Factors affecting the safety of drains and catheters in surgical patients (original) (raw)
Related papers
Determination of Nursing Practices Related to Drain Care
Turkish Journal of Colorectal Disease
Drenler cerrahi işlemler sırasında sıklıkla hem tedavi edici hem de profilaktik amaçla kullanılmaktadır. Drenin takılmasından çıkarılmasına kadar geçen süreçte hemşirelere önemli görevler düşmektedir. Bu çalışmanın amacı; dren bakımına ilişkin yapılan hemşirelik uygulamalarının belirlenmesine ek olarak dren bakımı ile ilgili hemşirelerin yaşadıkları problemleri de belirlemektir. Yöntem: Araştırma tanımlayıcı ve kesitsel olarak yürütülmüştür. Araştırmanın örneklemini cerrahi kliniklerde çalışan ve araştırmaya katılmayı kabul eden 120 hemşire oluşturmuştur. Verilerin toplanmasında araştırmacılar tarafından literatür taraması yapılarak oluşturulmuş veri toplama formu kullanılmıştır. Katılımcılara araştırmanın amacı açıklanmıştır ve katılımcıların sözlü ve yazılı onamları alınmıştır. Hemşirelerle yüz yüze görüşme yöntemi kullanılmıştır ve hemşirelerden veri toplama formunu doldurmaları istenmiştir. Çalışma kapsamında toplanılan verilerin analizinde, Statistical Package for Social Sciences, Windows için sürüm 21.0 bilgisayar paket programı kullanılmıştır. İstatistiksel veriler ortalama ± standart sapma ve yüzde (%) olarak ifade edilmiştir. Bulgular: Araştırmaya katılan hemşirelerin %98,3'ü kadındır. Hemşirelerin yaş ortalaması 35,90±6,38 idi. Hemşirelerin %65'i evliydi, %71,7'si lisans mezunuydu ve %38,3'ü 11-20 yıl arası çalışma yılına sahipti. Hemşirelerin tamamı aktif ve pasif dren takibi yaptıklarını ifade etmişlerdir. Hemşireler 10 dakika ile 24 saat aralığında değişen sıklıkta dren takibi yaptıklarını ifade etmişlerdir. Hemşirelerin en fazla zorluk çektiği durum hasta ve yakınları ABSTRACT Aim: Drains are frequently used for both therapeutic and prophylactic purposes during surgical procedures. Nurses have important duties in the process from insertion to removal of drain. The aim of this study was to determine the nursing practices related to drain care and to determine the problems experienced by nurses related to drain care. Method: The study was conducted as descriptive and cross-sectional. The sample of the study consisted of 120 nurses working in surgical clinics who accepted to participate in the study. The data collection form, which was created by the researchers by searching the literature, was used in the data collection. The purpose of the study was explained to the participants and their verbal and written informed consents were obtained. The nurses were asked to complete the data collection form by using face to face interview method. Statistical Package for Social Sciences version 21.0 for Windows was used in the analysis of the data collected within the scope of the study. Statistical data were expressed as mean ± standard deviation and percentage (%). Results: Of the nurses participated in the study, 98.3% were woman. The mean age of nurses was 35.90±6.38, 65% of them were married, 71.7% were undergraduates, and 38.3% had worked for 11-20 years. All of the nurses stated that they performed active and passive drain monitoring. The nurses stated that they performed drain monitoring at a frequency ranging from 10 minutes to 24 hours. The most difficult situation for the nurses was that the patients and their relatives and other healthcare personnel emptied the drains without recording. The nurses stated that the most undesirable situation in drain care was the displacement of the drain. In order to ensure the safety of the drain, 41.6% (n=50) of the nurses gave education to the patients and 23.3% stated that they performed appropriate fixation applications. Nurses are actively involved in drain care and encounter many problems in performing their duties. Conclusion: Finding solutions to problems will positively affect the quality of nursing care and patient outcomes.
