| EEG Monitoring Review |
- EEG service reviews initial recording to identify electrographic seizures
- Timing of subsequent EEG reviews determined by clinical situation, initial EEG findings, and occurrence of events
- If electrographic seizures are identified, the next EEG review will occur after completion of the next step of seizure management
- Events of unclear etiology can be assessed if ICU staff push EEG button at appropriate time to mark event of interest
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| NeuroICU Consultation |
- Not required for EEG monitoring initiation
- Recommended for all patients undergoing EEG monitoring
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| EHR Documentation |
- EEG Technologist
- Initiation and discontinuation date/time
- Communication with ICU or NeuroICU Consultation Services
- Daily EEG Report
- NeuroICU Consultation Service
- EEG MD
- Daily and Final EEG Report
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| Standard Results Communication |
- EEG Report completed by EEG MD displays in EHR Procedure tab
- NeuroICU Consultation Service attends morning EEG review rounds to discuss patients and provide information to ICU MD/APP in person or by phone
- EEG Technologist may only convey preliminary findings to ICU MD/APP or NeuroICU Consultation Service (not ICU RN)
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Seizures or
Urgent Results Communication |
- Initial Seizure(s)
- PICU
- EEG Technologist notifies MD/APP (not resident)
- MD/APP implements Seizure Action Plan and involves NeuroICU
Consultation Service
- N/IICU and CICU
- EEG Technologist notifies NeuroICU Consultation Service
- NeuroICU Consultation Service notifies N/IICU or CICU MD/APP
- Subsequent Seizure(s)
- EEG Technologist notifies NeuroICU Consultation Service
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