Lines, Tubes, and Drains

Question 1

Oxygen Administration

Answer 1

Nasal Cannula: Typically < 6L O2

Most common method of O2 administration

Can be humidified and/or heated, particularly if over 6 L O2

Question 2

When patients require O2 outside of their room, you will be required to change the source to a ____

Answer 2

regulated bottle

Question 3

When your patient requires more than 6L O2 there will be a ___ involved

Answer 3

mask

Question 4

You CAN NOT change volume, discontinued, or add O2 without ___

Answer 4

permission

Question 5

Patients who can not breath on their own, will be put on a ___, either through a ____ or through a ___

Answer 5

ventilator

tube down their throat

tracheostom

Question 6

The ventilator has a tube that passes into your ___ and through ____, pushes breathable air into and out of your lungs

Answer 6

trachea

mechanical pump

Question 7

There is a step down process from trach-ventilation to ____

Answer 7

trach-collar

Question 8

When our patients require assisted oxygen with _____, you will see a tracheostomy used to allow for this

Answer 8

bypass of the mouth or nose for long term

Question 9

The measurement of oxygen happens most commonly through a device called a ____

Answer 9

Pulse Oximeter

Question 10

measurement of oxygen levels in blood is called, ____ and is commonly measured with ___ different types of devices

Answer 10

“Oxygen Saturation”

three

Question 11

With managing urine for those who have hospital stays longer than 24
hours, usually involving surgery, will have a ___ administered

Answer 11

catheter

Question 12

There are three types of catheters that you will encounter:

Answer 12

Condom, Foley and Suprapubic

all of which will require care when handling your patients

Question 13

At the end of the catheter is a ____. It will have
measurements on it in ___. This device will typically be hooked to the bed on the patients ___ side. Urine output is normally
measured and notated in the patients medical chart, confer with attending nurse ___ emptying— use urinal to get measurement

Answer 13

collection bag

milliliters

right

before

Question 14

Many of your patients will have an ____ in place. These applications are used for medications and
other necessary fluids

Answer 14

intravenous administration system

Question 15

Also referred to as an “IV”, this system is used for a fast one time ___, and/or a slow administration of meds or
fluids, know as a ___

Answer 15

“PUSH” of medication

“DRIP”

Question 16

You will see this IV process enter the body in many places. The most common of which, will be at the ____

Answer 16

wrist, elbow and neck

Question 17

All of these different IV’s require ____

Answer 17

specific attention and care!

Question 18

The type of IV is typically determined by the ____ of fluids or meds being administered

Answer 18

time of application and type

Question 19

Time comes into play when deciding what type and placement of an IV system. For LONG term use you will see a _____.

Answer 19

“CVC” central venous
catheter

The CVC is typically placed in the chest

Question 20

A ___ is a form of a CVC but is placed in the ___ and ___ portion of the arm

Answer 20

peripherally inserted central catheter line “PICC”

superior, medial

Question 21

When Long term administration of medications is necessary a ___ can be surgically implanted. This method is more practical for living
outside the hospital and is less likely to have complications, like infection

Answer 21

“PORT”

Question 22

All of these CVC’s allow for meds and fluids to be directly deposited into large veins, allowing for faster delivery. This process also allows
for central venous pressure to be ___

Answer 22

measured and monitored

Question 23

When moving patients with IV’s in play, you will use a ____

Answer 23

IV pole

Question 24

Some IV’s can be detached for out-of-room ambulation. Ask your ____ to assist you with this process

Answer 24

supervising nurse

Question 25

A ___ is administered when your patient
has the need for acute measurement of blood pressure, or when there is a need for regular blood monitoring

Answer 25

Peripheral arterial line (PAL)

Question 26

PAL medical application requires ___ when moving your patient

Answer 26

EXTREME CARE and CAUTION

Question 27

The primary concern is the disruption of blood flow to the extremity in PAL. Although, this line is directly inserted into an artery, ____ , and if improperly removed—bleeding will be significant

Answer 27

either in the
arm or leg

Note: You WILL UPSET your supervising and attending nurses
without FAIL

Question 28

A ___ is a medical device used to provide nutrition to patients who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation

