RN's removing surgical drains
- 0Aug 17, '99 by conniejeanI 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.
- 0Nov 4, '99 by ecbI have removed penrose drains, and 1 JP, but if I were requested to do it again I might want to review a procedure book, it has been about 7 years.
I go to a procedure book when I question a procedure or an order to do a procedure, that is how i found out I am not allowed to do things I used to think were basic nursing care (just NOT in the long term care setting)
I am being sent to certification class so I can maintain IVs again, seems odd because I have been starting them and drawing labs for 9+ years, but I cannot even flush a Heplock right now, in my facility.
*** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
- 0Jul 27, '00 by brenda-booconniejean:
We remove hemovacs, j-ps, davols, piccs, midlines, subclavians, g-tubes, j-tubes, hemovacs, epidurals, staples, retention sutures. Premedication is a nice thing to do when removing a surgical site drain. No policies are necessary - just remember to clean the site, deflate the balloon if there is one, cut the suture, pull the tube, and dress it afterwards securely. Oh, and tell the pt what you're doing before you do it but not too much before - you don't want to give them time to get scared or anxious. Then I found distraction works well - get their attention on something else - then pull the tube when they're not expecting it - then you can say "All done - go ahead and breathe!" brenda-boo
- 0Jul 27, '00 by egmillardOriginally posted by 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.
- 0Dec 18, '00 by LoriH357We have been pulling regular surgical JP drains all along. What is new is that we have some surgeons are placing JP drains or even "mini" chest tubes in the pleural space following open heart surgery. Critical care nurses must be certified before pulling any drain from the pleural space. Points to remember: JP drains have a flat portion about 6 " inside the patient. There WILL be resistance when you get to this section, just keep pulling firm and steady. If the JP is in the pleural space, clip/ discard the suture, then cover the insertion site with vasoline gauze, 4x4's. Have the patient hold their breath in while pulling, telling him to breath once the tube is out. I prefer to use clear plastic tape over the gauze as some drainage is possible once the tube is out. If the dsg saturates, either reinforce the dsg or change it but do NOT change the vasoline gauze to prevent a potential pneumothorax.
Lori Hadas, RN, MSN (candidate), CCRN
Cardiovascular Clinical Specialist