Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

315

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 14-14

Assisting With Removal of a Chest Tube

Goal:The chest tube is removed with minimal discomfort to

the patient and the patient remains free of respiratory distress. Comments

1. Bring necessary equipment to the bedside stand or overbed
   table.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient.


4. Administer pain medication, as prescribed. Premedicate
   patient before the chest tube removal, at a sufficient inter-
   val to allow for the medication to take effect, based on the
   medication prescribed.


5. Close curtains around bed and close the door to the room,
   if possible.


6. Explain what you are going to do and the reason for doing
   it to the patient. Explain any nonpharmacologic pain inter-
   ventions the patient may use to decrease discomfort during
   tube removal.


7. Put on clean gloves.


8. Provide reassurance to the patient while the physician
   removes the dressing and then the tube.
   9.After physician has removed chest tube and secured the
   occlusive dressing, assess patient’s lung sounds, respiratory
   rate, oxygen saturation, and pain level.


9. Anticipate the physician ordering a chest x-ray.


10. Dispose of equipment appropriately.


11. Remove gloves and additional PPE, if used. Perform hand
    hygiene.

Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

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