Answer 28

feeding tube

Question 29

There are several ways to feed your patient when ___ is prescribed

Answer 29

nothing by mouth
“NPO”

Question 30

For short term or acute need for alternative feeding, an ____ will be used

Answer 30

“NG TUBE”
nasogastric tube

Question 31

When long term or permanent feeding method alternatives are necessary, a ____ is used by placing a line through the abdominal wall, directly into the stomach or portion of the
small intestine

Answer 31

Gastrostomy “G-TUBE” or “PEG TUBE”

Question 32

Depending on your patients pathology requiring a feeding tube, feeding may be prescribed on a ____ or ____

Answer 32

24 hour basis

on a particular
schedule

Question 33

A ____ is a medical device that is
commonly used as a post-operative drain for collecting bodily fluids from surgical sites. The process of draining fluids in facilitated by
squeezing the bulb causing mechanical suction to the surgical site

Answer 33

Jackson-Pratt Drain “JP DRAIN”

Question 34

A ____ is a flexible plastic tube that is inserted through the chest wall and into the pleural space. It is used to remove air or bodily fluids
from the intrathoracic space.

Answer 34

chest tube (thoracic catheter, tube thoracostomy, or intercostal
drain)

Question 35

Drains:

Answer 35

surgically placed and therefore should be handled with Special Care

improper removal of these medical devises
will create a medical emergency

Question 36

These drains can be hooked to the wall to add ___ to the process

Answer 36

suction

Question 37

You will need to fasten the JP drains to ____ This is typically done with large safety pins

Answer 37

your patients gown

Question 38

Before entering the patients room, you should ALWAYS:

Answer 38

Review your patients chart—Review the current pathologies, PMH, Last nurses entry, and the previous PT sessions.

Be particularly mindful of Orthostasis and Weight Bearing restrictions.

Always make contact with your nurse to make sure that the patient is OK for therapy and that you are not going to interfere when a patients is needed off the floor.

Always be aware of required PPE, i.e. glove, gown, mask. Hospitals are full of wonderful organisms like, MRSA, VRE, C- diff, Rhino Virus, and TB

Question 39

Always be mindful that your patient is ___ and should be treated as such. Keep voices down, have patience, and
remember your patients will move slowly

Answer 39

not feeling very well

Question 40

Always ____

Answer 40

WASH YOUR HANDS!!!

Question 41

Step One:

Answer 41

When entering the room, wash your hands or use hand sanitizer

You will be in a hospital, so put on gloves before touching anything in the room.

This process will significantly reduce the transmission of nosocomial infection.

Question 42

Step Two:

Answer 42

Upon entering the patients room, Introduce your self and then observe and evaluate the different lines, tubes and drains.

Question 43

Step Three:

Answer 43

Figure out what your plan of care is going to consist of, and what side of the bed you want to work from

Question 44

Step Four:

Answer 44

Inform your patient what “the plan” is before making any adjustments to the room. Your patient will feel more confortable with
you if they know what you are doing

Question 45

Step Five:

Answer 45

Prepare oxygen, by either attaching to bottle or remove oxygen from the equation. (this will need nurses approval).

Question 46

Step Six:

Answer 46

Move catheter to side of bed you are going to work from

Question 47

Step Seven:

Answer 47

Prepare IV lines for patient movement. (lines will be tangled up) If there are several IV lines, ask the attending nurse if any can be disconnected for therapy. The nurse will do this for you if
possible

Question 48

Step Eight:

Answer 48

Before standing patient, put a gait belt on them, being conscious of abdominal incisions, tubes and drains. If there are abdominal interferences, put gait belt high on the chest – under the
arms. Safety has to come first.

Question 49

Step Nine:

Answer 49

Hook catheter to walker, have IV stand ready to go, if O2 is necessary have enough hands to handle patient and equipment safely

Question 50

Note: If blood pressure is a concern, take vitals _____. If patient is on continuous O2, check pulse-ox _____

Answer 50

before and after therapy

before and after treatment

Question 51

Step Ten:

Answer 51

Remember to be vigilant, patient and kind. Take a deep breath, everything is going to be OK!