Cranial drains will be JP drains or subdural bags.
| MATERIALS | PROCEDURE |
Materials: - sterile gloves
- 2 small chloroprep prep sticks
- Nylon 3-0s (have 2 ready, open 1)
- Straight kelly
- Suture removal kit
| Do a mini time-out with yourself. Confirm the patient, room #, and location of drain you're removing! While Unsterile - Take drain off suction
- Lie patient flat if drain is subdural
- Unwind buddy stitch from around tubing and cut off the knot (i.e. make it ready to tie)
- Prep around drain hole in skin and 6-12 inches up the tubing
Sterile - Pull drain with hand #1 while lifting up buddy stitch vertically with hand #2
- Plug hole with your finger if there is any delay in tying down buddy stitch (do not let air enter)
- Tie very tightly ≥ 4-5 knots (this is most painful part for patient but you need to be tight, especially sinch the second knot)
- If tie rips or you airknot, you must throw in another figure of 8 stitch
- Dry the area and try to express a leak
+/- post-pull CTH as warranted (per chief) - TELL NURSE AND PLACE ORDER |
