Help with JP drain set up please!

[Bec717]

Have you ever set a JP drain to wall suction- low intermittent?

If so how?

One nurse cut to plug off the JP bulb system, placed a connector where the plug was and set up tubing to wall suction. My concern when the physician d/c'd wall suction then there was no plug remaining to seal off bulb to form suction needed.

Another cut off (not disconnected) the bulb, used a connector and set up tubing but then again no bulb remained to set up future use.

One thought you somehow left the bulb, should compress it and tape tubing to the bulb plug............

How do you properly set up a JP drain to wall suction please?

Thanks!

[frann]

I've never heard of putting a JP to wall suction. and I work in IR where we place JP's. Is there that much pus that it needs wall suction? If IR is still open I would call them. just seems odd

[Bec717]

I've never seen it either......... MD order--- actually PACU reported 5 cc output prior to transfer & on unit hourly measured and reported at 30 cc.... then shift change.

[Bec717]

And no, only output blood- procedure hernia repair.

[BonnieSc]

I do this daily for thyroid surgeries and some mastectomies.

Leave the bulb as is. Do not put in the stopper. Cut the hard rubber end off one end of your suction tubing. The raw tubing edge should be a perfect fit over the opening on the JP bulb--the place where you'd normally put in the stopper. It should be tight, no tape required.

When you take it off wall suction and put it to bulb suction (we usually do this the next morning), it's just a matter of taking off the suction tubing and putting in the stopper as usual.

I don't know why you'd put it to intermittent suction, rather than low constant, but doctors have their quirks.

[Bec717]

Thanks so much for your help! When you place the tubing where the bulb stopper is and set it to wall suction do you compress the JP bulb like you would normally or leave the bulb inflated while set to wall suction?

[Up2nogood RN, RN]

Thanks so much for your help! When you place the tubing where the bulb stopper is and set it to wall suction do you compress the JP bulb like you would normally or leave the bulb inflated while set to wall suction?

It doesn't matter, either way the sxn will compress the bulb.

[cherrybreeze, ADN, RN]

Thanks so much for your help! When you place the tubing where the bulb stopper is and set it to wall suction do you compress the JP bulb like you would normally or leave the bulb inflated while set to wall suction?

You don't have control over the suction (meaning, if it's compressed) while it is hooked to wall suction. The wall suction will compress the bulb, but it's not something YOU can physically do or not. That mechanism is taken away since the stopper is removed.

Wendy79 explained how to do it very well. I'd just like to add that IF, for some reason, you had to cut or manipulate any part of the bulb, the bulb itself can be replaced when an order is received to d/c the wall suction. The bulb can be disconnected from the tubing that's attached to the patient.