Wednesday, November 13, 2013

WOUND DRAIN


      1. Removal of wound drainage
      2. Types
        1. closed drain
          1. drain attached to collection system
          2. uses vacuum to draw drainage into system
          3. example: Jackson-Pratt, Hemovac
          4. specific nursing interventions
            1. maintain patency of drain
            2. empty collection system and reactivate suction device
            3. record amount and characteristics of drainage
            4. asepsis
            5. standard precautions
        2. open drain
          1. removes drainage from wound, deposits it on skin surface
          2. example: Penrose drain
          3. safety pin usually attached to outside end of drain
          4. specific nursing interventions
          5. prevent inadvertent removal of drain
            1. protect skin
            2. record characteristics of drainage
            3. asepsis
            4. standard precautions
          6. protect skin surface from irritating effects of drainage
          7. wound vacuum
            1. removes and collects infectious material from wound
            2. computer controlled
            3. requires a seal at wound site with pressure distributing wound packing
            4. client may be discharged with device 

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