JP drains

RN-PA, RN · Sep 17, 2003

I work in a suburban Philadelphia, PA hospital and we do not pull JP drains.

KaroSnowQueen, RN · Sep 18, 2003

I work in Louisville Ky and yes we do. All the time.

Marie_LPN, RN, LPN, RN · Sep 18, 2003

At our facility the physician is the only one allowed to remove them.

Jojorn · Sep 18, 2003

Yes we do! All the time. Usually a couple of hours after a Lap Chole, after the Doctor sees the pt and checks out the JP before the pt goes home. Oregon

meownsmile, BSN, RN · Sep 18, 2003

Yep,, in most cases our nurses pull JP drains, hemovacs, and any other drains. Actually that is a duty we delegate to the LPN's usually, its done with the dressing changes. Our LPN's d/c marcaine pumps as well. We do occasionally have a doc that will pull one, but usually it is when he removes the dressing to check the incision and he just goes ahead and pulls it.

mackrn · Sep 19, 2003

Yes, I have removed JP drains as well as some of the other drains post-op. Have worked in California, Florida, Texas, South Carolina, North Carolina, Lousiana, Mississippi, and Georgia.:)

WhiteCaps · Sep 24, 2003

No, not on purpose anyway! LOL

Our doc's usually pull them and don't order for us to do it.

Is there anything special to know about pulling them?

Lysa · May 18, 2004

I'm from New Brunswick, Canada. Yes we remove JPratts,Hemovacs, Central Lines and Epidurals. The only thing we havn't been delegated to remove are chesttubes...but who knows..one more thing for a doc to dump on us!

nursenatalie, ADN, RN · May 18, 2004

yes, in North Carolina

Anniekins · May 19, 2004

I'm from New Brunswick, Canada. Yes we remove JPratts,Hemovacs, Central Lines and Epidurals. The only thing we havn't been delegated to remove are chesttubes...but who knows..one more thing for a doc to dump on us!

Where I work, in the ICU nurses pull Chest Tubes all the time, but on the regular floors, its done by the Dr.

meownsmile, BSN, RN · May 20, 2004

Uhmm, the one critical thing to know when pulling a JP drain or hemovac for that matter is open the container and relieve the suction on the bulb FIRST, before trying to pull it!!!!!!! I watched a doc pull a JP one day and not relieve the suction, (i thought the patient was going to punch him). Then ,if you meet any resistance or the tubing begins to stretch without advancing, stop and get some help to finish removing it. Dont just pull till it snaps. Both types of drains should advance from the wound with fairly minimal resistance.