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Closed-wound Drain Management: Pre-procedure (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 Welcome to the topic of closed-wound drain management.

    00:07 Now, specifically today, we're going to talk about the Jackson-Pratt or otherwise known as the JP drain and the Hemovac drain.

    00:16 Now before we get too much further, when you talk about drains, these are usually placed post-surgery and these are really helpful in reducing pain and it also helps pull-off extra fluid and gives it a place to collect so it can help with wound healing.

    00:34 Now, let's take a look at the equipment you're going to need.

    00:37 So one of those, as you look at this image, is a graduated cylinder.

    00:42 This is actually really helpful because when we're talking about wound management, we want to measure the output of each drain and see how much is coming out of the patient.

    00:53 We want an alcohol pad for cleaning.

    00:56 We also want absorbent pad because you are dealing with blood and body fluids.

    01:01 Just keep in mind as well protection, so certain PPE or otherwise known as Personal Protective Equipment is needed.

    01:09 At the very minimum, you must don gloves when you're performing this procedure.

    01:15 Now let's take a look at the different types of drains.

    01:18 These are going to be the most common surgical drains that you're going to see.

    01:23 So here's a great example.

    01:25 Many times I worked in the surgery department and we take care of a lot of back surgeries.

    01:30 So many times, I will see either this Jackson-Pratt or this Hemovac drain that you see here that's more of a circle, coming from the back right close to the incision of the patient.

    01:42 And again, this is pulling off extra fluid and collecting it here so it's not in the incision and it helps facilitate healing and pain.

    01:50 So let's take a closer look at this JP drain.

    01:54 You see here on the image that there's a bulb in the middle, this is where all the collection comes into play where you get all the serous, and the blood fluid will collect here.

    02:05 Now on the top here you see there's a stopper.

    02:08 So I remember it much like when there's an inner tube or some sort of floatation device in the summer, it's got that little plastic stopper that you open up and it deflates the air, now this stopper is much like that.

    02:20 Then you see the tubing that comes into play then you've got another piece of this tubing.

    02:26 There's a little portion of this that actually goes inside the patient near the incision.

    02:32 That's going to be the avenue where it goes through the tubing and in to the bulb.

    02:36 Now let's take a look on the other side of the image.

    02:39 This one is the Hemovac. It works much like the same of the Jackson-Pratt.

    02:45 Now, a little bit of a difference here, it's got a little bit different names to it, but that middle is just the collection device itself and the stopper works much like the JP.

    02:55 So before we get started, you want to make sure you perform your hand hygiene and provide privacy and explain the procedure to the patient.

    03:04 Now, again, apply gloves and other PPE as needed.

    03:08 And before we get to working, we want to raise the bed to an appropriate working height, and then also assess the patient's baseline condition.

    03:16 So if the patient's got a Jackson-Pratt or a Hemovac drain, typically means that we're taking care of a drain that's coming close out of surgery incision, so there could be some pain that we need to assess and treat.

    03:30 Now, assist the patient to the correct position so you can get to the drain itself.

    03:35 Now is a great time, because usually there's some sort of serous or kind of a yellowish, clear fluid or bloody fluid that's coming from the drain and we want to place this underneath the drain before we get to working with it.


    About the Lecture

    The lecture Closed-wound Drain Management: Pre-procedure (Nursing) by Samantha Rhea, MSN, RN is from the course Surgical Drain Management (Nursing).


    Included Quiz Questions

    1. Decreasing pain
    2. Collecting drainage
    3. Eliminating all pain
    4. Delivering antibiotics
    5. Delivering pain medication
    1. Jackson-Pratt drains have a bulb, and a Hemovac drain has an accordion chamber.
    2. Jackson-Pratt drains have flexible tubing, and a Hemovac has hard tubing.
    3. Jackson-Pratt drains have an accordion chamber, and a Hemovac has a bulb.
    4. Jackson-Pratt drains work better than a Hemovac.

    Author of lecture Closed-wound Drain Management: Pre-procedure (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN


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