Chest Drains - removing one at a time?

[hajordan]

Hi All,

I was working yesterday and was helping a collegue pull out 2 chest drains. He wanted to do both at once. I wanted to do one at a time. I would have assumed one at a time would reduce your risk of pneumothorax, but I can't find any literature on this.....or even on google!!

Which is correct?

Thanks! :)

[chare]

So you would pull both together, and not pull one, tie purse strings, then pull the other, tie those purse strings?

Now I understand. I was thinking you were referring to pulling them sequentially in the same session. In this scenario, I agree with you and would likely pull them one at a time.

[MendedHeart]

in North Carolina, both the placement and removal of chest tubes are within the RN scope of practice.

It is left to each facility to determine which RNs will be allowed to do this, and how continued competency will be demonstrate.

Really, Insertion? ???

Do you have a reference link?

[chare]

Really, Insertion? ???

Do you have a reference link?

When I worked transport a few years ago, we were trained on both needle decompression as well as chest tube insertion.

Prior to posting this, I attempted to find this on the NCBON website, but was unable. If/when I am able to find the link, I will post it.

[MendedHeart]

When I worked transport a few years ago, we were trained on both needle decompression as well as chest tube insertion.

Prior to posting this, I attempted to find this on the NCBON website, but was unable. If/when I am able to find the link, I will post it.

Ok thanks.

I'm thinking Critical care transport insertion is a lot different than Hospital nurses inserting Chest tubes as a part of their practice. Our PAs don't even do it.