6.No open continuous infusion or Tycos may be used with an I.C.P. line. The flush devise provides extra security against accidental flushing. A nurse MAY NOT irrigate or aspirate an intraventricular catheter. The infusion is turned off to the patient at both the stopcock and roller clamp. The flush device provides additional security against accidental infusion by closing the tubing to flow.
Irrigation requires a deliberate action to open the flush device.
7.An order MUST BE written to identify at which level the drainage bag is to be placed, for all patients with intra- ventricular catheters in place, whether for the purpose of pressure measurement or drainage alone. If the bag was lowered below this reference point, it would create a vacuum effect and drain off more CSF than desired. Frequency of venting must be recorded for each time drained. 8.As per lesson plan, the approved nurse has sufficient knowledge base. Concise orders reduce errors.