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Chest Drainage
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Author:Patricia Carroll, RN, BC, CEN, RRT, MS
Owner, Educational Medical Consultants
Faculty, School of Health Sciences, Excelsior College Page 1 of 26This manual
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How to fill out chest drainage

How to fill out chest drainage:
01
Begin by gathering all necessary supplies, which typically include a chest drainage unit, sterile gloves, a sterile drape, antiseptic solution, and sterile dressings.
02
Position the patient in a comfortable and supported position, ensuring their chest is accessible and the drainage site is visible.
03
Before starting, explain the procedure to the patient and obtain their consent.
04
Cleanse your hands thoroughly and put on the sterile gloves to maintain aseptic technique.
05
Prepare the chest drainage unit by removing any packaging and ensuring all connections are secure.
06
Open the sterile drape and place it over the patient's chest, creating a sterile field.
07
Cleanse the drainage site using an antiseptic solution, following a circular motion from the center outward.
08
Insert the chest drainage tube into the site, being mindful not to apply excessive force or cause any discomfort to the patient.
09
Verify proper placement of the chest drainage tube by observing gentle bubbling in the water seal chamber of the drainage unit.
10
Connect the chest tube to the drainage unit using the appropriate connections, ensuring they are securely attached.
11
Secure the chest tube to the patient's chest using sterile dressings or adhesive strips to prevent any accidental dislodgement.
12
Monitor the patient's vital signs and the chest drainage unit regularly for any signs of complications or issues.
13
Document the procedure, including the date, time, and any observations made during the process, in the patient's medical record.
Who needs chest drainage:
01
Patients who have undergone thoracic surgery, such as a lobectomy or pneumonectomy, may require chest drainage to remove any excess air or fluid from the pleural space.
02
Individuals with certain lung conditions, such as pneumothorax or hemothorax, where air or blood accumulates in the pleural cavity, may also need chest drainage.
03
Those who have experienced chest trauma, such as a rib fracture or a penetrating injury, may benefit from chest drainage to prevent complications like pneumothorax or hemopneumothorax.
04
Patients with pleural effusion, which is the abnormal accumulation of fluid in the pleural space, may require chest drainage to relieve symptoms and improve breathing.
05
Chest drainage can also be used as part of a therapeutic or diagnostic procedure, such as pleurodesis or thoracentesis, respectively, to address specific medical conditions.
Remember, it is always important to consult with a healthcare professional for guidance and instructions specific to each individual case.
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What is chest drainage?
Chest drainage is a medical procedure that involves inserting a tube into the chest cavity to remove fluid or air.
Who is required to file chest drainage?
Chest drainage procedures are typically performed by qualified medical professionals such as doctors or nurses.
How to fill out chest drainage?
Filling out chest drainage involves documenting the procedure, the amount of fluid or air removed, and the patient's response to the treatment.
What is the purpose of chest drainage?
The purpose of chest drainage is to relieve pressure in the chest cavity, improve lung function, and treat conditions such as pneumothorax or pleural effusion.
What information must be reported on chest drainage?
Information that must be reported on chest drainage includes the date of the procedure, the type and amount of fluid or air removed, and the patient's vital signs.
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