Caring for a Patient With a Fiber Optic Intracranial Catheter

Goal: The patient maintains ICP less than 10 to 15 mm Hg, and CPP 60 to 90 mm Hg.

1. Review the medical orders for specific information about monitoring parameters.

2. Gather the necessary supplies and bring to the bedside stand or overbed table.

3. Perform hand hygiene and put on PPE, if indicated.

4. Identify the patient.

5. Close curtains around bed and close the door to the room, if possible. Explain what you are going to do and why you are going to do it to the patient.

6. Assess patient for any changes in neurologic status. (See Chapter 2, Health Assessment, for details of assessment.)

7. Assess ICP, MAP, and CPP at least hourly. Note ICP waveforms as shown on the monitor. Notify the primary care provider if A or B waves are present.

8. Care for the insertion site according to the institution’s policy. Assess the site for any signs of infection, such as drainage, redness, or warmth. Ensure the catheter is secured at site per facility policy.

9. Calculate the CPP, if necessary. Calculate the difference between the systemic MAP and the ICP.

10. Remove PPE, if used. Perform hand hygiene.