Lines, Tubes, & Drains
Oh My!
Oh My!
Compression of bulb with a flat end that allows for low pressure constant suction for removal of drainage
Jackson- Pratt Drain
Two required items for Total Parenteral Nutrition (TPN) infusion
Central Line & Micron Filter (1.2)
Performed every hour while awake
Incentive Spirometer
Frank, red, bloody drainage from drain site
Bleeding or Hematoma
How often are I&Os documented
Q4 hours
A device that uses infrared light to measure tissue oxygen saturation (StO2) & Signal quality to detect vascular compromise before obvious clinical signs appear for early intervention
ViOptix Tissue Oximeter
For patients on parenteral or enteral feeds what is the common POC Glucose frequency
Q6 hours
HYDROmorphone is ordered PRN for what level of pain
Severe pain (7-10)
Common complication induced by surgical procedures and opioid pain medications
Ileus
You called Rapid Response
Significant Event Note & Provider Notification
Patient with NG tube has sudden nausea and no output
Assess for signs of tube displacement
Medications to help pancreatic patients digest fat, proteins, and carbohydrates
Post DIEP Procedure Doppler Flap Check
Flap color, Flap temperature, Flap tissue oximetry, Flap blanching, and Flap doppler flow
The most time sensitive complication following a DIEP flap reconstruction
Flap ischemia/vascular compromise
Flowsheet for Flap Checks
Wound Assessment
Helps relieve nausea, bloating, abdominal distention and vomiting
Venting G tube for gastric decompression
Lab value monitored closely to evaluate nutritional status
Albumin
Nursing Communication Documentation time OOB Goal
POD 0: before 0700
POD 1: 4+ hours
POD 2: 6+ hours
This vital sign change is the earliest sign of sepsis
Tachypnea
Drain Assessment
Drain site, dressing status, drainage appearance, status, output
Lab test commonly ordered to assess for a pancreatic leak
Drain amylase level
An enteral feeding cartridge that helps to improve fat malabsorption and nutrients
Relizorb
Notify Provider - Abnormal Urine Output
Urine output LESS THAN 30mL/hr x 2 hours
A serious complication where the surgical connection between the pancreas and the small intestine fails to seal, allowing pancreatic juice or other contents to leak into the abdominal cavity
Anastomotic (pancreatic) Leak
This system will calculate the volume infused for each interval and allow you to validate it
Infusion Verify