RN's removing surgical drains

  1. 0 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.
  2. Visit  conniejean profile page

    About conniejean

    From 'Ocala , FL , USA'; Joined Aug '99; Posts: 1.

    44 Comments so far...

  3. Visit  Miss RNC profile page
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    RN's and LPN's have been removing Jackson Pratt, Duvol, Penrose, Hemovac, Constavac and T-tube drains for years.
  4. Visit  Marynurse profile page
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    Same here Connie Jean-we have been removing all kinds of drains since I've been working here-1972-no problems with it so far!
  5. Visit  terilyn profile page
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    I guess we are way behind in the times--we are not allowed to remove any type of surgical drains--we technically cannot even remove staples!!!!
  6. Visit  ecb profile page
    0
    I 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.

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    *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  7. Visit  brenda-boo profile page
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    conniejean:

    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

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  8. Visit  egmillard profile page
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    Originally 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.
  9. Visit  egmillard profile page
    0
    In the UK, RN's have been removing surgical drains for many years. We are taught to do this during the training, and are observed during the procedure, until we are proficient.
  10. Visit  frazlednsgstudent profile page
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    I am a nursing student at a community college we are taught in fundamentals class to remove surgical drains. It is a required check off (pass out) for our lab
  11. Visit  LoriH357 profile page
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    We 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
  12. Visit  lv2ski profile page
    0
    We do at my facility, but it depends alot on the docs themselves. We have one who purposely doesn't stitch the drain in so we can remove it easier. It's really not too bad, we do many more difficult tasks. Every facility may have their on policy.
  13. Visit  lgowan profile page
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    Been doing it for years, no problems here.
  14. Visit  Dyno profile page
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    Interesting to see what others can & can't do. On our ward we take everything out: chest drains (retrosternal, pericardial, pleural), ICCs, epidurals, CVLs, belovac drains, pacing wires.. We have to show compentancy when first on ward ofcourse.
    Don't forget to be careful when taking out ICC to prevent pneumothorax, get pt to hold breath, pinch skin to seal, if no purse-string suture to close site put on steri-strips, always seal with vasoline-gauze & air tight dressing.


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