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Chest Tube Skills Demonstration Checklist *Preceptor please initial and date the appropriate column and sign your name at the bottom of the page. Employee Name: Date: Theory: 1. 2. Observed/ Verbalized.

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The location of the chest tube will depend on what is being drained. If air must be drained, the tube will be placed near the apex of the lung at the second intercostals space in the mid-clavicular line, since free air in the pleural cavity will rise to the highest point possible.

Placement: A thoracostomy tube is usually placed between the mid to anterior axillary line in the fourth or fifth intercostal space tracking above the rib so as not to injure the intercostal bundle (artery, vein, nerve). The fourth intercostal space is normally at level on males or inframammary fold on females.

Have an emergency “accidental chest tube removal kit” at the bedside which includes: clamp, petroleum impregnated dressing, two sterile 4 × 4's; container of sterile normal saline or sterile water, occlusion dressing, alcohol swabs. Bleeding may occur after insertion of the chest tube.

Indications Pneumothorax : Open or closed; simple or tension. Hemothorax. Hemopneumothorax. Hydrothorax. Chylothorax. Empyema. Pleural effusion. Patients with penetrating chest wall injury who are intubated or about to be intubated.

Documentation Cues: Date and time that chest tube drainage system was initiated. Type of chest tube drainage system used. Location and size of chest tube inserted. Amount of suction applied to the pleural cavity (if applicable) Presence or absence of bubbling or fluctuation in the water seal chamber (if applicable)

A "safe triangle" (shown below) has been described as the preferred site of insertion. This is the triangle bordered by the anterior border of the latissimus dorsi, the lateral border of the pectoralis major muscle, a line superior to the horizontal level of the , and an apex below the axilla. The safe triangle.

In summary, indications for placement include: Removal of an air collection in the pleural space[2] ... Removal of fluid collection or accumulation between visceral and parietal pleura. ... Use as a delivery conduit to introduce medication or fluid into the pleural space.

A chest tube may also be needed when a patient has had a severe injury to the chest wall or surgery that causes bleeding around the lungs (called a hemothorax). Sometimes, a patient's lung can be accidentally punctured, allowing air to gather outside the lung, causing its collapse (called a pneumothorax).

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232