PENROSE DRAIN - COLOR AND SURROINDING

ARE
- COLLECTION OF FLUID IN A
- SIGNS OF DEGHISCECE
CLOSED AREA WOULD DELAY
- NOTE: STAGE OF HEALING
HEALING
PROCESS AND
- HOLLOW, OPEN-ENDED
CHARACTERISTICS OF ANY
RUBBER TUBE
DRAINAGE
- ALLOW FLUID TO DRAIN VIA
- SURROUNDING SKIN COLOR
CAPILLARY ACTION INTO
- TEMPERATURE
ABSORBENT DRESSINGS.
- EEDEMA
- USED AFTER SURGICAL
- ECCHYMOSIS
PROCEDURE
(DISCOLORATION
- DRAIN AN ABSCESS
UNDERNEATH
- LARGE SAFTEY PIN TO
- MACERATION (lighter in color and
PREVENT SLIPPING BACK INTO
wrinkly. It may feel soft, wet, or
THE INSCISED AREA
soggy to the touch)
ASSESSMENT
PLANNING
- SITUATION FOR NECESSITY
- REMAIN PATENT AND INTACT
WOUND CLEANING AND
- FREE FROM:
DRESSING CHANGE
o CONTAMINATION
- CONFIRM MEDICAL ORDER TO
o TRAUMA
DRAIN CARE AND NCP
- LEVEL OF COMFORT o PAIN
- NEED FOR ANALGESIC BEFORE o DISCOMFORT
WOUND CARE - SHOW SIGNS OF PROGRESSIVE
- PAIN RELATED TO PRIOR HEALING W/O COMPLICATIONS
DRESSING CHANGES - UNDERSTANDING DRAIN CARE
- EFFECTIVENESS OF THE PROCEDURES:
INTERVENTION TO MINIMIZED
PATIENTS PAIN PAIN MED: PAIN IS A SUBJECTIVE
- INTACT EXPERIENCE INFLUENCED BY PAST
- PRESENCE OF EXCESS EXPERIENCE WOUND CARE AND
DRAINAGE DRESSING CHANGES MAY CAUSE
- BLEEDING PAIN FOR SOME PATIENTS.
- SATURATION OF THE ADJUST BED: PREVENT BACK AND
- DRESSING MUSCLE STRAIN
- PATENCY OF THE PENROSE
DRAIN BLANKET: PROVIDE COMFORT AND
- INSPECT WOUND AND WARMTH
SURROUNDNG TISSUE
CHECK POSITION OF THE DRAIN
- APPEARANCE WOUND EDGES
BEFORE REMOVING: ENSURES
DRAIN NOT REMOVED
STERILE SALINE: TO HELP LOOSEN APPLY ABD PADS (HIGHLY
AND REMOVE ADHESIVE (SILICONE- ABSORBENT DRESSING):
BASED) AND MINIMIZE DAMAGE
- EXTRA ABSORPTION FOR
AND PAIN
EXCESS DRAINAGE AND
AFTER REMOVING THE DRESSING PROVIDE A MOISTURE
NOTE: (DOCUMENTED) BARRIER
- PRESENCE AFTER DRESSING:
- AMOUNT
- LABEL DRESSING WITH DATE
- TYPE
AND TIME (COMMUNICATION
- COLOR
AND DEMONSTRATE
- ODOR
ADERENCE TO PLAN OF CARE)
INSPECT: (THE WOUND HEALING
POSITIONING AFTER:
PROCESS AND OR THE PRESENCE
OF IRRITATION OR INFECTION - COMFORTABLE POSITION TO
MUST BE DOCUMENTED.) PROVIDE SAFETY AND
COMFORT
- APPEARANCE
- DRAINAGE CHECK ALL WOUND EVERY SHIFT:
- PAIN (IF PRESENT)
- ENSURE THE ASSESSMENT OF
CLEANSING: CHANGES IN PATIENT
CONDITION AND TIMELY
- CIRCULAR MOTION (LEAST TO
INTERVENTION TO PREVENT
MOST CONTAMINATED AREA)
COMPLICATIONS
- FORCEPS, MOISTENED GAUZE
(ONCE), COTTON TIPPED
APPLICATIOR
DRYING WITH NEW GAUZE:
- PREVENT SKIN IRRITATION
- ABSORBS DRAINAGE AND
PREVENT FROM
ACCUMULATING ON THE
PATIENTS SKIN
IF PIN OR DRAIN CRUSTED:
- REPLACE THE PIN WITH NEW
STERILE PIN (TAKE CARE NOT
TO DISLODGE THE DRAIN)