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Closed Active Drains
Drains
| Question | Answer |
|---|---|
| What are the types of closed active drains? | J-vac, Haemovac, Jackson-Pratt, Thoracostomy tube on suction |
| What are the indications for closed active drains? | 1. Draining secretions/exudate before they form post-op/prevent accumulation of fluid (prophylactic) |
| What surgeries are closed active drains most useful for? | Thyroidectomy/neck surgery, mastectomies, grafting or flaps, abdominal surgery, thoracic surgery |
| What are the advantages of closed active drains? | Reduce risk of infection as closed, as well as does not allow collections to form which may be nidus for bacteria. Also allows staff to measure drainage. Patient can be taught how to use drain. |
| What is a complication of the haemovac and JP drains? | SHort term: Can become blocked with fibrin or blood clots, catheter may dislodge, device will not compress Long term: difficult removal, us |
| How do you prevent obstruction of haemovac, jvac and Jp drains? | Stripping the material formed in tubing into reservoir (approx q4hrly) |
| What are the disadvantages of closed active drains? | Most have limited reservoir capacity. Suction reduces as more fluid enters reservoir |
| How do you drain and recharge a haemovac/JP ? p1 | 1. Open port that created negative pressure & allow reservoir to re-inflate 2. Empty contents into measuring container (to be measured & later) 3. Clean ports w/ alcohol pad 2 prevent infection 4. Recharge drain and secure via pin to patient's gown |
| When should you empty a JP? | Ideally when half full, approx twice/day |
| What are the signs that a closed active drain may be malfunctioning (Jvac, Jp, haemovac) | oozing around dressing site, markedly less drainage in reservoir |
| When is a haemovac removed? | when drainage is down to 30cc/24hrs or 2 weeks (?) |
| What characteristics of drainage would you be worried about? | Colour: Yellow, greenish. Amount: Increased Odour; Foul Fever |
| How do you drain and recharge a haemovac/JP ? p2 | 5 Secure drain below wound to allow gravity to aid secretion removal. 6 Inspect insertion site for signs of infection (red, warm, tender, oedematous, indurated). 6. Change dressing if necessary 7. Document drain |
| how would you remove a drain? P1 | 1. Explain 2, Analgesia 3. Assemble tools 4. Release suction and measure drainage 5. Remove tape &dressing from insertion site 6. Cleanse site with aseptic soln 7. Carefully cut suture anchoring drain w/ sterile scissors/blade |
| how would you remove a drain? P2 | 8. stabilize skin w/ non-dom hand 9. firmly grasp drainage tube with dom hand w/draw drain with steady firm motion 10. ensure drainage tip is intact 11. dispose of tubing/drain |
| how would you remove a drain? P3 | 12. Remove old gloves & apply new non-sterile gloves 13. Cleanse insertion site with aseptic solution 14. cover site with sterile dressing 15. dispose of tools 16. Assess dressing 30 mins after removal 17. document |
Created by:
IonaDel
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