RN's removing surgical drains - page 3

I am desperatly searching information/policies & procedures on RN's removing JP , penrose and/or hemovac drains . We have been asked to do this and I would love to talk to anyone that works in a... Read More

  1. by   Lysa
    Canadian nurse...I remove it all too. It is a nursing task that we were all tought how to do. If you are unsure, review your policy and procedure manual
  2. by   nursenatalie
    We remove PICCs central lines, hemovacs, JP's, epidurals, T-tube the whole deal have even pulled a chest tube with the surgeon at my side to suture, is there really anywhere you cant legally do this?
  3. by   Amy Tschida
    Quote from conniejean
    I am desperatly searching information/policies & procedures on RN's removing JP , penrose and/or hemovac drains . We have been asked to do this and I would love to talk to anyone that works in a facility where RN's do remove surgical drains. Thank you so much.
  4. by   Amy Tschida
    I am looking for an actual policy that tells you how to remove a hemovac so I can review it and make sure our policy is updated. I am looking for an actual site to print one out and review. I also need literature research to back up the policy. If you or anyone could help that would be great
  5. by   Amy Tschida
    Did you have any luck finding a policy for hemovac drains. I am doing the same thing and am having little luck if you could help that would be cool
  6. by   meownsmile
    Check for Lippencott's nursing manual in your unit. Surgical units should have some type of nursing manual. If not check with the staff educator in your facility they should be able to come up with it.
  7. by   cbrad
    Quote from conniejean
    I am desperatly searching information/policies & procedures on RN's removing JP , penrose and/or hemovac drains . We have been asked to do this and I would love to talk to anyone that works in a facility where RN's do remove surgical drains. Thank you so much.
    I need references ( policy& procedures of removing surgical drain)
    we remove surgical drains but i have no references for this,can you assist me with the references for my policies
  8. by   cbrad
    Quote from Amy Tschida
    I am looking for an actual policy that tells you how to remove a hemovac so I can review it and make sure our policy is updated. I am looking for an actual site to print one out and review. I also need literature research to back up the policy. If you or anyone could help that would be great
    I'm looking for references also to support my policy and procedure of
    removing surgical drains.Did you find any references?? Thanks
  9. by   Cameelrn
    Quote from Miss RNC
    RN's and LPN's have been removing Jackson Pratt, Duvol, Penrose, Hemovac, Constavac and T-tube drains for years.
    I would like some guidance on removing a T-Tube drain. I had an order today to remove one and thought it would be like other drains. I was surprised to find that there were no stitches. I stopped at that point and went to get some clarification from a more experienced nurse. What I was told by others (two ICU nurses) was that it is just like any other drain. The doctor's order did not indicate that any special precautions or procedures were needed. I had no trouble removing it. It did not bleed. It was intact. Later, though, a nephrologist, when asked, said that t-tubes are taken out in radiology! Please tell me he was confused or misinformed! You say nurses have been pulling them out for years. I would feel horrible if I did this wrong, especially if it caused some damage!
  10. by   matira
    Conniejean, we remove drains here in our hospital in Australia. However, we also have to show the tip (mostly bellovacs) to another RN and she must co-sign in the patients chart that the tip was sighted. I find this to be over the top. I was wanting to do alittle research into whether other nurses have to show the tip to another RN as I would like to put an end to it. Have you any nursing journal articles on the subject that you can share.
    thanks
  11. by   lady_jezebel
    Though RNs know HOW to remove them, a particular hospital or floor may not support it in practice. My hospital will not allow RNs to remove drains, though we do remove staples. Reason we can't remove drains: some of the tubing from JPs has broken off & lodged into the patient, requiring surgical removal. It's a liability thing. Now the surgeons/residents have to do it where I work.
  12. by   lady_jezebel
    Quote from matira
    Conniejean, we remove drains here in our hospital in Australia. However, we also have to show the tip (mostly bellovacs) to another RN and she must co-sign in the patients chart that the tip was sighted. I find this to be over the top. I was wanting to do alittle research into whether other nurses have to show the tip to another RN as I would like to put an end to it. Have you any nursing journal articles on the subject that you can share.
    thanks
    This only PROTECTS the RN license! It's legal documentation. It's not meant to belittle you.
  13. by   lady_jezebel
    Quote from nursenatalie
    We remove PICCs central lines, hemovacs, JP's, epidurals, T-tube the whole deal have even pulled a chest tube with the surgeon at my side to suture, is there really anywhere you cant legally do this?
    You pull epidurals???

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