JP Drains and blood exposure

Published

The last time I was at work I went in to my patient's room to hang an antibiotic, the patients wife just mentions the jp drain is full. The techs usually empty drains and foleys for us, but I will empty them when needed while I am in the room. I have only emptied a jp drain maybe a handful of times because they are only used for back surgery or neck surgery at my facility and I haven't had too many of those patients. I have mostly delt with hips and knees to which hemovacs are used, even then I haven't had to empty those very many times. When I went to empty the jp drain, the bulb wasn't compressed and was about half full, I first looked at the measurement so I could record the drainage. Then I attempted to open the drain, as soon as I got the stopper out the blood squirted right at my face and in my eye. I started to panic, but I tried to remain calm so I didn't freak my patient out. I just said" I'll be right back", I rushed to the patient's bathroom and started flushing my eye at the sink and then used alcohol pads to wipe my face.

I then I had to go through the whole blood exposure protocol, getting my blood drawn and having to follow up with the infection control nurse. I have only been a nurse for four months, but I feel so stupid and a little embarrassed. I'm thinking "why didn't I turn my face away while emptying the drain. The techs empty these drains a lot with the amount of patient they have and I haven't heard of any of them getting blood in their face. It's a small hospital and I feel so singled out, like I'm the only nurse that got blood squirted at my face when emptying a jp drain, being the new nurse and I haven't been there that long I don't want any unwanted attention.

Needless to say, I will never open a drain again without turning me face away. Has anyone else had this happen to them?

We always use the urine cups on my floor. We usually just use one for the whole pt stay. We leave it in the pt bathroom and just grab it when a drain needs to be emptied.

I do the same thing. Use a urine cup because it's bigger and a lot of times there is more than 30 mls especially a fresh post op.

Sent from my iPhone using allnurses.com

Sometimes there's way more than 30 cc to empty...

Well ya. Then you pour in a normal cup and pour and dump from the 30 cc med cup as needed.

Specializes in Pediatrics, Emergency, Trauma.
Well ya. Then you pour in a normal cup and pour and dump from the 30 cc med cup as needed.
.

You do this with post-OP pts, what may have MORE than 30?

Sorry, I need the exact amount ASAP; specimen cup used consistently is far better than using a tiny med cup and keep titrating the negative pressure; just dump it, clamp, and move on...

.

You do this with post-OP pts, what may have MORE than 30?

Sorry, I need the exact amount ASAP; specimen cup used consistently is far better than using a tiny med cup and keep titrating the negative pressure; just dump it, clamp, and move on...

Yeah I understand your POV. With my patients with JPs I usually don't have a ton of output so that isn't an issue for me. I work LTC so most people are several days post OP.

Yeah I understand your POV. With my patients with JPs I usually don't have a ton of output so that isn't an issue for me. I work LTC so most people are several days post OP.

Oh ok so your situation is different than acute care. I was thinking I'm not going to stand there and keep dumping into a medicine cup trying to measure the output. I'll use a specimen cup measure what's in the cup, dump and keep it moving. Most of the time I have fresh post ops so I either use a specimen cup or a graduated cylinder to empty the drain.

So OP there's different ways you can dump and measure a JP drain. Just make sure which ever way you are measuring it you open the drain away from you and into the measuring device.

Sent from my iPhone using allnurses.com

+ Join the Discussion