Hands on: Wet and Dry Suction Chest Tube Drainage Systems (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 Okay, guys, before you leave us, I know we've had a lot of talk about chest tubes.

    00:08 Really, it's the equipment to be familiar with, that's going to help you out a lot.

    00:12 So let's take a look at that.

    00:14 So again, during the presentation, we talked about wet suction and dry suction.

    00:18 And that's what I've got here.

    00:20 So if you look over here, if you remember with the dial think dry suction, so I've got my dry suction canister here, I've also got my wet suction canister here.

    00:29 So again, wet versus dry.

    00:31 So let's take a look at these and compare.

    00:34 So we're talking about similarities.

    00:37 Let's take a look at those first.

    00:39 So as you notice on the dry, also on the wet, they both have those calibrated and those marked measured collection chambers.

    00:48 This is where you're going to see any drainage, any fluid and especially blood.

    00:52 Now this is really important to note each shift will also be able to mark this to see how fast that drainage is accruing.

    01:00 Okay, so pretty easy, right? There's our collection chambers.

    01:04 Next, another similarity is our air leak monitor.

    01:08 If you remember, this is key to pay attention to.

    01:11 So if there's bubbling in this, we need to note that, so let's look at the equipment.

    01:16 So take a look here on our dry.

    01:18 Also, let's take a look on our wet here.

    01:22 So you notice these look exactly the same.

    01:24 The main thing when you're setting up the equipment, you have to make sure is it that 2 dotted line and make sure the air leak monitor is filled towards that.

    01:34 And again, if you remember, we go from this side to the five.

    01:40 The higher the number, the worse the air leak, so make sure you keep an eye on those.

    01:44 So again, another similarity.

    01:47 So now let's take a look at a difference on the equipment itself.

    01:51 So if you think about dry suction, take a look that there's a dial here.

    01:56 This is super helpful and it makes it much easier to know what prescribed order the suctions at.

    02:02 So if you look at this one, it's at -20.

    02:05 Now that's going to be the most common suction that you're going to see.

    02:09 So you see here, here's the dial.

    02:11 Now one other important thing to note.

    02:14 If it's connected to suction, see here in E chamber, this has got a little orange bellow that's going to inflate where that little arrow is.

    02:25 So if the patient's connected to suction, you're going to see the bellow around that little arrow or indicator mark, that means suctions working.

    02:34 Okay, one more thing on that.

    02:37 Let's say the patient does not have suction, it's just being drained to gravity, you will not see the bellow inflated.

    02:44 So just remember that.

    02:46 If it's sucking, the orange bellows going to be inflated.

    02:49 If it's not, no inflated bellow.

    02:52 So and here's where we differ from dry to wet.

    02:55 Don't forget about water and think about wet.

    02:57 So when we're talking about wet suction, we're going to look at this chamber A here.

    03:02 So the height of the water is at -20.

    03:05 As you see on this dotted line, if you remember that -20 is a very common suction setting.

    03:12 So what controls the suction here? Well it's actually the height of the water.

    03:16 Now when this is set up to suction, don't let this confuse you.

    03:20 But you should see some gentle bubbling in the suction control chamber in column A here.

    03:28 That's normal when suctions applied.

    03:30 Now these are the main components that you're going to see in regards to these chest tubes.

    03:35 One more thing also before you go and it's the same on each side.

    03:39 These chambers are really nice because it makes it really easy to see the label for the patient.

    03:45 Now when you're connecting it, which part goes to the patient? Which part goes to suction? Well, don't worry, the equipment's going to tell you.

    03:52 So when you look up here, you see a little mark that says to suction.

    03:57 It's the same thing here with the dry, you also see suction.

    04:01 So this two, there's going to be a tubing connected here.

    04:05 Also here, that's going to go to the wall for the suction.

    04:09 Now the other piece, where you see here.

    04:13 Also on this side here, that's going to be the one that's connected to the patient and the chest tube inserted in the patient's thoracic cavity.

    04:22 Thanks for watching.

    About the Lecture

    The lecture Hands on: Wet and Dry Suction Chest Tube Drainage Systems (Nursing) by Samantha Rhea, MSN, RN is from the course Chest Management Tube Care (Nursing).

    Included Quiz Questions

    1. Suction control chamber
    2. Air leak monitor
    3. Drainage chamber
    4. Suction control dial
    5. indicator bellow
    1. The indicator bellow will only inflate if the system is hooked up to suction.
    2. Dry suction chest drainage systems do not have air leak indicators.
    3. The suction is controlled by the suction control chamber.
    4. Dry suction chest drainage systems cannot be hung on the side of the client’s bed.

    Author of lecture Hands on: Wet and Dry Suction Chest Tube Drainage Systems (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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