Report any unusual findings or concerns to the appropriate health care professional. Document procedure and findings according to agency policy. Gloves are not puncture-proof or leak-proof, and hands may become contaminated when gloves are removed. Hand hygiene must be performed after removing gloves. Monitor drains frequently in the post-operative period to reduce the weight of the reservoir and to monitor drainage.ġ0. Note character of drainage: colour, consistency, odour, amount.ĭiscard drainage according to agency policy.ĭrainage counts as patient fluid output and must be documented on patient chart as per hospital protocol. Providing enough slack to accommodate patient movement prevents tension of the drainage system and pulling on the tubing and insertion site.ĩ. Proper placement of the reservoir allows gravity to facilitate wound drainage. Secure device onto patient’s gown using a safety pin check patency and placement of tube.Įnsure that enough slack is present in tubing, and that reservoir hangs lower than the wound. Place the plug back into the pour spout of the JP drain, maintaining sterility Place the plug back into the pour spout of the Hemovac drain, maintaining sterilityĨ. This establishes vacuum suction for drainage system. Place the plug back into the pour spout of the drainage system, maintaining sterility. Expel air from JP drain and flatten it before closing Expel air from Hemovac drain and flatten it before closingħ. Gently squeezing the drain to flatten and remove all the air prior to closing the spout will establish the vacuum system. With the other hand, swab the surface of the port, then insert the plug to close the drainage system. Place drainage container on bed or hard surface, tilt away from your face, and compress the drain to flatten it with one hand. Pour away from yourself to prevent exposure to body fluids.Ħ. Gently tilt the opening of the reservoir toward the measuring container and pour out the drainage. Open drain with opening facing away from youĥ. The vacuum will be broken and the reservoir (drainage collection system) will expand. Open plug pointing away from your face to avoid an accidental splash of contaminated fluid. Maintaining sterile technique, remove plug from pouring spout as indicated on drain. Personal protective equipment reduces the transmission of microorganisms and protects against an accidental body fluid exposure. Apply non-sterile gloves and goggles or face shield according to agency protocols. Figure 4.3 Hemovac drain Figure 4.4 Jackson-Pratt drainĬhecklist 39 outlines the steps to take when emptying a closed wound drainage system.įor example: drainage measurement container, non-sterile gloves, waterproof pad, and alcohol swabģ. The drainage site is covered with a sterile dressing and should be checked periodically to ensure the drain is functioning effectively and that no leaking is occurring. Drains are usually sutured to the skin to prevent accidental removal. A Jackson-Pratt (JP) drain (see Figure 4.4) is usually used for smaller amounts of drainage (25 to 50 ml). A Hemovac drain (see Figure 4.3) can hold up to 500 ml of drainage. Drainage may vary depending on location and type of surgery. The drainage is collected in a closed sterile collection system/reservoir (Hemovac or Jackson-Pratt) or an open system that deposits the drainage on a sterile dressing. Closed systems must be emptied and measured at least once every shift and cleaned using sterile technique according to agency protocol.ĭrainage tubes consist of silastic tubes with perforations to allow fluid to drain from the surgical wound site, or separate puncture holes close to the surgical area. A closed system uses a vacuum system to withdraw fluids and collects the drainage into a reservoir. The number of drains depends on the extent and type of surgery. A drain may be superficial to the skin or deep in an organ, duct, or a cavity such as a hematoma. 4.7 Drain Management and Removal Drain Managementĭrains systems are a common feature of post-operative surgical management and are used to remove drainage from a wound bed to prevent infection and the delay of wound healing.
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