Surgical Drain Removal
Surgical drains are important adjuncts to postoperative care because they promote wound healing by providing an exit site for fluid that accumulates in or near the wound bed. Drains should be removed when drainage becomes minimal or when they malfunction. Drains commonly inserted during surgery include the Hemovac, bulb suction, and Penrose.
Equipment
Sterile 4″ × 4″ gauze pads ▪ tape ▪ gloves ▪ gown ▪ face shield ▪ Optional: suture removal kit, ordered pain medications.
Implementation
Verify the doctor’s order.
Review the patient’s medical record to determine the type of drain to be removed, its location, and the method used to secure it to ensure proper removal.
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.4
Explain the procedure to the patient to allay his fear and anxiety.
Perform a comprehensive pain assessment, using techniques appropriate for the patient’s age, condition, and ability to understand.5
Administer pain medications, as ordered, following safe medication administration practices.6
Perform hand hygiene. Put on a gown, gloves, and a face shield, if necessary, to protect yourself from splashing.7
Position the patient in a comfortable position that provides you with adequate access to the surgical site.
If the drain contains suction from its initial closure, release the suction from the drain.
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