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

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.