Page 9 - BOOK CHECKLIST RESPIRATORY SEM 3

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CORE PROCEDURE CHECKLIST 4

CARE OF PATIENT WITH CHEST TUBE

No. Procedure

1. Greet client and introduce self.

2. Explain procedure to the patient.

3. Perform hand hygiene.

Assess patient for:

• general condition
4.
• vital signs
• dressing site

5. Position patient in semi fowler's and reposition patient every 2 hours.

Implement all necessary safety precautions:

• 2 chest tube clamp / 2 artery forceps at the bedside or at the top of the
6.
client’s bed to clamp the chest tube in an emergency

• keep drainage system below chest level and upright at all time
Maintain tube patency of the drainage system:

• check and ensure all connection are secured
• inspect drainage tube for kinks or loops or dangling below the entry level of the
drainage system
• coil the drainage tubing next to the client, ensuring enough slack for the
7.
client to turn or move
• 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
tubing
• observe for the dislodgment of the tube and remedy the problem promptly

8. Assess fluid level fluctuation and bubbling in the drainage system.

Assess the drainage:

• every 15 minutes for first 2 hours and 4 hourly
9. • check sudden change of amount or colour
• if drainage exceeds 100ml/h or colour change indicate haemorrhage, notify the
doctor

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