellow polythene bag x2 New sterile drainage bag 30 ml syringe and 25g needle 0.9 % normal saline |
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| Wash hands and put on goggles (visor) and sterile gloves | To reduce the risk of cross infection |
| Clamp the drain using the clamps | |
| Tighten all the connections on the new drainage system | |
| Prime the system with sterile 0.9 % Normal Saline ensuring that there is no air within the system
Ensure that all ports are closed |
To prime the set and prevent complications Manufactures guidelines |
| The sampling port nearest to the patient’s head must be turned off to the patient Clamp the drain i.e. non-traumatic forceps | To prevent damage to the intraventricular catheter from the forceps |
| Locate the connection that joins the drainage system swab with gauze soaked in 2 % alcoholic chlorhexidine solution Close all stopcocks in the used system |
To prevent leakage of CSF |
| Detach the used system and dispose of it by double bagging in a yellow polyethylene clinical waste bag and placing in yellow body fluid container. Attach the new system Re zero and set to the prescribed level Open the drain and check that it is patent and draining |
As per Infection Control Guidelines. |
| Drainage bags need to be changed when they are three quarters full | Over filling may result in impaired drainage |
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