184 UNIT 3 Nursing Basics 43. Number in order the steps you will take to set up

ID: 122696 • Letter: 1

Question

184 UNIT 3 Nursing Basics 43. Number in order the steps you will take to set up your Pour the sterile saline into the empty sterile dressing change tray without splashing. Recap the sterile saline and avoid touching the inside of the lid. sterile field. -Allow' drape to unfold and lay it carefully on the overbed table without touching the sterile surface to anything unsterile. -Don sterile gloves without turning your back on your Documentation Exercise Scenario: Questions 44 and 45 refer to this scemario. prepared sterile field. Open the dressing change tray by pecling back the lid. is Open the sterile saline after checking the expiration Dr. Jacob at the bedside as he inserted a chest tube in date and the date and time if previously opened Arrange sterile supplies on a sterile field and place the gauze in the sterile basin of saline. Carefully dump the contents of the kit onto the ster. shift at 1500, there was 250 mL more of the dark red ile field without touching the sterile surface, then set fluid in the chest tube drainage chamber. It is January 10, 2017, at 11:30 a.m. You have just assisted Mr. Geoffrey Malik. The patient was medicated before the procedure, as ordered by the physician, and is now resting comfortably. The chest tube immediately started draining 100 mL of dark red fluid. By the end of your it to the side of the sterile field. Remove the sterile drape from the kit by handling it only by the edges. 44. Document your assistance of the procedure in the nurse's notes (Figure 22-1) for Mr. Malik 45. Now document the amount of fluid in the drainage chamber at the end of your shift in the output column of the intake and output record (Figure 22-2). Be sure to total the amount and document the source of the output.

Explanation / Answer

43. 1---2, 2--1, 3---3, 4---5, 5---4, 6---9, 7---8, 8---6, 9---7

44 Ans.

Patient Name: Mr. Geofrey Mallik

Doctor Name: Dr. Jacob

Date and Time

Procedure Name

Nurses notes

01/10/2017, 11:30am

THORACOSTOMY (CHEST TUBE) PLACEMENT

-Administered the drug before procedure as per the Dr. Jacob’s advice

-Checked Vital Signs

-Kept ready thoracotomy sterile dressing tray with the lignocaine gel

-done the scrubbing and given the apron to the doctor

-Time out was done, assisted the doctor in positioning the patient

-procedure was done by the doctor, called radiology assistant and took the chest C-ray to check the tube in place

-Observed the drain coming

-I was present for the entire procedure

45Ans:

Patient Name: Mr. Geofrey Mallik

Doctor Name: Dr. Jacob

INTAKE AND OUTPUT RECORD

Date

Intake

Output

Comments

01/10/2017

1850ml (Chest drain)

Only chest drain recorded. No other routes of output recorded