Insert the thoracostomy tube into the incision site
8
Secure the tube using sutures to avoid dislocation
9
Attach the tube to underwater-seal drainage system
10
Check the functioning of the drainage system
11
Approval: Surgeon for procedure completion
12
Monitor the patient for any immediate complications
13
Record and report the observations
14
Send the patient to the recovery room
15
Post-procedure follow up and assessment of patient’s health
16
Removal of thoracostomy tube when necessary
17
Approval: Surgeon for tube removal
18
Provide post-operative care instructions to the patient
Prepare patient for thoracostomy
Prepare the patient for the thoracostomy procedure. This task includes explaining the procedure to the patient, obtaining informed consent, and ensuring the patient has fasted appropriately. The goal is to ensure the patient is well-prepared and informed before undergoing the procedure.
1
Fasting
2
Not fasting
Administer appropriate anesthesia
Administer the appropriate anesthesia to the patient prior to the thoracostomy procedure. Anesthesia can be general anesthesia or local anesthesia, depending on the patient's condition and the surgeon's preference. The aim is to ensure the patient is comfortable and pain-free during the procedure.
1
General anesthesia
2
Local anesthesia
Position patient appropriately for procedure
Position the patient in the appropriate position for the thoracostomy procedure. This task includes ensuring the patient's comfort and safety during positioning. The goal is to provide optimal visibility and access to the surgical site for the surgeon.
1
Supine position with arms abducted
2
Prone position with chest raised
3
Semi-fowler's position
Clean and drape the surgical area
Prepare the surgical area for the thoracostomy procedure. This task involves using appropriate antiseptic solutions to clean the patient's skin and draping the area with sterile sheets. The aim is to create a clean and sterile environment to minimize the risk of infection.
1
Chlorhexidine
2
Iodine
3
Alcohol
Mark the proper site for incision
Mark the proper site for incision on the patient's skin. This task requires careful identification of the appropriate anatomical landmarks to ensure accurate placement of the incision. The goal is to create a clear reference point for the surgical team.
Create a small skin incision at the marked site
Create a small skin incision at the marked site. This task involves using a scalpel or surgical instrument to make a precise incision. The aim is to create a controlled entry point for the thoracostomy tube insertion.
Insert the thoracostomy tube into the incision site
Insert the thoracostomy tube into the incision site. This task requires careful insertion of the tube into the pleural cavity while monitoring for any complications such as damage to surrounding tissues or organs. The goal is to establish a safe and effective drainage system.
Secure the tube using sutures to avoid dislocation
Secure the thoracostomy tube in place using sutures or other appropriate methods to prevent dislocation. This task involves ensuring the tube is firmly anchored to the patient's skin to minimize the risk of accidental removal or dislodgement. The aim is to maintain the integrity of the drainage system.
Attach the tube to underwater-seal drainage system
Attach the thoracostomy tube to an underwater-seal drainage system. This task involves connecting the tube to a collection chamber and ensuring proper functioning of the system. The goal is to allow for the drainage of air or fluid from the pleural space.
1
Water seal
2
Heimlich valve
3
Suction chamber
1
Ensure proper tube connection
2
Check for air leaks
3
Confirm gravity flow
Check the functioning of the drainage system
Check the functioning of the thoracostomy tube drainage system. This task involves assessing the flow of air or fluid, checking for any complications such as blockage or dislodgement, and troubleshooting as necessary. The aim is to ensure the proper functioning of the drainage system.
1
Check for proper fluid flow
2
Inspect for blockage or kinks
3
Troubleshoot any issues
Approval: Surgeon for procedure completion
Will be submitted for approval:
Check the functioning of the drainage system
Will be submitted
Monitor the patient for any immediate complications
Monitor the patient for any immediate complications following the thoracostomy procedure. This task involves closely observing the patient's vital signs and assessing for signs of infection, bleeding, or respiratory distress. The goal is to promptly identify and address any potential complications.
1
Assess vital signs every hour
2
Monitor oxygen saturation
3
Observe for signs of infection
4
Assess pain level
Record and report the observations
Record and report the observations made during the thoracostomy procedure and post-procedure monitoring. This task involves documenting vital signs, drainage output, any complications or concerns, and communicating this information to the healthcare team. The aim is to ensure accurate and comprehensive documentation for continuity of care.
Send the patient to the recovery room
Transfer the patient to the recovery room after the thoracostomy procedure. This task involves ensuring the patient is stable, monitoring vital signs, and providing appropriate post-procedure care. The goal is to facilitate a smooth transition to the recovery phase.
1
Confirm stability and readiness for transfer
2
Monitor vital signs during transfer
3
Provide pain relief
4
Inform recovery room staff
Post-procedure follow up and assessment of patient’s health
Provide post-procedure follow-up care and assess the patient's health after the thoracostomy procedure. This task includes monitoring for any delayed complications, providing wound care instructions, and arranging any necessary follow-up appointments. The goal is to ensure the patient's well-being and optimize their recovery.
Removal of thoracostomy tube when necessary
Remove the thoracostomy tube when deemed necessary by the healthcare team. This task involves assessing the patient's condition, confirming proper healing, and safely removing the tube. The aim is to prevent unnecessary prolongation of the tube's presence and promote patient comfort and recovery.
1
Confirm healing of the incision site
2
Prepare necessary supplies for removal
3
Remove tube and dress the wound
Approval: Surgeon for tube removal
Will be submitted for approval:
Removal of thoracostomy tube when necessary
Will be submitted
Provide post-operative care instructions to the patient
Provide the patient with post-operative care instructions following the removal of the thoracostomy tube. This task includes advising on wound care, activity restrictions, pain management, and any other relevant post-operative guidelines. The goal is to promote proper healing and prevent complications during the recovery period.
