L4: Lines, Tubes, & Drains

What is this?

Pleur-Evac (Chest Tube Box)

What is the function of this?

Drains air or fluid from the chest cavity in order to treat a variety of thoracic conditions

Differentiate the green vs the yellow. What are they?

• Yellow = "Medical Air"

  • Used for surgery or bed-side procedures; can also be used to supply the ventilator or sometimes nebulizer, anesthetic carrier

  • Clean, no oil or odors, free of contamination and particles

• Green = "Oxygen" (Supplemental O2)

  • Used for traditional O2 Supplementation

What is the object with the blue lid and the red monitor?

Wall Suction and Canister

What is the purpose of the following object?

Temporary storage container for secretions / fluid removed from the body

What is the purpose of the following object?

Provides suction to clear fluids from the body 

Name the object.

Portable Suction Unit (battery operated)

Drawback -- very loud

What is the purpose of the following object?

Provides suction to clear secretions / fluids from the body in a portable manner

Name the object.

Portable Suction Unit 

(can hook to wall or run on battery)

What is the purpose of the following object?

Provides suction to clear secretions / fluids from the body in a portable manner

Name the object.

Jackson-Pratt Drain

What is the purpose of the following object?

Collects and draws out excess fluid

Does not need to placed below entry site in the body as it is not a gravity drain (the bulb functions as a suction as it expands)

Name the object.

Jackson-Pratt Drain

What is the purpose of the object?

Collects and draws out excess fluid

Does not need to placed below entry site in the body as it is not a gravity drain (the bulb functions as a suction as it expands)

Name the object.

Hemovac Drain

What is the purpose of the following object?

Draws out and holds excess fluid from the body

The drain tube is attached to a container with a spring inside, and as the spring expands, it "suctions" out the fluid; therefore this is not a gravity drain device

What type of drain is this?

Jackson-Pratt Drain

(in this specific image, it is following a double mastectomy and has a belt to keep the JP Drains in place)

Name the object.

Foot Drop Splint (lined with wool)

What is the purpose of the following object?

• Protects against skin breakdown (especially of the heel)
  

• Protects against ER mm. contraction by maintaining toe toward the ceiling (so hip is in neutral position)
  

• Protects against PF mm. contraction by maintainin foot in neutral DF
  

Name the object.

Intravenous Pole and Pump

What is the purpose of the following object?

Facilitates the administration of fluids and medication

T/F: The following object cannot be unplugged from the wall

False! An intravenous pole / pump has a batter backup and therefore can be unplugged from the wall

Name the object.

Portable Vitals Tower

What is the purpose of the following object?

Gives us information regarding the patient's BP, RR, O2 Sat, and HR

T/F: The following object gives us the same information as telemetry.

False! NOT telemetry

Name the object.

Tele-Box
Telemetry Transmitter
Telemetry Pack

(essentially is portable telemetry)

Where would you place this object?

You can place it in the pocket of the hospital gown

What is the purpose of the following object?

Continuously monitors patient EKG, RR, and/or O2 Sat while automatically transmitting information to a central monitor

Name the object.

Graduated Compression Stockings

What are the different prescription strengths of the object below.

• 20-30 mmHg

• 30-40 mmHg

• 40-50 mmHg

What is the purpose of the object below?

Treats edema (and increases venous return)

What conditions should not utilize the following object?

• CHF

• CKD

• Arterial Insufficiency

Name the object.

Thromboembolytic Deterrent Stocking ("TED" Hose)

What is the purpose of the following object?

Helps to prevent DVT / edema

Name the object.

Kangaroo (brand) Feeding Bag and Tubing

NOT TPN

What is the purpose of the following object?

Delivers nutrition directly to the patient's stomach / intestine

Name the object.

Foley Urinary Catheter

What is the purpose of the following object?

Collects and drains urine from the bladder

Is the following a gravity- or suction-based device?

Gravity-Based Device

Therefore it needs to be placed below the level of insertion

Name the object.

Rectal Pouch and Tubing or Fecal Management System (FMS)

What is the purpose of the following object.

Collects fecal matter

Make sure to keep anal area clear and clean to prevent skin breakdown and infection

Name the object.

Rectal Tube and Pouch

How can you differentiate a rectal tube & pouch compared to a foley catheter?

Note the size of the balloon on the end; foley catheter is much smaller

Name the object.

Percutaneous Endoscopic Gastrostomy Tube ("PEG" Tube)

What is the purpose of the following object?

Allows for longer term nutritional support (goes directly to stomach); typically for individuals with swallowing issues

Name the object.

Colostomy Pouch

What is the purpose of the following object.

For patients who cannot have typical bowel movements; the pouch collects stool that would leave the lower GI (located right over the -ostomy)

If one of our patients had the object below, what do we need to consider for therapy purposes?

