Patient should be aware that moving whilst drain is Educate the patient/parent that there is a risk of dislodgement therefore requiring increased care when moving. If suspecting infection, notify treating medical team and ask if a swab of the insertion site or sample of any ooze should be collected for pathological investigation.Įducate patient/parent to ensure the drain is below the site of insertion but not pulling on the patient. Pain assessment and management guideline for more information. Appropriate analgesia should be provided when necessary, particularly prior to removal. Pain Assessments should be completed and documented regularly whilst the drain is in situ. Rains should be removed as soon as practicable, the longer a drain remains in situ, the higher risk of infection as well as development of granulation tissue around the drain site, causing increased pain and trauma upon removal. Regularly discuss removal plan with treating team. A blocked drain tube can lead to formation of haematoma, increased pain and risk of infection.ĭrainage needs to be documented at a minimum 4 hourly and more frequently if output is high. If applicable, ensure suction is maintained. Monitor patient for signs of sepsis if the patient is febrile, has redness, tenderness or increased ooze at the drain site, this could be a sign of infection, the treating team must be notified and blood cultures may need to be obtained.ĭrain patency and insertion site should be observed at the beginning of your shift and before and after moving a patient. Document amount and type of fluid in drain bottle/receptacle on LDAs.
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Ensure drain is located below the insertion site and free from kinks or knots. Document site condition and notify treating team and AUM if any concerns.Īssess if drain is secured with suture or tape, document on LDAs.Īssess patency of drain. Penrose™ – flat ribbon-like drain, gauze is applied to external end to absorb drainage, can be colonised by bacteria if left in situ for an extended period of time.Īssess drain insertion site for signs of fluid or air leakage, redness or irritation to the skin.Please see note regarding removal of these drains. Pigtail™– Small lumen with a coil in the shape of a pigtail, used for draining a single cavity, passive drains, easily blocked (discuss with surgical registrar if safe to flush).
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Redivac™ – a high negative pressure drain used for larger draining amounts.Jackson-Pratt™ – a soft pliable tube with multiple perforations and a bulb that can recreate low negative pressure vacuum, designed so that body tissues are not sucked into the tube, decreasing risk of bowel perforation.Pleural and mediastinal drain management after cardiothoracic surgery Nursing Guideline. For further information on these drains please follow this link toĬhest Drain Management Nursing Guideline or Note:This guideline does not relate to the care and management of Chest Drains (UWSD) or drains inserted post cardiothoracic surgery. This guideline is designed to ensure a standard approach to care and management of surgical drains (as listed below) through evidence based practice. Of drainage expected and surgeon preference.
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The type of drainage system inserted is based on the needs of patient, type of surgery, type of wound, amount
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Surgical drains are tubes placed near surgical incisions in the post-operative patient, to remove pus, blood or other fluid, preventing it from accumulating in the body.