Attachments Flashcards
Indwelling Catheter
tube inserted into urethra - failure of patient to passive urine themself
difficult to fall out but occasioanlly confused patients able to yank out
very transportable - easy to mobilise
IF FALL OUTS
- no emergency
- deal with spills/falls risk
- get nursing staff
Surgical Drain
drains in vacutainer drains aroudn the surgical wound the help keep it clean and facilitate healing easily mobilised need to ensure not excessive increase in draining from wound whilst mobilising IF FALLS OUT - not emergency - deal with leakage/spills - sit patient down - get nursing staff
Nasogastric Tube
passes through nose into the stomach
ask nurses to stop feed during treatment
IF FALLS OUT
- not emergency, alert nursing staff
- some patients may be an emergency - if sutured underneath their nose
IV Drip
think plastic tube inserted in superficial vein (normally back of hand, forearm or cubital fossa)
IF FALLS OUT
- likely to bleed a lot
- apply firm digital pressure and elevate until the bleeding stops
- alert nursing and medical staff
- pay attention to quality of insertion - can become infected or swell
Vomit Bag
always carry one with you - likely to vomit once you get them standing
Thrombo-Embolic Deterrent Stockings
compression sock - facilitates venous return and reduces risk of DVT
very slippery - also put on slippers/shoes/non-slip socks over the top
Stoma Bags
sticks to the outside of the patients body
collects draining faecal matter
patient has no control over bowel movements
bowel movement likley to increase with ambulation - negotiate to get fresh bag prior to ambulation
IF FALL OUT
- not emergnecy
- sit patient down
- manage mess/safety
- alert nursing staff
Epidurals
yellow tubing
always do sensory and motor neuro assessment before getting them to stand - may be compromised due to anaesthesia
may also change throughout mobilisation - be aware
PCA/PCEA
educate - has a timer, can only give themself certain amount of medicine in a certain time period
can’t overdose!
wwant to encourage them to use it before and after mobilisation
IF FALLS OUT
- firm pressure and elevation
- alert nursing staff
- replace quickly to maintain pain management
Intercostal Catheters/Subcostal Catheters with USD
thick tubing intercostal - between ribs subcostal - underneath ribs IF FALLS OUT - EMERGENCY - press emergency button - make patient comfortable - life threatening
Laparotomy - Mobilising Patient
avoid using abdominal muscles
elevate bed as much as possible
log roll onto side, lower legs over bed, patient uses arms to push themselves up
Sternotomy - Mobilising Patient
sternal precautions - shouldn’t push/pull themselves with arms
can use abdominals
lift back of bed as much as possible
use trolley rather than frame to mobilise - less UL weight bearing
Thoracotomy - Mobilising Patient
no specific precautions
consider location of incision - don’t roll onto the wound
