RNs pulling pleural chest tubes

  1. 0 In my CCU, we routinely pull mediastinal chest tubes on cardiac surgery patients. Now we have been asked to pull pleural chest tubes. Is there a big difference? If we pull one type, should we be able to pull the other? Can we do so legally? We have a policy for pulling mediastinal only.
  2. Visit  PCarson profile page

    About PCarson

    PCarson has '26' year(s) of experience and specializes in 'Cardiac, respiratory'. From 'Kenosha, WI, US'; Joined Jan '06; Posts: 1.

    6 Comments so far...

  3. Visit  focker14 profile page
    Acutally pulling the midiastinal CT would make one be more cautious....pleural CT are not an issue whatsoever!
  4. Visit  juan de la cruz profile page
    Pleural tube removal is not a benign procedure. Accumulation or recurrence of a pneumothorax is the main concern with chest tube removal. With that said, chest tube removal technique makes a difference in minimizing this risk. As long as RN's are covered by hospital policy with no Board of Nursing restriction on this practice, they can be adequately trained to remove chest tubes.
  5. Visit  Esme12 profile page
    Removing any chest tube ia a practiced skill. I have seen devastating occurrences happen with both. You really need to call your BON and ask them specifically AND be sure you have been adequately trained for this task with a hospital policy in place. Some BON's have specific position statement concerning this practice.....check with them.

  6. Visit  nursingpower profile page
    In our ICU we pull mediastinal and pleural chest tubes. They teach us while orienting in the unit. Only difference is that if we have mediastinal and pleurals, we are to pull the mediastinal chest tubes 1st.
  7. Visit  CVmursenary profile page
    I pull these too; just ask them to inhale, pull with vasaline dressing and hold pressure for a minute or 2 and place pressure tape.
  8. Visit  limaRN profile page
    In the ICU I work in we do not pull either. I am actually really surprised to hear that others do. Maybe there is a difference in state practice.

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