What does 'routine neuro obs' really mean? Establishing a guideline

Amelia Swift, Lynch Claire, Gwynn Chloe, Holland Katie

Research output: Contribution to specialist publicationArticle

Abstract

Abstract
Background:
Neurosurgery carries a risk of post-operative deterioration that can be detected using neurological observations (NO). NO are frequently requested by surgeons using the phrase ‘routine post-op neuro obs’. There is no agreed definition of what this means.
Aims:
To identify the range of possible interpretations of the phrase ‘routine post-op neuro obs’ by nurses and surgeons.
Method:
National policy analysis, literature review, notes audit and survey methods were used to identify national and local practice. Data were analysed descriptively using Excel.
Findings:
Two out of 15 policies contained observation guidance. Fifteen surgeons used five terms to describe post-operative observations. ‘Routine’ was used to describe observation frequency anywhere between every 15 minutes and every 4 hours. Nurses varied in their interpretation, and frequency was based on clinical judgement.
Conclusion:
Post-operative instructions and nursing practice vary. There is a need and desire for clear evidence-based guidelines to ensure consistency and patient safety.
Original languageEnglish
Pages2-6
Number of pages5
Specialist publicationBritish Journal of Neuroscience Nursing
Publication statusPublished - 18 Dec 2018

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