Table of Contents
REQUIREMENTS #
- A trolley containing the following:
- Top shelf (a Sterile field with the following sterile items)
- Two (2) or three (3) gallipots for lotions
- Two (2) kidney dish
- Two (2) pairs of dressing forceps
- Two (2) pairs of dissecting forceps
- Sinus forceps
- Probe
- Stitch cutter or scissors
- Bottom shelf with the following:
- Dressing lotion
- Sterile cotton and gauze swab in a drum/pack
- Mackintosh and dressing towel
- Adhesive tape/strip
- Bandage
- Scissors
- Apron
- Disposable gloves
- Sterile gloves
- Receiver for used dressings
- Receiver
- Measuring cup
- Top shelf (a Sterile field with the following sterile items)
STEPS #
- Confirm order from doctor(s)’ notes
- Establish rapport with patient
- Explain procedure to the patient
- Provide privacy
- Perform hand hygiene
- Prepare and send trolley to the bedside
- Position patient
- Protect bed with mackintosh and dressing towel
- Wear disposable gloves and note the amount of drain in the bag
- Remove dressing
- Dispose off gloves and perform hand hygiene
- Wear sterile gloves
- Clean and dry the incision and drainage site with sterile dressing gauze
- Carefully cut and remove the securing suture
- While holding sterile gauze in non-dominant hand, stabilize skin
- Ask patient to take a deep breath and remove the drainage
- Firmly group the drainage tube close to the skin with dominant hand and steady motion withdraw the drain
- Stop procedure and inform doctor if resistance occurs
- Dress the wound with sterile dressing
- Apply pressure with gauze and adhesive tape
- Remove mackintosh and dressing towel
- Remove gloves and perform hand hygiene
- Dispose off used item, decontaminate trolley
- Document appropriately in nurses notes, input and output chart (manually or electronically)
- Report any findings to the appropriate officer