PROCEDURE FOR CHANGING OF WATER SEAL DRAINAGE BOTTLE

PROCEDURE RATIONALE
1. Wash hands To prevent cross infection

2. Explain the procedure To reduce anxiety and get cooperation

3. Clamp the chest tube using 2 artery forceps To prevent reentry of air or fluid
in opposite direction with a gauze piece in
between.

4. Detach the chest tubing from the first bottle

and connect to the long glass tube of the
freshly prepared drainage bottle having
400ml of sterile water.

5. Release the clamps. Immediately after changing the bottle.

Because it can increase the pressure in the
pleural cavity
6. Connect the short connecting tube from the
second bottle to the short glass tube of the
first bottle.

7. Place the drainage bottle in the wooden To prevent breakage

frame.

8. Measure the fluid in the used bottle and To maintain accurate drainage output
minus 400 ml.

9. Document the amount of drainage in the To plan for further care also to plan
intake output chart and temperature chart. for removal of ICD
Note the color and content of the drainage.
10. Ensure that the system is functioning well To prevent reentry of air
and the cork is tight.
AFTER CARE OF CLIENT AND EQUIPMENT

1. Make the client comfortable

2. Provide Fowler’s position unless contraindicated, to facilitate effective chest drainage

3. Observe for any adverse reactions.

4. Assess the client’s response to the procedure. Educate the client about the care of tube during
ambulation

5. Encourage football bladder/balloon exercises and thoracic exercises (deep breathing and
coughing and arm and shoulder exercises).

6. Clean, dry and replace equipment in its proper place

7. Wash hands

DOCUMENTATION:

 Record the date and time when procedure was done, observation made and client’s
condition during and after the procedure.

 Document the quantity and characteristics of the chest drain