JP Drains and blood exposure

Nurses General Nursing

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The last time I was at work I went in to my patient's room to hang an antibiotic, the patients wife just mentions the jp drain is full. The techs usually empty drains and foleys for us, but I will empty them when needed while I am in the room. I have only emptied a jp drain maybe a handful of times because they are only used for back surgery or neck surgery at my facility and I haven't had too many of those patients. I have mostly delt with hips and knees to which hemovacs are used, even then I haven't had to empty those very many times. When I went to empty the jp drain, the bulb wasn't compressed and was about half full, I first looked at the measurement so I could record the drainage. Then I attempted to open the drain, as soon as I got the stopper out the blood squirted right at my face and in my eye. I started to panic, but I tried to remain calm so I didn't freak my patient out. I just said" I'll be right back", I rushed to the patient's bathroom and started flushing my eye at the sink and then used alcohol pads to wipe my face.

I then I had to go through the whole blood exposure protocol, getting my blood drawn and having to follow up with the infection control nurse. I have only been a nurse for four months, but I feel so stupid and a little embarrassed. I'm thinking "why didn't I turn my face away while emptying the drain. The techs empty these drains a lot with the amount of patient they have and I haven't heard of any of them getting blood in their face. It's a small hospital and I feel so singled out, like I'm the only nurse that got blood squirted at my face when emptying a jp drain, being the new nurse and I haven't been there that long I don't want any unwanted attention.

Needless to say, I will never open a drain again without turning me face away. Has anyone else had this happen to them?

Specializes in retired LTC.

Urine specimen cups are an expense to use ( OMG!!! I did it! I crossed over the management line of trying to save some budget equipment money!)

I just pour the contents into some styrofoam/plastic cup and then into a little measuring 30cc med cup and I dump into the toilet. I just carry the stuff into the room when I go to empty the JP.

Just make sure you've securely re-established the suction and the little cap is tight.

The styrofoam cup/med cup are always available. You'd only need a sterile urine cup if you needed to send a specimen for C&S.

Specializes in private duty/home health, med/surg.

Practice will help! I agree, turn the spout away from you to empty, and don't squeeze the bulb until you're done emptying.

Styrofoam then a 30cc cup sounds a little more time consuming than it needs to be. We don't charge individually for the urine specimen cups, so I have a hard time believing they're that expensive. If the OP's floor has few pateints with JP drains, I don't see how using specimen containers is going to affect their budget.

Specializes in retired LTC.
Practice will help! I agree, turn the spout away from you to empty, and don't squeeze the bulb until you're done emptying.

Styrofoam then a 30cc cup sounds a little more time consuming than it needs to be. We don't charge individually for the urine specimen cups, so I have a hard time believing they're that expensive. If the OP's floor has few pateints with JP drains, I don't see how using specimen containers is going to affect their budget.

LTC freq uses an outside lab who supplies us our equip. Not too sure how they charge us for supplies but I'm sure it's in there somewhere in the provider service contract.

And then there's always the problem of availability of specimen cups - back to the old 'nobody reordered supplies' issue and there's not a specimen cup in the house. That's why I say my system is always available.

Simple, available and cheap.

I empty mine into a med cup with measurement markings. I aim it away from me and open carefully. I ALWAYS wear gloves. My hospital policy is to wear a mask and a shield but I never do.

Specializes in Hospital Education Coordinator.

I am sure this has happened on several occasions to many people. I once had a unit of blood explode when I spiked it. What a mess

Why would you use a urine cup? A 30 cc med cup works just fine!

Specializes in ICU/PACU.

I've had this happen to me once. I don't even know how it happened as I've emptied thousands of JP drains. Somehow some of it squirted onto my face and in my eyes. I was busy and really tired that night, I do remember that. I think my lack of sleep contributed.

I always aim the opening towards the container that I'm emptying it in. I flick the plug while aiming it down so when it squirts out it squirts into the container. I compress and close it directed towards the container too. I measure the fluid in the container versus the bulb for more accurate measurements.

Sorry this happened to you. Maybe your manager or educator cane use this as an opportunity to have an inservice about maintaining drains. Sorry you had to be the fall guy but it would be terrible if it happened again to you or another coworker.

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I never would have thought the jp drains would do that. I thought the hemovacs would much more likely squirt blood at your face since it has a spring that you have to compress down after you open it. This facility probably hasn't had much of these type of incidents in the past, if they did there probably would be a requirement to wear a mask with an eye shield.

They don't have too many blood exposures at my facility because they had to think for a little bit and ask others about the protocol. The weird thing was, that day there was another nurse in the OR who got blood in her eye too while working in surgery.

Specializes in Pedi.
Why would you use a urine cup? A 30 cc med cup works just fine!

Sometimes there's way more than 30 cc to empty...

We always use the urine cups on my floor. We usually just use one for the whole pt stay. We leave it in the pt bathroom and just grab it when a drain needs to be emptied.

Specializes in Pediatrics, Emergency, Trauma.
Sometimes there's way more than 30 cc to empty...

^This.

Specimen cup is my best bet for measurement and disposal. :yes:

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