Skill 16[1]..Assisting with Collection of Cerebrospinal.pdf

SKILL 16

Assisting with Collection of Cerebrospinal

Fluid

EQUIPMENT

Spinal tap (lumbar puncture) tray:

Antiseptic solution

Sterile drape

3-way stopcock

Spinal fluid pressure manometer

Lumbar puncture needle (various sizes)

Fluid collection tubes (3 or 4)

Gloves, sterile (physician)

Gloves, nonsterile (nurse)

Local anesthetic

Band-Aid or 2

DOCUMENTATION

1. Procedure performed, time, physician’s name.

2. How procedure tolerated, including opening pressure,

color of CSF, drainage on dressing, headache, leg tin-

gling, changes in vital signs, nausea, vomiting, changes

in level of consciousness.

3. Laboratory specimens sent.

2 gauze

Adhesive bandage

Gauze sponges

GENERAL GUIDELINES FOR DIAGNOSTIC

TESTS

1. Explain procedure to child and family. Enhances cooper-

ation and participation and reduces anxiety and fear.

2. Obtain signed consent.

3. Gather equipment. Promotes organization and effi-

ciency.

4. If possible, have child void before procedure. Promotes

comfort and avoids interruption of procedure.

5. Wash hands. Reduces transmission of microorganisms.

PROCEDURE

1. Steps 1–5 of General Guidelines.

2. Put on nonsterile gloves. Reduces transmission of

microorganisms and protects careprovider from contact

with body fluids.

3. Properly label tubes with client information and name

of test desired. Ensure tubes are numbered in sequence

of collection. Place tubes in appropriate bag or con-

tainer. Avoids errors in testing and reporting.

4. Assist with placement of direct pressure and placement

of Band-Aid or gauze dressing over site. Pressure helps

minimize bleeding and cerebrospinal fluid (CSF) loss.

5. Dispose of equipment in appropriate container.

Consistent with body fluid precautions.

6. Remove gloves. Wash hands. Reduces transmission of

microorganisms.

7. Send specimens to laboratory.

NOTE: Two individuals are needed: one to restrain the

child and one to assist the physician.

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