REMOVAL OF DRAINAGE TUBE

REQUIREMENTS #

1. A trolley containing the following:
   1. Top shelf (a Sterile field with the following sterile items)
      1. Two (2) or three (3) gallipots for lotions
      2. Two (2) kidney dish
      3. Two (2) pairs of dressing forceps
      4. Two (2) pairs of dissecting forceps
      5. Sinus forceps
      6. Probe
      7. Stitch cutter or scissors
   2. Bottom shelf with the following:
      1. Dressing lotion
      2. Sterile cotton and gauze swab in a drum/pack
      3. Mackintosh and dressing towel
      4. Adhesive tape/strip
      5. Bandage
      6. Scissors
      7. Apron
      8. Disposable gloves
      9. Sterile gloves
      10. Receiver for used dressings
      11. Receiver
      12. Measuring cup

STEPS #

1. Confirm order from doctor(s)’ notes
2. Establish rapport with patient
3. Explain procedure to the patient
4. Provide privacy
5. Perform hand hygiene
6. Prepare and send trolley to the bedside
7. Position patient
8. Protect bed with mackintosh and dressing towel
9. Wear disposable gloves and note the amount of drain in the bag
10. Remove dressing
11. Dispose off gloves and perform hand hygiene
12. Wear sterile gloves
13. Clean and dry the incision and drainage site with sterile dressing gauze
14. Carefully cut and remove the securing suture
15. While holding sterile gauze in non-dominant hand, stabilize skin
16. Ask patient to take a deep breath and remove the drainage
17. Firmly group the drainage tube close to the skin with dominant hand and steady motion withdraw the drain
18. Stop procedure and inform doctor if resistance occurs
19. Dress the wound with sterile dressing
20. Apply pressure with gauze and adhesive tape
21. Remove mackintosh and dressing towel
22. Remove gloves and perform hand hygiene
23. Dispose off used item, decontaminate trolley
24. Document appropriately in nurses notes, input and output chart (manually or electronically)
25. Report any findings to the appropriate officer