Accidental catheter removal in critically ill patients: a prospective and observational study
Critical Care, 2004
Introduction The importance of accidental catheter removal (ACR) lies in the complications caused by the removal itself and by catheter reinsertion. To the best of our knowledge, no studies have analyzed accidental removal of various types of catheters in the intensive care unit (ICU). The objective of the present study was to analyze the incidence of ACR for all types of catheters in the ICU. Methods This was a prospective and observational study, conducted in a 24-bed medical/surgical ICU in a university hospital. We included all consecutive patients admitted to the ICU over 18 months (1 May 2000 to 31 October 2001). The incidences of ACR for all types of catheters (both per 100 catheters and per 100 catheter-days) were determined. Results A total of 988 patients were included. There were no significant differences in ACR incidence between the four central venous access sites (peripheral, jugular, subclavian and femoral) or between the four arterial access sites (radial, femoral, pedal and humeral). However, the incidence of ACR was higher for arterial than for central venous catheters (1.12/100 catheter-days versus 2.02/100 catheter-days; P < 0.001). The incidences of ACR/100 nonvascular catheter-days were as follows: endotracheal tube 0.79; nasogastric tube 4.48; urinary catheter 0.32; thoracic drain 0.56; abdominal drain 0.67; and intraventricular brain drain 0.66. Conclusion We found ACR incidences for central venous catheter, arterial catheter, endotracheal tube, nasogastric tube and urinary catheter that are similar to those reported in previous studies. We could not find studies that analyzed the ACR for thoracic, abdominal, intraventricular brain and cardiac surgical drains, but we believe that our rates are acceptable. To minimize ACR, it is necessary to monitor its incidence carefully and to implement preventive measures. In our view, according to establish quality standards, findings should be reported as ACR incidence per 100 catheters and per 100 catheter-days, for all types of catheters.
Chest drain insertion is not a harmless procedure--are we doing it safely?
2010
The incorrect insertion of a chest drain can cause serious harm or even death. All elective drains should be inserted in the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;triangle of safety&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; in line with the British Thoracic Society guidelines. The aim of this study was to test the awareness of junior doctors involved in inserting chest drains with these guidelines. Fifty junior doctors were questioned. Participants were asked to grade their experience of chest drain insertion and mark on a diagram where they felt was the optimum site for inserting a drain for a large pneumothorax in an elective situation. Only 44% (n=22) of doctors indicated they would insert a chest drain within the safe triangle. Level of experience, seniority and specialty all had an effect on knowledge of the correct site. Of those who had inserted drains unsupervised, 48% (n=16) would site the drain outside the safe triangle as would 75% (n=6) of those who had performed the procedure supervised. Only 25% of medics knew where to insert a drain, compared with 58% of doctors working in surgery. The majority of junior doctors do not have the basic knowledge to insert a chest drain safely. Further training in this procedure is needed for junior doctors.
Perspectives of using of "aseptic" drains for abdominal drainage
Annali italiani di chirurgia, 2017
Aim of the study was to evaluate the effectiveness of using different types of drain tubes to prevent and reduce the drain-associated infection rate of abdominal drainage procedures. 80 cases of used so called "standard", "coladerm" and "chlorhexidine" drain tubes for abdominal drainage were analysed. "Standard" drain tubes were used 35 times and "coladerm" and "chlorhexidine" tubes - 20 and 25 times respectively. There were adopted in different elective and emergency so called "clean", "potentially contaminated" and "contaminated" abdominal surgical procedures. The drain tubes were removed between 2 to 14 days after the operations followed by the bacteriological study in search of bacteria growth on the surface of drainage tubes were examined. Of all 35 cases of used "standard" drain tubes the bacterial growth was found in 23 cases, that means 65,7%; of 20 cases of drains covered by ...
Plastic and Reconstructive Surgery, 2003
Correspondence and brief communications are welcomed and need not concern only what has been published in this journal. We shall print items of interest to our readers, such as experimental, clinical, and philosophical observations; reports of work in progress; educational notes; and travel accounts relevant to plastic surgery. We reserve the right to edit communications to meet requirements of space and format. Any financial interest relevant to the content of the correspondence must be disclosed. Submission of a letter constitutes permission for the American Society of Plastic Surgeons and its licensees and assignees to publish it in the journal and in any other form or medium. The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such letters.
The safe removal of central venous catheters
Nursing Standard, 2006
Many nurses working in general wards and departments are caring for patients with central venous catheters and are increasingly responsible for their removal. This article outlines the basis of good practice and the possible complications, focusing on air embolism.