{"id":33578,"date":"2023-11-05T05:07:37","date_gmt":"2023-11-05T05:07:37","guid":{"rendered":"https:\/\/www.process.st\/templates\/cholecystostomy-tube-placement-procedure\/"},"modified":"2024-03-05T15:06:18","modified_gmt":"2024-03-05T15:06:18","slug":"cholecystostomy-tube-placement-procedure","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/cholecystostomy-tube-placement-procedure\/","title":{"rendered":"Cholecystostomy Tube Placement Procedure"},"content":{"rendered":"\n<section id=\"ensure-patients-informed-consent\"> \n <h2>Ensure patient's informed consent<\/h2>\n <div class=\"text-content\">\n   Before proceeding with the cholecystostomy tube placement procedure, ensure that the patient has given their informed consent. describe procedure, its potential benefits, risks, and possible complications. Answer any questions or concerns the patient may have, and obtain their signature on the consent form. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Patient's full name <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Date of consent <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"prepare-surgical-area-and-the-patient\"> \n <h2>Prepare surgical area and the patient<\/h2>\n <div class=\"text-content\">\n   Prepare the patient for the cholecystostomy tube placement procedure by ensuring they are in a comfortable position on the operating table. Disinfect the surgical site using an antiseptic solution, making sure to cover a wide area around the gallbladder. Cover the patient with sterile drapes, leaving only the surgical site exposed. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Surgical site disinfectant used <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"administer-anesthesia\"> \n <h2>Administer anesthesia<\/h2>\n <div class=\"text-content\">\n   Administer anesthesia to the patient to ensure their comfort and to minimize pain during the procedure. Administer the anesthesia according to the patient's medical history and any allergies they may have. Verify the patient's vital signs regularly throughout the administration of anesthesia. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Type of anesthesia administered <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      General anesthesia \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Local anesthesia \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Regional anesthesia \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"use-ultrasound-for-locating-gallbladder\"> \n <h2>Use ultrasound for locating gallbladder<\/h2>\n <div class=\"text-content\">\n   Use ultrasound imaging to locate the gallbladder. Apply a gel to the patient's abdomen and use the ultrasound probe to identify the gallbladder's position. Adjust the probe as needed to obtain a clear image and confirm the location of the gallbladder. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Type of ultrasound machine used <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"make-incision-necessary-for-the-procedure\"> \n <h2>Make incision necessary for the procedure<\/h2>\n <div class=\"text-content\">\n   Make an incision in the patient's abdomen to gain access to the gallbladder. Use a scalpel to make a small, precise incision, taking care not to damage any surrounding structures. Control bleeding using sterile gauze or sutures as needed. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Length of incision made (in cm) <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"insert-needle-into-the-gallbladder\"> \n <h2>Insert needle into the gallbladder<\/h2>\n <div class=\"text-content\">\n   Insert a needle into the gallbladder through the incision. Use ultrasound guidance to ensure accurate placement. Advance the needle slowly, taking care not to puncture any nearby organs or structures. Verify needle placement using aspiration of fluid or contrast material. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Size of needle used <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"drain-the-fluid-inside-the-gallbladder\"> \n <h2>Drain the fluid inside the gallbladder<\/h2>\n <div class=\"text-content\">\n   Drain the fluid inside the gallbladder using a syringe or vacuum system. Apply gentle pressure as needed to facilitate drainage. Collect the fluid in a sterile container for further analysis, if necessary. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Amount of fluid drained (in ml) <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"insert-cholecystostomy-tube\"> \n <h2>Insert cholecystostomy tube<\/h2>\n <div class=\"text-content\">\n   Insert a cholecystostomy tube into the incision made in the gallbladder. Select an appropriate size and type of tube based on the patient's anatomy and the clinical indication for the procedure. Ensure proper positioning of the tube within the gallbladder before securing it in place. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Size of cholecystostomy tube <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      12 Fr \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      14 Fr \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      16 Fr \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"secure-the-tube-and-close-the-incision\"> \n <h2>Secure the tube and close the incision<\/h2>\n <div class=\"text-content\">\n   Secure the cholecystostomy tube in place using sutures or a securement device. Close the incision made in the abdomen using sterile sutures or adhesive strips. Apply an appropriate dressing to protect the incision site. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Type of securement device used <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"verify-correct-placement-of-tube-via-imaging\"> \n <h2>Verify correct placement of tube via imaging<\/h2>\n <div class=\"text-content\">\n   Verify the correct placement of the cholecystostomy tube using imaging techniques such as X-ray or ultrasound. Confirm that the tube is positioned within the gallbladder and that there are no signs of leakage or displacement. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Type of imaging used for verification <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      X-ray \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Ultrasound \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"clean-and-dress-the-surgical-area\"> \n <h2>Clean and dress the surgical area<\/h2>\n <div class=\"text-content\">\n   Clean and dress the surgical area to ensure proper hygiene and reduce the risk of infection. Use sterile saline or antiseptic solution to clean the surrounding skin. Apply sterile dressings and cover the incision site with a transparent dressing for easy monitoring. