Today our topic of discussion is Commercially Prepared disposal Drainage Systems.
Commercially Prepared disposal Drainage Systems
Commercially Prepared disposal Drainage Systems
Combine drainage collection, water seal and suction control in one unit. These systems ensure patient safety with positive and negative pressure relief valves and have a prominent air leak indicator. Some systems produce no bubbling sound.
System allows air and fluid to escape from the pleural cavity but does not allow the air to re-enter. The system may include one, two or three bottles to collect drainage, create a water seal, and control suction.
Or it may be a self-contained disposable system. That combines the features of a multibottle system in a compact, one piece unit. Equipment: Thoracic drainage system which can function as gravity drainage systems to be connected to suction to enhance chest drainage (Fig. 29.26),
Preparation of the Equipment
Check the doctor’s order to determine the type of drainage system to be used and specific procedural details. If appropriate, request the drainage system and suction system from the central supply department. Collect the appropriate equipment and take it to the patient’s bedside.
Implementation
- Explain the procedure to the patient and wash your hands
- Maintain sterile technique throughout the entire procedure and whenever you make changes in the system or alter any of the connections to avoid introducing pathogens into the pleural space.
Setting Up a Commercially Prepared Disposable System
- Open the packaged system and place it on the floor in the rack supplied by the manufacture to avoid accidental knocking it over or dislodging the components.
- After the system is prepared, it may be hung from the side of the patient’s bed
- Remove the plastic connector from the short tube that is attached to the water-seal chamber.
- Using a 50 ml. catheter tip syringe instill sterile distilled water into the water-seal chamber.
- If suction is ordered, remove the cap on the suction- control chamber to open the vent. Next instill sterile distilled water until it reaches the 20 cm mark or the ordered level and recap the suction-control chamber
- Using the long tubes connect the patient’s chest tube to the closed drainage system to the suction source, and turn on the suction.
- Gentle bubbling should begin in the suction chamber, indicating that the correct suction level has been reached.
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