CEREBRAL/SOMATIC SENSOR

LPCH Bedside PROTOCOL

Two site monitoring on all Cardiac patients-excluding ASD patients (Sites: Cerebral & peri-Renal or Gut)

Chart rSO2 Saturations on patient record hourly

Change sensors every 48 hours (write date & time on sensor when arriving in PICU with sensor applied, and at sensor change out)

Placing a warm moist cloth over sensor for 10 minutes will help to loosen adhesive. Sensors must be unplugged prior to applying the moist cloth.

Remove sensors with mild soap & water or adhesive remover

Remove either cerebral or somatic sensor first, after first sensor has been reapplied remove second sensor.

Assess skin integrity

Leave off for 1 hour & reapply to clean, dry skin

No heat is generated by sensor

When reapplying sensor, try to place over same area to enable monitoring of same tissue bed

When changing patients room continue monitoring on same Invos monitor (note monitor number)

If rSO2 (Regional Saturation) < 45% notify MD or NP

Cerebral/Somatic Sensor Protocol

Lucile Packard Children’s Hospital

Heart Center/CVICU

Somanetics Corporation – Author

Alice Rich, RN (arich@lpch.org) – Recommender and Maintainer

12/08 Last Update