Page 14 - BOOK CHECKLIST RESPIRATORY SEM 3
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PROCEDURE CHECKLIST 7
CARE OF PATIENT WITH CHEST TUBE
No. Procedure
1. Greet client and introduce self.
2. Explain procedure to the patient.
3. Perform hand hygiene.
4. Assess patient for:
4.1 general condition
4.2 vital signs
4.3 dressing site
5. Position patient in semi fowler's and reposition patient every 2 hours.
6. Implement all necessary safety precautions:
2 chest tube clamp / 2 artery forceps at the bedside or at the top of the
6.1 client’s bed to clamp the chest tube in an emergency
6.2 keep drainage system below chest level and upright at all time
7. Maintain tube patency of the drainage system:
7.1 check and ensure all connection are secured
inspect drainage tube for kinks or loops or dangling below the entry level of
7.2 the drainage system
coil the drainage tubing next to the client, ensuring enough slack for
7.3 the client to turn or move
7.4 inspect the air vent in the system periodically to make sure it not occluded
avoid any forceful manipulated of the tube eg: milking or stripping the chest
7.5 tubing
observe for the dislodgment of the tube and remedy the problem
7.6 promptly
8. Assess fluid level fluctuation and bubbling in the drainage system.
9. Assess the drainage:
9.1 every 15 minutes for first 2 hours and 4 hourly
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