PT7130 - Understanding Lines, Tubes, and Drains in Medical Practice

Hooked to generator

What do red sockets mean?

Red in image.

Head wall

Green in image.

Suctioning devices

Blue in image.

Pleur-Evac: Chest tube draining device

What does image show?

Supplemental O2

What is green device on wall?

Regular use by patient

When is supplemental O2 used?

Medical O2

What is yellow device on wall?

Very pure /c no contimation, so used for procedures (either in operating room or bedside surgery)

When is medical O2 used?

Portable suction device

What does image show?

Operating room → room (very loud!)

When is portable suction device used?

Portable suction device

What does image show?

Jackson-Pratt (JP) drain

What does image show?

Suction; mastectomy

Jackson-Pratt (JP) drains are ________________________ drains so they do not need to be placed below the level of the wound. Good for internal hematomas and _______________________.

Hemovac drain

What does image show?

Knee; suction

Hemovac drains are more common in _______________________. If in place, don't be very aggressive /c ROM. These are also ________________________ drains.

Jackson-Pratt (JP) drain

What does image show?

Hemovac drain

What does image show?

Jackson-Pratt (JP) drain

What does image show?

Foot drop splint

What does image show?

Wounds; breakdown; hip ER/plantarflexor

Foot drop splints prevent heel _______________________ and have kickstand to keep toes pointed toward ceiling → Prevent skin _______________________ and _______________________ contracture.

IV pole and pump

What does image show?

Yes, has battery backup

Can you unplug an IV pole and pump from wall during PT treatment session?

Vitals tower

What does image show?

BP, SpO2

What are some examples of measurements provided by vitals tower?

5-lead EKG ("Tele-box", telemetry pack)

What does image show?

Front pocket of hospital gown

Where can you place 5-lead EKG during PT treatment session to get it out of your way?

Compression stockings

What does image show?

Thromboembolytic deterrent stocking ("TED" hose)

What does image show?

Kangaroo feeding bag and tubing

What does image show?

Purple

What is key feature of feeding bag and tubing?

Foley urinary catheter

What does image show?

Gravity; maroon

Urine collection device (foley urinary catheter) is a ______________________-drain. If patient pulls it out, blood in urine. If rhabdomyolosis, urine is ______________________.

Rectal pouch and tubing (fecal management system)

What does image show?

Percutaneous endoscopic gastrostomy ("PEG") tube

What does image show?

Colostomy pouch

What does image show?

Painful, so pre-medication prior to exercise. Not a contraindication to from supine to long-sitting but may be painful since requires abdominal contraction

What are PT implications of newly established colostomy pouch?

Rectal pouch and tubing (fecal management system)

What does image show?

Suction wand/tube

What does image show?

Used to suction out any contents from oral cavity

What is suction wand/tube used for?

Nasogastric (NG) tube

What does image show?

Arterial line

What does image show?

Red; wrist splint

Arterial lines are usually _____________________ in color. This one would likely require _______________________ d/t location.

N95 mask

What does image show?

Airborne precautions (i.e., tuberculosis, rubella/measles, COVID-19)

What kind of precautions require N95 mask?

Surgical mask

What does image show?

Droplet precautions (i.e., pertussis, rubella, influenza)

What kind of precautions require surgical mask?

High flow nasal cannula

What does image show?

Green tubing

What is key feature of high flow nasal cannula?

6-15 L/min

What is flow rate for high flow nasal cannula?

Bedpan

What does image show?

Fracture bedpan

What does image show?

For patients /c femoral and pelvic fractures

When would you use fracture bedpan?

Adduction

Hip precautions = no __________________________ so coordinate /c nursing to educate on rolling to get onto and off of bedpan.

Emesis bag

What does image show?

Post-anesthesia

Emesis bags are good for _________________________ patients, especially total joint replacements.

Cruciform anterior spinal hyperextension (CASH) brace

What does image show?

Prevents thoracic flexion

What is purpose of CASH brace?

Rigid cervical collar

What does image show?

Post-op /c hardware; 24/7

Rigid cervical collars are used because soft collar wasn't stable enough → ________________________. Required to wear ______________________.

Miami J and Aspen

What are two different types of rigid cervical collars?

Cervical flexion

Rigid cervical collar prevents ______________________ → Can't see feet so need lights on, may need proprioceptive assist or AD.

Soft cervical collar

What does image show?

No; proprioceptive

Soft cervical collars are administered when there is _____________________ risk involved, more for __________________________ reminder.

Abdominal binder

What does image show?

Supine; pain; autonomic dysfunction

Abdominal binder is donned in _______________________. Meant to reduce ________________________, especially when abdominal sutures are present. → Can be used for BP maintenance /c TED hose for patients /c _________________________.

Triple lumen central venous catheter (on L) and VAP (on R)

What does image show?

Triple lumen central venous line

What does blue arrow show?

Vascular access port

What does green image show?

Peripherally inserted central catheter (PICC)

What does orange arrow show?

Vascular access port

What does image show?

Peripherally inserted central catheter (PICC)

What does orange arrow show?

Intravenous (IV) line

What does purple arrow show?

Vascular access port

What does image show?

Needle; syringe

VAP on R needs a _____________________ to puncture the area near red arrow, whereas VAP on L can be hooked up to a ____________________ and pushed.

Limb restraint for wrist or ankle

What does image show?

Red outlet = on generator

What does image show?

Mechanical ventilator, AirVo

What machines would typically be hooked up to red outlets in preparation for major storms, tornado, etc. that could lead to power outage?

Sequential compression device (SCD)

What does image show?

Lowermost chamber → Middle chamber → Uppermost chamber

In what order do SCDs fill /c air?

DVT prophylaxis

What are SCDs used for?

Disposable sequential compression device (SCD)

What does image show?

Curb step/stool

What does image show?

Bring floor to patient's feet, good for shorter patients to be able to activate LE

What is purpose of curb step/stool?

Pressure alarm

What does image show?

Chuck's pad

What does image show?

Helpful for positioning a patient, especially for sitting to supine since patient tends to migrate south

What is purpose of Chuck's pad?

Bariatric bed

What does image show?

High; air flow

Features of Bariatric Bed:

- Wider

- _______________________ failure capacity

- Has ______________________ for pressure relief if patient is not good at scooting in bed

Air mattress

What does image show?

Metal bars; fall risk

Features of Air Mattress:

- Like sitting on a balloon

- When deflated, patient is sitting on __________________________

- Adds 6-8 in to bed

- Patient will translate forward when sitting EOB → ______________________

Bucks traction machine

What does image show?

Fracture alignment; inflammation; UE

Features of Bucks Traction Machine:

- Used for ________________________

- When waiting for ________________________ to go down prior to sx

- Non-invasive

- Bedrest but can still work _______________________

- Don't bump bed! Pulleys need to stay still

Traction unit for fracture reduction

What does image show?

Geriatric chair

What does image show?

4-6 hours; PNA

Features of Geriatric Chair:

- Patient can spend _______________________ in chair

- Good for patients /c _______________________

Body board

What does image show?

Body weight

Yellow (full-support) body board is thick and rigid → Can be used to carry _______________________, often with straps to prevent patient from falling off.

Bridge

White (body transfer) body board is thin and flexible → Used to create _______________________ from supine laying surface to another supine laying surface (i.e., gurney to hospital bed or hospital bed to tilt table).

Bed to chair function

What does image show?

Next best thing to sitting in recline if patient is unable to get out of bed

What is purpose of bed to chair function of hospital bed?