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Discharge home after insertion or revision of a shunt

Introduction

Your healthcare team feel that you are ready to go home. This advice has been designed to give you all the information you need to take home with you. Please ask the staff if you have any questions.

Information:

Please keep this information safe after you go home.

Personal identification information

Your health speciality for ongoing outpatient care is Neurosurgery.

The consultant for your operation is:

Your NHS number is:

Your Sheffield Children’s number is:

Medical device

Your medical device is called a shunt.

Location: (VP VA VPl Lumber)

Valve type: (Pro GAV Pro SA Mblur+ OSV11)

Valve type: (Pro GAV Pro SA Mblur+ OSV11)

Date of surgery:

Valve name: is set at:

Valve name: is set at:


Discharge checklist

Wound checked and care discussed
ROS planned and discussed
OPA booked
Decolonisation discussed and supplies given
Shunt information leaflet given
Signs and symptoms of shunt problems discussed
Shunt manufacturers booklet
EDMS alert updated (CNS)
CNS informed
Other professionals informed
Medical discharge
Nursing discharge

Pain relief

It is common to require some pain relief after an operation. Please follow the advice given at discharge. The requirement for pain relief should reduce as you recover. If more pain relief is needed please call Ward 5 for advice.

Remember
All medications are clearly labelled by pharmacy. Please follow these instructions closely. If you have any questions please ask. Once at home you can call the ward with any questions.

Decolonisation

Your decolonisation plan needs to continue at home.

Please use washes and gel on the days below.

Day Date Wash Nasal gel

Special precautions

  • You can attend school or nursery when:
  • You can go swimming when:
  • You can play sport when:

Op note and ward round plan for follow up

When: Requested
With who:

When: Requested
With who:

When: Requested
With who:

Your appointments

Appointment 1

With: Location: On date: Time:

Appointment 2

With: Location: On date: Time:

Appointment 3

With: Location: On date: Time:

Please make sure that you attend.

Cannot attend?
If you cannot attend your outpatients appointment for any reason please call the department on 0114 305 3691.

This is very important. It enables us to pass the appointment onto another patient who needs it and rebook your appointment for you.

If you have emergency concerns please attend your local emergency department or contact 999 for assistance.


Wound care

Your stitches are absorbable

  • Absorbable stitches need to be kept dry for 7 days.
  • It is then important to wash the wound.

Your stitches are non-absorbable

  • Non absorbable stitches need to be removed.
  • Keep the wound dry until the stitches are removed.

 

Please don’t use other hair products including conditioner until all stitches are gone.

Please keep your wound dry until:

You have stitches that need to be removed on

Please attend on to have them removed.

Please change your dressings:

Please keep the head bandage on until:

Please don’t swim until all wounds are completely healed.

Signs of infection

If you notice any of the below please contact Ward 5 directly on 0114 271 7758

  • Redness
  • Swelling
  • Pus or fluid leak
  • Wound hot
  • Wound pain
  • A high temperature

If you notice any remaining stitches after 3 weeks please contact the ward to have them removed.

Other professionals involved in your care

Liz Hinde and Jan Hardy – Clinical Nurse Specialists in hydrocephalus
0114 305 3214

John Preston – Advanced Nurse Practitioner
0114 271 7758

Contacting the right people

Ward 5 at Sheffield Children’s
0114 271 7758 or 0114 271 7784

Hydrocephalus and shunts
Hydrocephalus Clinical Nurse Specialist office
0114 305 3214
0114 271 7000 and ask to bleep #121

Outpatients
0114 305 3691

If you are unwell with anything else
Call your GP or 111

For further information

Sheffield Children’s www.sheffieldchildrens.nhs.uk

Shine (hydrocephalus charity) www.shinecharity.org.uk

Sheffield association for Spina Bifida and Hydrocephalus (SHSBAH) – 07752 665 411

Is something missing from this resource that you think should be included? Please let us know

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Disclaimer

Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.

Resource number: NSC8

Resource Type: Article

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liz.hinde@nhs.net

NHS

Western Bank
Sheffield
S10 2TH

United Kingdom

Switchboard: 0114 271 7000

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