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Mercy Hospital Trauma Care Guideline Management of Chest Tube Removal Purpose: To communicate evidence based guidelines related to the management of chest tube removal Guidelines: Based on recommendations
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How to fill out management of chest tube

How to fill out management of a chest tube:
01
Ensure that you have the necessary supplies ready. These may include sterile gloves, sterile dressings, a drainage system, and a suture removal set.
02
Put on sterile gloves to maintain aseptic technique throughout the procedure.
03
Position the patient appropriately. Usually, the patient will be in a semi-Fowler's position or lying on their side with the affected side elevated.
04
Cleanse the area around the chest tube insertion site using an antiseptic solution, such as chlorhexidine or povidone-iodine.
05
Use sterile drapes to create a sterile field around the chest tube insertion site.
06
Administer local anesthesia around the insertion site to minimize discomfort for the patient.
07
Make a small incision in the skin at the predetermined location for the chest tube insertion. This is typically in the mid-axillary line at the level of the fourth or fifth intercostal space.
08
Use a scalpel or blunt dissection to create a subcutaneous tunnel for the chest tube.
09
Insert the chest tube into the pleural space, ensuring that it is positioned correctly and securely taped to prevent accidental dislodgment.
10
Connect the chest tube to a drainage system, which allows for the collection and monitoring of pleural fluid or air.
11
Ensure that the drainage system is functioning properly by checking for adequate fluctuation or bubbling, depending on the type of chest drainage system being used.
12
Monitor the patient's vital signs and respiratory status regularly to assess for any complications or changes in condition.
13
Keep all connections and dressings clean and dry, and change them as needed to maintain a sterile environment.
14
Document the procedure, including the date and time of chest tube insertion, drainage output, vital signs, and any relevant patient observations.
Who needs management of chest tube:
01
Patients with pneumothorax, hemothorax, or pleural effusion may require a chest tube for management.
02
Individuals who have undergone thoracic surgery, such as a lobectomy or pneumonectomy, may also require a chest tube postoperatively.
03
Patients with severe respiratory distress, such as those with tension pneumothorax or massive pleural effusion, may need immediate chest tube placement.
04
Individuals who have sustained chest trauma or rib fractures resulting in a collapsed lung may benefit from chest tube placement.
05
Patients with certain medical conditions, such as empyema or chylothorax, may require ongoing chest tube management to drain fluid or air from the pleural space.
06
People undergoing certain medical procedures, such as pleurodesis or pleural biopsy, may also have a chest tube inserted for post-procedural management.
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What is management of chest tube?
Management of chest tube involves monitoring and caring for a patient's chest tube to ensure proper drainage of fluids and optimal respiratory function.
Who is required to file management of chest tube?
Healthcare providers, specifically those responsible for the care of patients with chest tubes, are required to file management reports.
How to fill out management of chest tube?
Management of chest tube reports can be filled out by documenting the tube insertion procedure, drainage amounts, patient vital signs, and any complications or changes in status.
What is the purpose of management of chest tube?
The purpose of managing chest tubes is to ensure proper drainage, prevent complications, and monitor the patient's respiratory status.
What information must be reported on management of chest tube?
Information such as drainage output, tube placement verification, patient vital signs, and any interventions or changes in condition must be reported on management of chest tube forms.
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