Documenting halo-vest traction
In your notes, document:
date and time of halo-vest traction application and physician who performed the procedure
type, model, and size of halo vest
length of the procedure
patient's response to the procedure
patient education
X-ray obtained.
routine and neurologic vital signs
neurologic and spinal cord assessment per facility policy
pin site care
bathing and skin care
skin assessment
signs and symptoms of infection
integrity of the halo vest and ring
liner changes
pain assessment and medications
complications and nursing actions
patient teaching provided for home care.