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                                                            UNIT 3
                                               PROCEDURE CHECKLIST 41
                    Nursing interventions for Client with Infections and Inflammations: Removal
                                                           of drain






                 NO.                               PROCEDURE                                   REMARKS

                       Confirm that the physician order correlates with amount of
                  1.   drainage in the past 24 hours

                       Explain procedure to patient: offer analgesia and bathroom as
                  2.   required

                  3.  Prepare necessary equipment.

                       Apply a waterproof drape/ pad for depositing the drain once it
                  4.  has been removed. This provides a place to put the drain once it
                       is removed.

                  5.  Perform hand hygiene
                       Apply non-sterile gloves and face shield according to agency
                  6.   policy

                       Release suction on reservoir; measure and record drainage if
                  7.   >10mls.

                  8.  Remove tape and dressing from drain insertion site

                  9.  *Clean site according to simple dressing change procedure.

                       Carefully cut and remove suture anchoring drain with sterile
                  10.
                       suture scissors.

                       Snip beneath the suture knot to ensure contaminated suture is
                  11.  not brought into the tissue. Pull suture out. Snip or cut knot away
                       from yourself.


                  12.  Stabilize skin with non-dominant hand by using sterile gauze.


                       Ask patient to take a deep breath and exhale slowly: remove the
                  13.   drain as the patient exhales using sterile forceps


                       Firmly grasp drainage tube close to skin with dominant hand,
                  14.  and with a swift and steady motion withdraw the drain and place
                       it on the waterproof drape/pad.













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