Sterile Skills Flashcards
Penrose drain
Soft collapsible drain used in wound sites to remove excess drainage
Jackson Pratt drain
When collapsed creates suction
-drainage counts as output
Hemovac drain
Accordion like drain
Purulent drainage
Thick yellow green tan or brown pus
-often indicative of infection
Sanguineous
Bright red, indicates active bleeding
Serous
Clear,watery plasma
Sero-sanguineous
Pale,red, watery
Mixtures of serous and sanguineous composed of serum and blood
Saline
Considered gold standard of solutions to clean wound
- look for:expiration date,intact,color, and any foreign objects
- betadine and peroxide are “other wound cleaning solutions)
Packing a wound
Purpose:
- absorption of drainage from inside the wound
- AIDS in healing
Documentation for dressing change
- description of drainage
- description of wound site
- description of drain if any
- cleanser/packing solution used
- type/# of dressing re-applied
- patient toleration
- any teaching done
Straight (intermittent)
Reasons:
- empty bladder
- collect sterile urine specimen
- instillation of medication
Indwelling catheter
-most common size 16 French
Reasons:
- prolonged incontinence
- preoperative or predelivery
- post-op
- assessment of output
Insertion of foley
In males when urine is visualized go one inch further
-30 mL/hr is usual in adult
Assessments after removal of foley
-bladder distention
-pain/pressure
-burning/urgency with urination
- first post catch void:
Time,amount,characteristic
-it is critical to void 6-8 hours after catheter is removed
Causes of urinary retention
- loss of muscle tone
- lesions
- obstruction
- medications
