Understanding Drain
Drain is a device
inserted into the wound to help remove fluid (discharge / drainage) of the
wound through the opening in the wound. Drain is made can be made of various
materials, such as one derived from the rubber hose and gauze. Without the
drain, many wounds will heal only on the surface or the top of the wound, so
that the discharge can be stuck on the inside or the bottom of the wound.
Network within or below the wound can not heal because of the discharge /
drainage were trapped earlier and then can lead to
abscess formation.
Rubber hose pleksibel
called also Penrose drain is often included or installed during abdominal
surgery to facilitate drainage of exudate and tissue healing. A drain inserted
through the incision and sutured. Drain length varies from 25-35 cm (10-14
inches), width of bergitu also with 2.5 to 4 cm (0.5 to 1.5 inches). Generally,
doctors instructed the drain pulled out / removed or truncated 2-5 cm (1-2
inches) every day until it all off. If the drain is all out, the remaining wound
usually recover within 1-2 days. In some institutions (hospitals, etc.) shorten
drain performed only by a physician, but at other institutions can be done by
nurses.
The Penrose Drain
Cleaning and Drain shorten
Purpose of cleaning
the place up drain
To dispose of the
charged from the skin, thereby reducing the danger of skin irritation.
Lowering the number of
microorganisms that exist and possible infection.
The purpose shorten
drain
To reduce the length
of the drain thus improving wound healing from the inside out cuts (bottom to
top).
Assessment of client
Assess incision
Assess the number and
characteristics of the drainage area of drain covers smell, consistency and color.
Determine the
discomfort experienced by the client and the location of the discomfort.
Preliminary
information you need to know
Determine the agency's
policies about who has the authority to shorten the drain.
Check your doctor's
instructions about shorten drain. Also check how the desired shortening each
day (for example, 2.5 to 5 cm)
Check nursing plans.
Determine whether the previous drain are truncated. If Drian not been truncated
then drain in a state usually attached to the skin because it is sewn. If so
then you need to do first is to raise / cut seams before shorten drain.
Preparation tool
Before carrying
equipment nurses should wash your hands first. Tools that are necessary are:
A set of sterile
dressings, including the hemostat.
Sterile dressing
materials sufficient to cover the surgical incision and the drain. Commonly
used at least 2 pieces of 4x4-inch gauze or maybe more.
Sterile scissors to
cut the drain and cut the netting to be placed around the drain.
A sterile safety pin.
Sterile gloves (if
needed). Shortening drain can be done using forceps, but most nurses prefer to
use sterile gloves.
Waterproof pouch to
hold the dressings used / have dirty
Sticky plaster,
montegomeri.
Preparation of client
Inform the client that
the drain be truncated and the procedure is painless.
Explain klein probably
will feel a sensation / feeling attracted to a few seconds when the drain is
taken out for the truncated.
Procedure
If the drain is
located in the middle of the incision, the incision clean over towards the
drain and from the bottom to drain, using a swab (gauze / sterile cotton stick)
differently.
Clean the skin around
where the drain by wiping half-circle or a full circle around the drain to the
outside (see figure 1)
Figure 1 How to clean
the wound.
Image taken from
Kozier and Erb. (1982). Techniques in clinical nursing a comprehensive
approach. California: Addison-Wesley Publishing Co..
If the drain has not
been truncated before, then cut and remove stitches.
With forceps (clamps)
or tweezers grasp it firmly and pull the drain to drain out the required
length.
Use sterile gloves,
hold the drain on the skin and the input / puncture sterile safety pin into the
drain above the surface of the fingers that are holding the drain (see figure
2).
Figure 2 How to
install drain pin sterile shorten time injured.
Image taken from
Kozier and Erb. (1982). Techniques in clinical nursing a comprehensive
approach. California: Addison-Wesley Publishing Co..
Scissors drain on a
pin that has ditusukan into the drain using sterile scissors, so the length of
the drain from the surface of the skin / wound about 2.5 cm or 1 inch (see
figure 3)
Figure 3 How to cut
drain the wound.
Image taken from
Kozier and Erb. (1982). Techniques in clinical nursing a comprehensive
approach. California: Addison-Wesley Publishing Co..
Attach 4x4 inch gauze
that has been cut half and place around the middle of the drain tube (see
figure 4)
Figure 4 How to put
sterile gauze on the wound area around the drain.
Image taken from
Kozier and Erb. (1982). Techniques in clinical nursing a comprehensive
approach. California: Addison-Wesley Publishing Co..
Balut incision and the
drain, and put a bandage / gauze drain more until passing through and beside
and below the drain.
Secure using a plaster
or bandage montgomeri.
Bibliography
Kozier and Erb.
(1982). Techniques in clinical nursing a comprehensive approach. California:
Addison-Wesley Publishing Co..
