Equipment:

tape measure, sterile and clean gloves,

mask, gown, goggles, linen saver pad,
antiseptic solution, local anesthetic,
sterile gauze pads, sterile paracentesis
tray ( trocarwith stylet/ needle G18 and
22), sterile drapes, 3 specimen bottles,
collecting bottles (1000 ml)
Procedure

I. Implementation

confirm the patient's identity

explain the procedure
be sure to obtain the patients
informed consent
instruct the patient to void before the
procedure
identify and record baseline values:
V/S, wt, abd girth at the level of
umbilicus.
position the pt in high fowlers or on
the edge of the bed or supine with
the head of the bed elevated
expose the pts abdomen from
diaphragm to pubis
drape, make the pt comfortable and
place the linen saver pad under him
remind the pt to stay still as possible
during the procedure. provide a chair
for the physician.
wash your hands, open the
paracentesis tray using sterile
technique
put your gloves before assisting the
physician as he prepares the pt
abdomen with antiseptic solution,
drape the operative site with sterile

drapes and administer the local

anesthetic.
assist the physician with specimen
collection, 5-10ml in the appropriate
labeled container and send to the
laboratory ASAP with request form
gently turn the patient from side to
side
as the fluid drains, monitor the pt v/s
q 15 mins. signs of hypovolemic
shock. immediately report signs of
shock to the physician.
when the physician removes the
trocar, apply dry, sterile pressure
dressing to the site.
help patient assume a comfortable
position. allow to rest.
monitor pts v/s, check for draining q
15 min,for 1 hr, q 30 min for 2hrs, q
hour q 4hrs, then 4 hrs for 24 hrs.
label the specimen bottles and send
to lab with lab request form.
remove and dispose equipment
properly..
DOCUMENTATION

record the date and time of the

procedure, the puncture site
location and weather the wound
was sutured
record
the
amount,
color,
viscosity and odor of the
aspirated fluid
record pts v/s, wt, abdominal girth
b4 and after the procedure
note the pts tolerance of the
procedure, v/s and symptoms of
complication
during
the
procedure.