Removal of Chest Drains

  1. I would like to hear from anyone regarding unit protocols for removal of chest drains post cardiac surgery. I'm mostly interested in who removes them - RN or MD, particularly in Canada (Ontario), but I am interested in hearing from anyone.
    If RNs remove them in your unit, was it always a nursing duty, if not, how long has it been, and was it a difficult process getting the task away from the MD?? What are your protocols? Do you know of any good journal articles that address this issue?
    Thanks very much, all responses will be greatly appreciated.
  2. Visit Eastclif profile page

    About Eastclif

    Joined: Sep '02; Posts: 11
    Staff nurse


  3. by   BadBird
    Usually the Dr. that inserts them will remove them or their PA
  4. by   oh-agnurse
    Usually I've only seen the surgeons PA do it. Definitely not the RN(floor), but then again I'm not sure if a NP could?
  5. by   austin heart
    at our facility the rn's remove all chest tubes from the open heart pts. the blake drains are removed by the md or the pa. we have never had a problem with this.
  6. by   KimRN22
    On our open heart patients it is always the surgeon that removes the chest tubes.
  7. by   New CCU RN
    RN removes them in our ICUs, floor the MD would.
  8. by   2ndCareerRN

    Here is a thread from a while back that a few people responded to also.

  9. by   Eastclif
    thanks everyone who responded to my question. And thanks Bob, I did find the other thread. I had looked in the other icu threads, but didnt' think to look in Coronary Care!!
    It seems that generally in North America, nurses don't remove chest drains. But I believe it is common practice in the UK and Australia. I wonder why??