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Type of sterile dressing used <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Gauze dressing \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Transparent dressing \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Foam dressing \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"monitor-patients-vital-signs-initially-post-procedure\"> \n <h2>Monitor patient's vital signs initially post procedure<\/h2>\n <div class=\"text-content\">\n   Monitor the patient's vital signs closely immediately after the cholecystostomy tube placement procedure. Keep track of their blood pressure, heart rate, oxygen saturation, and respiratory rate. Document any abnormal readings or trends and report them immediately. \n <\/div> \n <div class=\"multi-select-content form-field-content\"> \n  <div class=\"form-group\"> <label> Vital signs to monitor <\/label> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Blood pressure \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Heart rate \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Oxygen saturation \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Respiratory rate \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"transport-patient-to-recovery-room\"> \n <h2>Transport patient to recovery room<\/h2>\n <div class=\"text-content\">\n   Transport the patient to the recovery room after the cholecystostomy tube placement procedure. Ensure the patient is stable, comfortable, and properly positioned during transportation. Facilitate communication between the surgical team and the recovery room staff to provide continuity of care. \n <\/div> \n <div class=\"members-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Recovery room staff in charge <\/label> <select disabled class=\"form-control\"> <option value=\"A member or group will be selected here\">A member or group will be selected here<\/option> <\/select> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"monitor-patient-during-recovery-period\"> \n <h2>Monitor patient during recovery period<\/h2>\n <div class=\"text-content\">\n   Monitor the patient closely during the recovery period to identify any signs of complications or adverse reactions. Assess the patient's pain level, vital signs, and overall well-being at regular intervals. Provide appropriate interventions or medications as needed and document the patient's response to treatment. \n <\/div> \n <div class=\"multi-choice-content form-field-content\"> \n  <div class=\"form-group\"> <label> Signs of complications to monitor <\/label> <select disabled class=\"form-control\"> <option value=\"\">Multiple options can be selected from this list<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Fever \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Bleeding \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Pain \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Infection \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       5 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Nausea \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"approval-surgeon-for-initial-recovery-results\"> \n <h2>Approval: Surgeon for initial recovery results<\/h2>\n <div class=\"approval-content\"> \n  <div class=\"header\"> \n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div> \n  <\/div> \n  <div class=\"approval-rule-subject-tasks-list\"> \n   <ul class=\"list\"> \n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Monitor patient during recovery period<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li> \n   <\/ul> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"educate-the-patient-about-the-care-and-management-of-the-tube-at-home\"> \n <h2>Educate the patient about the care and management of the tube at home<\/h2>\n <div class=\"text-content\">\n   Educate the patient about how to care for and manage the cholecystostomy tube once they are discharged from the hospital. Provide written instructions and demonstrate any necessary techniques, such as how to clean the tube site, change dressings, and troubleshoot common problems. Answer any questions the patient may have. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Date of patient education <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"schedule-followup-appointments\"> \n <h2>Schedule follow-up appointments<\/h2>\n <div class=\"text-content\">\n   Schedule follow-up appointments for the patient to monitor the cholecystostomy tube and assess their overall condition. Provide the patient with appointment details, including date, time, and location. Coordinate with the appropriate healthcare providers to ensure seamless continuity of care. \n <\/div> \n <div class=\"date-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Date of follow-up appointment <\/label> \n   <div class=\"date-container\"> <button type=\"button\" disabled class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button> \n   <\/div> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"document-the-procedure-and-outcome-in-patients-record\"> \n <h2>Document the procedure and outcome in patient\u2019s record<\/h2>\n <div class=\"text-content\">\n   Thoroughly document the details of the cholecystostomy tube placement procedure and its outcome in the patient's medical record. Include relevant information such as the patient's condition before and after the procedure, any complications encountered, and the patient's response to treatment. Ensure accuracy and completeness of the documentation. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Person documenting the procedure <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Ensure patient's informed consent Before proceeding with the cholecystostomy tube placement procedure, ensure that the patient has given their informed consent. describe procedure, its potential benefits, risks, and possible complications. Answer any questions or concerns the patient may have, and obtain their signature on the consent form. Patient's full name Date of consent Prepare surgical [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"\ud83d\udc89","cover_icon_url":"","tasks_count":"18","template_description":"","template_id":"iHPR5hOiLLyOQiF0c9VPQA","task_0":"Ensure patient's informed consent","task_slug_0":"ensure-patients-informed-consent","task_1":"Prepare surgical area and the patient","task_slug_1":"prepare-surgical-area-and-the-patient","task_2":"Administer anesthesia","task_slug_2":"administer-anesthesia","task_3":"Use ultrasound for locating gallbladder","task_slug_3":"use-ultrasound-for-locating-gallbladder","task_4":"Make incision necessary for the procedure","task_slug_4":"make-incision-necessary-for-the-procedure","task_5":"Insert needle into the 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