A practical nurse (PN) is assigned to care for a client who is 24 hours postoperative following abdominal surgery and has a closed-wound drainage system (Jackson-Pratt drain). The PN is preparing to empty the drainage device. Arrange the following actions in the correct sequence to safely perform this procedure.
- 1Perform hand hygiene and put on clean gloves.
- 2Unplug the drainage port on the top of the collection bulb.
- 3Pour the collected drainage into a designated graduated measuring container.
- 4Compress the empty bulb fully in the palm of the hand.
- 5Replace the plug into the drainage port while keeping the bulb compressed.
Cevap
The correct sequence is to first perform hand hygiene and don gloves, then unplug the port, pour the drainage into a measuring container, compress the empty bulb, and finally replace the plug while maintaining compression.
Maintaining a closed-wound drainage system requires strict adherence to infection control and the physical principles of negative pressure. Hand hygiene and gloving are the initial steps to prevent the introduction of pathogens. Opening the port allows the fluid to be emptied and measured, which is an essential nursing responsibility for monitoring postoperative bleeding or fluid shifts to reduce risk potential. Finally, squeezing the bulb and sealing it creates a vacuum, which restores the gentle, continuous suction needed to remove fluid from the surgical site, thereby reducing the risk of hematoma formation and promoting wound healing.
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Anahtar Kavram
Maintaining and Emptying Closed-Wound Drainage Systems