Policy Statements
Needle Aspiration
Chest Tube Insertion
Setting Up the Drainage System
Management/Removal
100

All infants requiring chest tubes require this type of continuous monitoring

What is cardiac and respiratory?

100

This light is used to identify free air in the chest cavity

What is a transilluminator?
100

Chest tubes are invasive procedure requiring this type of technique

What is sterile?

100

Suction control on the drainage system is usually set to _____mmHg

What is -20?

100

The drainage system should always be positioned _____ the level of the patient?

What is below?

200

This is required by staff prior to to performing a chest tube insertion or thoracentesis

What is a "time-out"?

200

Patient should be placed in this position for a needle aspiration

What is supine or slightly elevated?

200

The affected side should be positioned ______ during chest tube insertion

What is supine or slightly elevated?

200

Wall suction should be turned on to maintain ______ bubbling in the suction chamber

What is gentle?

200

If no suction is ordered, the suction port and stopcock should be left in the _____ position, and suction should be turned off at the wall

What is open?

300

This should be provided to ensure patient comfort during the procedure

What is pain medication or pain management?

300

When emptying the syringe, the stopcock should be ______ to the patient

What is closed?

300

This should be used to secure the tubing to the bed to prevent the weight of the tubing from pulling out the chest tube

What is a safety pin?

300

The suction source should be set at at least ____ mmHg to create constant, gentle bubbling

What is 80?

300

These kind of loops should be avoided to prevent back flow into the chest

What is dependent?

400

The level of drainage should be marked on the collection chamber at least ______ time(s) a shift

What is one?

400

The site should be covered with an occlusive dressing immediately after a needle aspiration to prevent this

What is a sucking chest wound?
400

This type of disinfectant should be used to cleanse the baby's skin prior to insertion

What is betadine or chlorahexadine?

400

The water seal chamber should be filled with this

What is sterile water?

400

Site should be covered with this after chest tube removal

What is petroleum gauze or Xeroform?

500

This is done by using your fingers to move drainage down the chest tube; This should never be performed

What is milking or stripping?
500

This is ordered after the completion of a needle aspiration

What is an X-ray?

500

This is the name of our chest tube drainage system

What is Oasis?

500

The only time a chest tube should ever be clamped is when checking for this

What is an air leak?

500
This should be available at the bedside at all times in case of accidental disconnection from the water seal drainage

What is a clamp?

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