Consider gait belt placement and abdominal precautions

Name the object.

Suction Tube (typically connected to suction/canister)

What is the purpose of the following object.

Allows for suctioning / cleaning of the oral cavity

(make sure to differ this from an NG tube)

Name the object.

Nasogastric Tube

What is the purpose of the following object?

Bypasses the swallowing of food; puts nutrition/food directly into the stomach

It can also pull out stomach contents

What is this?

Arterial Line (often is RED)

(this image is specifically a radial arterial line)

What is the purpose of the following object.

Allows for continuous blood pressure monitoring, repeated arterial bloood samples, and delivery of medication

Where are the four locations this could be inserted?

• Aortic Root

• Brachial Artery

• Radial Artery

• Femoral Artery

Name the object.

N95 Mask / Respirator

Used for patients with airborne precautions

Name the object.

Standard Mask

Used for patients with droplet precautions

Name the object.

High Flow Nasal Cannula

What is the purpose of the following object?

Deliver high flow rates of oxygen (up to 15L)

How can we differentiate a regular nasal cannula compared to one that is high flow?

The high-flow nasal cannula will have green tubing 

Name the object.

Fracture Bedpan

What is the purpose of the following object.

For patients who have a fracture that limits them from getting out of bed for toileting purposes

Name the object.

Bedpan

What is the purpose of the following object.

For patients who are not strong enough or who arejust not able to go to the bathroom for toileting purposes

Name the object.

Emesis Bag

What is the purpose of the following object?

For vomit / puke; often used for patients who are post-anesthesia or who are just waking up from surgery

Name the object.

Cruciform Anterior Spinal Hyperextension (CASH) Brace

What is the purpose of the following object?

Prevents flexion of the thoracic spine

Name the object.

Miami J Rigid Cervical Collar (AKA Aspen Collar)

What is the purpose of the following object?

• If this is being used, it indicates that the patient has a degree of instability (and a soft collar "wasn't going to cut it")

• Must be worn 24 hours a day

• Patient will be unable to flexion neck (think about implications -- may need to prescribe AD for balance d/t lack of proprioception and inability to look at feet)

Name the object.

Soft Collar

What is the purpose of the following object?

Less intense than a Miami J Rigid Cervical Collar; more of a proprioceptive cue

Name the object.

Abdominal Binder

What is the purpose of the following object?

• Can reduce pain for patient's with abdominal incisions

• Can be used for BP maintenance (hypotension; used to increase venous return)

What kind of support does the following object provide?

No Rigid Support (can "crush into a ball")

How would we put the following object on our patient?

It is donned in supine 

What is the model/object (as a whole)

"Chester Chest" Model

Name the blue arrow.

Triple Lumen Central Venous Line

Name the green arrow.

Vascular Access Port

Name the orange arrow.

Peripherally Inserted Central (Venous) Catheter

(AKA -- PICC Line)

Name the green arrow.

Vascular Access Port

Name the orange arrow.

Peripherally Inserted Central (Venous) Catheter

AKA -- PICC Line

Name the purple arrow.

Intravenous Line (IV Line)

Name the blue arrow.

Vascular Access Port

Name the green arrow.

Vascular Access Port

How do these vascular access ports differ?

• Both are vascular access ports, but the deliver/access is different 

• Green Arrow = can be hooked up to a syringe and pushed

• Blue Arrow = requires a needle to puncture the ""through"" the skin to the port
  

Name the object.

Soft Wrist/Limb Restraint

What is the purpose of the following object.

Restrain combative or agitated patients

What is this?

Red Outlet = electrical outlet connected to a generator

What is the purpose of the following object?

• Ensures that life-sustaining modalities still are connected to power even if the electricity goes out

• Things such as mechanical ventilators, airvo, etc. would be connected to this outlet

Name the object.

Sequential Compression Device (SCD)

What is the purpose of the following object?

Helps to prevent blood clots (DVT prophylaxis)

Air gets pumped to the lower chamber 1st (then released) → 2nd chamber (then released) → 3rd chamber (most superior chamber)

Name the object.

Sequential Compression Device

Name the object (located at the patient's feet).

Curb Step

What is the purpose of the following object (located at the patient's feet)?

• Allows us to "bring the floor to the patient"

• Helps with safety for getting out of bed for patients who may be shorter

Name the object.

Pressure Alarm

What is the purpose of the following object?

For patients who are not supposed to get out of bed

When patient shift weights or completely gets off the pad, this will set of an alarm that alerts medical staff

Name the object.

Pull Pad (AKA -- "Chucks Pad")

What is the purpose of the following object.

For patients who do not move or shift well in bed; allows medical professionals to help move them and complete bed mobiity

Name the object.

Bariatric Hospital Bed