Source: https://www.aci.health.nsw.gov.au/resources/respiratory/pleural-drains/pleural-drains-in-adults
Timestamp: 2016-10-25 10:12:09
Document Index: 34062427

Matched Legal Cases: ['art 1', 'art 2', 'art 3', 'art 4', 'art 5', 'art 6', 'art 7']

The Pleural Drains in Adults - A Consensus Guideline has been developed with the aim to improve the care provided to adult patients with a pleural drain in NSW acute hospital facilities. The recommendations contained within this document may also be suitable for older adolescents requiring pleural drain insertion.The guideline describes aspects of clinical care, clinician skills and processes within a facility that if followed will reduce the risks associated with the insertion of pleural drains (non-emergency), ongoing management, trouble shooting and removal of pleural drains in adult patients.
This video is also divided into seven sections, available on the following pages:
Part 1: Equipment set up
Part 2: Patient positioning and observations
Part 3: Locating an appropriate insertion site
Part 4: Pre-insertion risk assessment and Time Out
Part 5: Insertion of a pleural drain by the Seldinger technique
Part 6: Suture and samples
Part 7: Dressing
Pleural drains in adults - a consensus guideline (pdf)
This guideline has been developed with the aim to improve the care provided to adult patients with a pleural drain in NSW acute hospital facilities. Cover image shows preparing a patient for insertion of the pleural drain in the triangle of safety.
Guidance for assessing competency in pleural procedures for advanced trainees and specialist nurses (pdf)
Chest drain (under water seal drain) observation chart (pdf)Guidance for assessing competency in pleural procedures for advanced trainees and specialist nurses (pdf)Insertion of a chest drain [flowchart] (pdf)Diagnostic algorithm for the investigation of a unilateral pleural effusionFor more information, questions or comments about the Guideline, please contact:Cecily Barrack Manager, Respiratory Network Phone: +61 2 9464 4625 Email: cecily.barrack@health.nsw.gov.au
Be aware of the risksGolden rulesBackground
IndicationsSkilled operatorsUltrasound and RiskConsent and pre medicationSite and positionTube selection
Equipment requiredSummary flowchartsSeldinger techniqueBlunt dissectionComplicationsDrainage systemsImmediate care post insertionSecure the drain and connections
Equipment required at bedsideReceiving a patient with an UWSDTransferring a patient with an UWSDDrainageTrouble shootingFlushingClampingUnblocking a pleural catheterInsertion site dressingsPatient activity, hygiene, pain relief
Indications and operatorsPrior to removalEquipment for removalPatient preparationPreparation for removalRole of the pleural drain removerRole of assistantCare after removalPatient education
GlossaryAcknowledgements
Purpose, aims and backgroundRecommendations for assessing competency in advanced traineesPleural drain education for respiratory advanced traineesRecommendations for assessing competency in nursesPleural drain education for nurses
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