shortening the drain for wounds

1. Perform shortening and removel of
drains
By Fortunete

2. • Adrain
• Is a tube used for discharge of body fluid.
• Indications of drainage
• To prevent the accumulation of fluids like
blood, pus and infected fluids.
• To prevent accumulation of air (dead space)
• To characterise fluid eg early identification of
leakage.

3. Types of drains
• Open drain .
• This is where the would drains into asterile
dressing. It is at a risk of infection.
• Closed drain
• This is where the fluid drained passes
through a drainage tube which ends under
water in a drainage bottle.
• Radivac drain
• This is a surgical drain where a tube

4. • is used to remove pus ,blood or other fluids
from body.
• Examples of drains
• Breast surgery
• Chest drainage
• Infected cysts
• Biliary surgery
• Pancreatic surgery
• Thyroid surgery

5. Removal of adrain
Procedure
• First clean the wound as for asurgical dressing
• Cut and remove the stitch between the drain
and the skin.
• Take out the drain and place it in a receiver
• Gently compress the area , clean the wound
and apply adressing.
• Finish up as for simple dressing .
• Document procedure.

6. Shortening of A drain
• Clean the wound for surgical dressing.
• Pull the drainage tube with the dissecting forcep.if it is the first
dressing postoperatively there will be a need to cut the stitch
between the drain and the skin before adjusting to the
prescribed length. To loosen the drainage
• Use a sterile forceps or gloves to insert the safety pin across the
drain and to close the pin
• To secure the drain in position and prevent infection

7. Cont
• Dress the wound and finish as for a simple
dressing.
• To prevent inversion of micro organism
• Document the procedure
• For easy continuity of care.

8. Cont
Top
Top shelf bottom shelf Bed side
stitch removing
pack containing
battle of antiseptic screen
stitch scissors
Reciver AHand washing
facility
non toothed
dissecting forcep
Cotton wool swabs
Gauze
Sterile gloves
Sterile dressing